摘要
目的:探索中西医结合协同护理模式对青光眼术后患者自我护理能力和生活质量的影响。方法:选择2013年10月—2014年10月在本院行青光眼手术的100例青光眼术后患者作为研究对象,进行随机分组,观察组(中西医结合协同护理模式,护理组)50例,对照组(常规护理组)50例,两组病人性别、年龄、文化程度、经济收入、治疗方案、住院时间等指标无显著性差异(P>0.05),具有可比性。所有病例均行青光眼小梁切除术,生活可自理具有基本活动能力,意识清楚,语言表达准确清晰,签署知情同意书。观察组的护士经过CCM培训后对患者在常规护理基础上应用CCM模式护理,和患者及家属共同制定护理方案,教会患者及家属自我护理知识、自我康复技能训练、随访干预,共同监控患者,发现问题及时纠偏,并给予最大限度的生理及心理帮助。对照组按照眼科青光眼术后常规方法对患者护理,即定时监测生命体征、遵医嘱进行各项护理操作、给患者常规宣教注意事项、不定期随访。干预前及干预后3个月回访,采用自我护理能力量表和生活方式量表比较干预前后两组的自我护理和健康促进生活方式情况。结果:干预后观察组自我护理评分和健康促进生活方式评分均高于对照组,观察组的护士职业满意度及护理效果均高于对照组(P<0.01)。结论:中西医结合协同护理与常规的护理相比,能增强患者治疗依从性、主动性,改善生活方式,显著提高青光眼术后患者自我护理能力和生活质量,提高护理效果,促进患者康复,提高护士职业满意度,效果满意,值得在临床推广应用。
Objective ： To explore the effects of collaborative care model for patients with glaucoma surgery self-care ability and quality of life of the combination of traditional Chinese and Western medicine. Methods ： We collected 100 eases of glaucoma after glaucoma surgery patients from October 2013 to October 2014, which were randomly divided into observation group （collaborative nursing model of collaborative nursing model combining traditional Chinese and Western medicine nursing group ） 50 cases and control group （ routine nursing group ）50 cases. Two groups of patients have no significant difference with gender, age, culture the extent of economic income, treatment, hospitalization time （ P〉0.05 ）. All patients were taken trabeeulectomy, with self-care ability, basic ability of language expression, clear consciousness and signed informed consent. The obsez-vation group nurses after CCM training on nursing of patients using CCM mode on the basis of conventional nursing, and patients and their families to develop the nursing program, church patient and their family self nursing knowledge, self rehabilitation skills training and follow-up intervention. This intervention is to monitor patients, identify problems and timely rectification, and give the physical and psychological help to maximize. The control group according to conventional methods after glaucoma surgery patients, namely regular monitoring of vital signs, prescribed the nursing operation, with conventional education considerations, not regular follow-up patients before and after 3 months of intervention. The self-care ability and life style were compared between the two groups before and after the intervention. Results ： After the intervention, the scores of self-care and health promoting lifestyle of the observation group were higher than those of the control group, and the nurses＇ job satisfaction and nursing effect of the observation group were higher than those of the control group （ P〈0.O1 ）. Conclusion ： Collaborative nursing model of collaborative nursing model combined with traditional Chinese and Western medicine can enhance patient compliance and initiative, improve the way of life, improve postoperative glaucoma patients self-care ability and quality of life, improve the nursing effect, promote the rehabilitation of patients, improve the nurse occupation satisfaction, which is worth in clinical promotion application.
出处
《辽宁中医药大学学报》
CAS
2017年第6期155-158,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
辽宁省科技厅自然科学基金项目(201602829)
辽宁省科技厅软科学研究计划项目(2009401054)
关键词
协同护理模式
青光眼
自我护理能力
生活质量
collaborative nursing model
glaucoma
self-care ability
quality of life
