摘要
目的:探讨家庭赋权方案在脑卒中患者护理中的应用及对家庭主要照顾者的影响。方法:选取2017年2月至2019年2月收治的脑卒中患者88例为研究对象,随机分为观察组与对照组,各44例,对照组予以常规护理干预,观察组在此基础上加用家庭赋权方案,对2组家庭主要照顾者疾病不确定感、照顾准备度、照顾能力及患者治疗依从性进行观察。结果:干预前,2组家庭主要照顾者疾病不确定感量表各项评分差异无统计学意义(P>0.05),干预3个月后,观察组上述评分与同期对照组对比,明显较低(P<0.05);干预前,2组照顾者准备度量表(CPS)及护士评估照顾者准备度量表评分差异无统计学意义(P>0.05),干预3个月后,观察组上述评分与同期对照组对比,明显较高(P<0.05);干预前,2组家庭主要照顾者照顾能力测量表(FCTI)评分比较差异无统计学意义(P>0.05),干预3个月后,观察组上述评分与同期对照组对比,明显较低(P<0.05);观察组患者治疗依从性为95.45%,与对照组79.55%对比,明显较高(P<0.05)。结论:采用家庭赋权方案能够减轻脑卒中患者家庭主要照顾者疾病不确定感,提高照顾准备度、照顾能力,改善患者治疗依从性,值得推广。
Objective:To explore the application of family empowerment program in the care of stroke patients and its impact on the major family caregivers.Methods:A total of 88 stroke patients from Feb 2017 to Feb 2019 were enrolled in the study and were randomly divided into observation group and control group,44 cases in each group.The control group received routine nursing intervention,on this basis,the observation group also received family empowerment program.The illness uncertainty,care preparedness and care capacity of the major family caregivers in the two groups and patients’treatment compliance were observed.Results:Before intervention,there were no significant difference in the scores of the Mishel uncertainty in illness scale(MUIS),caregiver preparation scale(CPS),nurse evaluation of caregiver preparation scale(NECPS),and family care test inventory(FCTI)scale between the two groups(P>0.05).After 3 months of intervention,the MUIS score and FCTI score of the major family caregivers in the observation group were significantly lower than those in the control group(P<0.05).The scores of CPS and NECPS of the major family caregivers in the observation group were significantly higher than those in the control group(P<0.05).The treatment compliance of the observation group was 95.45%,which was significantly higher than 79.55%of the control group(P<0.05).Conclusion:Application of the family empowerment program can reduce the illness uncertainty and improve care preparedness and capacity of the major family caregivers of stroke patients,and can also improve patients’treatment compliance,which is worthy of promotion.
作者
余艳
YU Yan(WardⅡof Neurological Department,Zunyi People′s Hospital,Zunyi 563000,China)
出处
《沈阳医学院学报》
2020年第3期263-267,共5页
Journal of Shenyang Medical College
