摘要
目的探究股骨头坏死置换术患者引入认知目标执行理念的多维度照顾策略的效果.方法海南省第三人民医院在2016年4月至2018年7月收治了94例股骨头坏死置换术患者,按照随机数字表法将其分为研究组和对照组各47例.对照组实施传统干预,研究组实施基于认知目标执行理念的多维度照顾策略.在干预前和干预后第4周,对2组患者自我管理能力、生命质量、目标落实良好率和满意度进行比较.结果研究组干预后的生活行为、休息与睡眠、运动、饮食、用药依从性、自我病情监测、心理疏导、定期复诊的评分分别为(2.0±0.6)、(1.9±0.5)、(1.8±0.3)、(2.0±0.5)、(2.4±0.7)、(2.0±0.5)、(2.1±0.7)、(2.1±0.6)分,对照组分别为(1.6±0.4)、(1.3±0.2)、(1.1±0.2)、(1.4±0.4)、(1.4±0.6)、(1.1±0.3)、(1.2±0.3)、(1.4±0.3)分,2组比较差异有统计学意义(t=10.268~20.369,P<0.05).研究组干预后的生理功能、生理职能、社会功能、精神健康、情感职能、活力、躯体疼痛和总体健康的评分分别为(80.6±6.5)、(43.7±4.2)、(75.1±6.1)、(69.5±5.1)、(50.9±4.4)、(66.5±5.0)、(79.3±5.2)、(65.9±6.0)分,对照组分别为(67.3±4.2)、(25.3±2.6)、(63.1±4.0)、(61.8±5.3)、(32.8±2.9)、(53.7±4.4)、(65.3±5.0)、(52.7±5.7)分,2组比较差异有统计学意义(t=11.803~18.277,P<0.05).研究组目标落实良好率和护理满意度分别为89.4%(42/47)、97.9%(45/47),对照组分别为65.9%(31/47)、85.1%(40/47),差异有统计学意义(χ2=16.782、4.919,P<0.05).结论基于认知目标执行理念的多维度照顾策略应用于股骨头坏死置换术患者能提高其自护能力和生命质量,且能提高患者的满意度.
Objective To explore the effect of introducing multi-dimensional care strategy based on the concept of cognitive goal implementation in patients with femoral head necrosis replacement.Methods From April 2016 to July 2018,94 patients with femoral head necrosis were treated in Hainan Third People's Hospital.According to the digital table,the clinical subjects were named as study group and control group,47 cases each.Among them,the control group carried out traditional intervention,while the research group carried out multi-dimensional care strategy based on the concept of cognitive goal implementation.The self-management ability,quality of life and satisfaction of the two groups were compared before and 4 weeks after the intervention.Results After intervention,the scores of life behavior,rest and sleep,exercise,diet,medication compliance,self-monitoring,psychological counseling and regular reexamination in the study group were(2.0±0.6),(1.9±0.5),(1.8±0.3),(2.0±0.5),(2.4±0.7),(2.0±0.5),(2.1±0.7)and(2.1±0.6)respectively,which were higher than those in the control group(1.6±0.4).There were significant differences in scores(t=10.268-20.369,P<0.05).The scores of physiological function,physiological function,social function,mental health,emotional function,vitality,somatic pain and general health in the study group after intervention were(80.6±6.5),(43.7±4.2),(75.1±6.1),(69.5±5.1),(50.9±4.4),(66.5±5.0),(79.3±5.2)and(65.9±6.0)respectively,which were higher than those in the control group(67.3±4.2).)There were significant differences in scores(t=11.803-18.277,P<0.05).The good rate of target implementation in the study group was 89.4%(42/47),which was higher than that in the control group(65.9%(31/47).The difference was statistically significant(χ^2=16.782,P<0.05).The nursing satisfaction of the study group was 97.9%(45/47),higher than that of the control group 85.1%(40/47).The difference was statistically significant(χ^2=4.919,P<0.05).Conclusion Multidimensional care strategy based on the concept of cognitive goal execution can improve self-care ability and quality of life of patients with femoral head necrosis replacement,and improve patient satisfaction.
作者
王梅
蔡幸娟
黄彩妹
Wang Mei;Cai Xingjuan;Huang Caimei(Joint Surgery,Hainan Third People's Hospital,Sanya 572000 China)
出处
《中国实用护理杂志》
2019年第26期2022-2027,共6页
Chinese Journal of Practical Nursing
关键词
护理
生活质量
股骨头坏死置换术
目标执行
多维度管理
自护能力
Nursing care
Quality of life
Femoral head necrosis replacement
Target execution
Multidimensional management
Self-care ability
