赋权指导在脑卒中患者家庭主要照顾者中的应用
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摘要
目的:分析赋权指导在脑卒中患者家庭主要照顾者中的应用效果。方法:选取2018年1-4月我院住院部80名脑卒中患者的家庭主要照顾者为研究对象,按照随机数字表法分为观察组和对照组各40名,对照组家庭主要照顾者接受常规护理知识宣教,观察组家庭主要照顾者接受赋权指导,比较两组家庭主要照顾者照顾者准备度得分和综合照顾能力得分。结果:入院后2周观察组和对照组主要照顾者照顾准备度得分分别为(25.98±3.21)和(22.10±4.01)分,综合照顾能力总分分别为(116.38±9.92)和(101.51±9.79)分,观察组主要照顾者照顾准备度得分和综合照顾能力总分均明显高于对照组(P<0.05)。结论:赋权指导计划可提高脑卒中患者家庭主要照顾者的照顾准备度和综合照顾能力,对提高长期家庭护理质量具有积极意义。
Objective: To analyze the application of the empowerment guidance program in the primary caregivers of stroke patients. Methods: A total of 80 primary caregivers of stroke patients in the inpatient department in a hospital from January 2018 to April 2018 were selected and divided into observation group(40 cases) and control group(40 cases) by the random number. Those in the control group were with the routine nursing education, and those in the observation group were with the empowerment guidance program and the routine nursing education. The scores of caregiver preparedness and comprehensive care ability of primary caregivers in two groups were compared. Results: The scores of caregiver preparedness were 25.98±3.21 in the observation group and 22.10±4.01 in the control group, total scores of comprehensive care ability were 116.38±9.92 in the observation group and 101.51±9.79 in the control group after 2 weeks of admission. The scores of caregiver preparedness and comprehensive care ability in the observation group were significantly higher than those in the control group(P<0.05). Conclusion:The empowerment guidance program can improve the caregiver preparedness and comprehensive care ability in the primary caregivers of stroke patients, and the empowerment guidance program is benefit to improve the quality of long-term family care.
Objective: To analyze the application of the empowerment guidance program in the primary caregivers of stroke patients. Methods: A total of 80 primary caregivers of stroke patients in the inpatient department in a hospital from January 2018 to April 2018 were selected and divided into observation group(40 cases) and control group(40 cases) by the random number. Those in the control group were with the routine nursing education, and those in the observation group were with the empowerment guidance program and the routine nursing education. The scores of caregiver preparedness and comprehensive care ability of primary caregivers in two groups were compared. Results: The scores of caregiver preparedness were 25.98±3.21 in the observation group and 22.10±4.01 in the control group, total scores of comprehensive care ability were 116.38±9.92 in the observation group and 101.51±9.79 in the control group after 2 weeks of admission. The scores of caregiver preparedness and comprehensive care ability in the observation group were significantly higher than those in the control group(P<0.05). Conclusion:The empowerment guidance program can improve the caregiver preparedness and comprehensive care ability in the primary caregivers of stroke patients, and the empowerment guidance program is benefit to improve the quality of long-term family care.
引文
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[10]吕露露,郭红,胡力云,等.脑卒中患者照顾者综合照顾能力现状及影响因素分析.护理学杂志,2016,31(11):1-4.Lyu LL,Guo H,Hu LY,et al.The level and associated factors of caregiving ability of family caregivers of stroke patients.Journal of Nursing Science,2016,31(11):1-4.
[11]Benjamin EJ,Blaha MJ,Chiuve SE,et al.Heart disease and stroke statistics-2017 update:a report from the American Heart Association Circulation,2017,135(10):e146-e603.
[12]穆欣,李娟,刘瑞荣,等.首发脑卒中患者自我管理行为及影响因素的研究.中华护理杂志,2016,51(3):289-293.Mu X,Li J,Liu RR,et al.The current status and influencing factors of self-management behaviors in patients with first stroke.Chinese Journal of Nursing,2016,51(3):289-293.
[13]吕露露,郭红,胡力云,等.脑卒中家庭照顾者自我效能与照顾能力状况及其相关性.现代临床护理,2016,15(8):6-10.Lyu LL,Guo H,Hu LY,et al.Correlation between self-efficacy and care ability of stroke patients family caregivers.Modern Clinical Nursing,2016,15(8):6-10.
[14]张建凤,李志菊,王芳云,等.家庭访视对脑卒中患者照顾者照顾负担及积极体验的影响研究.中华护理杂志,2017,52(7):830-834.Zhang JF,Li ZJ,Wang FY,et al.Effects of home visiting on care burden and positive experience in caregivers of cerebral apoplexy patients.Chinese Journal of Nursing,2017,52(7):830-834.
[15]Demir Y,Gozum S.Evaluation of quality,content,and use of the web site prepared for family members giving care to stroke patients.Comput Inform Nurs,2015,33(9):396-403.
[2]石丹,李铮.脑卒中居家照顾者负荷干预研究进展.护理学杂志,2016,31(17):107-110.Shi D,Li Z.Interventions to reduce caregiving burden of family caregivers of stroke patients:a literature review.Journal of Nursing Science,2016,31(17):107-110.
[3]Liu LW,Mcdaniel SA.Family caregiving for immigrant seniors living with heart disease and stroke:Chinese Canadian perspective.Health Care Women Int,2015,36(12):1327-1345.
[4]Coleman EA,Ground KL,Maul A.The Family Caregiver Activation in Transitions(FCAT)tool:a new measure of family caregiver self-efficacy.Jt Comm J Qual Patient Saf,201541(11):502-507.
[5]White CL,Barrientos R,Dunn K.Dimensions of uncertainty after stroke:perspectives of the stroke survivor and family caregiver.J Neurosci Nurs,2014,46(4):233-240.
[6]Mataji AM,Taghdisi MH,Shidfar F,et al.The impact of training on women's capabilities in modifying their obesity-related dietary behaviors:applying family-centered empowerment model.JRes Health Sci,2014,14(1):75-80.
[7]Peyrovi H,Mosayebi Z,Mohammad-Doost F,et al.The effect of empowerment program on"perceived readiness for discharge"of mothers of premature infants.J Matern Fetal Neonatal Med,2016,29(5):752-757.
[8]Salahi SH,Javanbakhtian R,Hasheminia SM,et al.The effect of family-centered empowerment model on quality of life of hemodialysis patients.J Urmia Nurs Midwifery Fac,2012,10(1):61-67.
[9]刘延锦,王敏,董小方.中文版照顾者准备度量表的信效度研究.中国实用护理杂志,2016,32(14):1045-1048.Liu YJ,Wang M,Dong XF.Reliability and validity of Chinese Version of the Caregiver Preparedness Scale in caregivers of stroke survivors.Chinese Journal of Practical Nursing,2016,32(14):1045-1048.
[10]吕露露,郭红,胡力云,等.脑卒中患者照顾者综合照顾能力现状及影响因素分析.护理学杂志,2016,31(11):1-4.Lyu LL,Guo H,Hu LY,et al.The level and associated factors of caregiving ability of family caregivers of stroke patients.Journal of Nursing Science,2016,31(11):1-4.
[11]Benjamin EJ,Blaha MJ,Chiuve SE,et al.Heart disease and stroke statistics-2017 update:a report from the American Heart Association Circulation,2017,135(10):e146-e603.
[12]穆欣,李娟,刘瑞荣,等.首发脑卒中患者自我管理行为及影响因素的研究.中华护理杂志,2016,51(3):289-293.Mu X,Li J,Liu RR,et al.The current status and influencing factors of self-management behaviors in patients with first stroke.Chinese Journal of Nursing,2016,51(3):289-293.
[13]吕露露,郭红,胡力云,等.脑卒中家庭照顾者自我效能与照顾能力状况及其相关性.现代临床护理,2016,15(8):6-10.Lyu LL,Guo H,Hu LY,et al.Correlation between self-efficacy and care ability of stroke patients family caregivers.Modern Clinical Nursing,2016,15(8):6-10.
[14]张建凤,李志菊,王芳云,等.家庭访视对脑卒中患者照顾者照顾负担及积极体验的影响研究.中华护理杂志,2017,52(7):830-834.Zhang JF,Li ZJ,Wang FY,et al.Effects of home visiting on care burden and positive experience in caregivers of cerebral apoplexy patients.Chinese Journal of Nursing,2017,52(7):830-834.
[15]Demir Y,Gozum S.Evaluation of quality,content,and use of the web site prepared for family members giving care to stroke patients.Comput Inform Nurs,2015,33(9):396-403.