摘要
目的观察行为改变轮指导下的干预模式对老年院外带入压力性损伤(压疮)患者疾病认知及预后的影响。方法前瞻性选取2022年4月—2023年3月在沧州市人民医院肿瘤内科住院的院外带入压疮患者66例,根据随机数字表法分为观察组(33例)和对照组(33例)。对照组治疗后行常规健康教育干预,观察组采用行为改变轮指导的干预模式;对2组患者随访6个月,记录并比较2组患者的预后状况。结果干预后,2组压疮认知评分、自我效能感量表(GeneralSelf-EfficacyScale,GSES)评分均高于同组干预前,且观察组提高幅度大于对照组(P<0.05)。院外随访显示,观察组压疮创口愈合时间和压疮新发率均低于对照组(P<0.05)。结论行为改变轮指导下干预模式用于老年压疮患者,可提高患者对压疮的认知度,规范自护行为,提高自我效能感,并改善压疮患者的预后状况。
Objective To observe the effects of intervention mode guided by behavior change wheel on disease cognition and prognosis of elderly patients with pressure injury(pressure ulcer)brought in outside hospital.Methods A total of 66 patients with pressure ulcer brought in outside hospital admitted to Department of Medical Oncology,People s Hospital of Cangzhou City from April 2022 to March 2023 were prospectively selected and divided into observation group(33 cases)and control group(33 cases)according to the random number table method.The control group received routine health education intervention after treatment,and the observation group adopted the intervention mode guided by behavior change wheel.The two groups were followed up for 6 months,and the prognosis of the two groups was recorded and compared.Results After intervention,the scores of pressure ulcer cognition and General Self-Efficacy Scale(GSES)of both groups were higher than those of the same group before intervention,and the improvement amplitude of the observation group was greater than that of the control group(P<0.05).The follow-up outside the hospital showed that the injury healing time and the incidence of new pressure ulcer in the observation group were shorter or lower than those in the control group(P<0.05).Conclusion The application of the intervention mode guided by behavior change wheel in elderly patients with pressure ulcer can improve their pressure ulcer cognition,regulate their self-care behavior,and improve their self-efficacy and prognosis.
作者
刘金柱
杨越
Liu Jinzhu;Yang Yue(Department of Medical Oncology,People’s Hospital of Cangzhou City,Cangzhou,Hebei,061000,P.R.China;Department 1 of Endocrinology and Diabetes,People’s Hospital of Cangzhou City,Cangzhou,Hebei,061000,P.R.China)
出处
《老年医学与保健》
CAS
2024年第1期211-215,共5页
Geriatrics & Health Care
关键词
老年
压疮
行为改变轮
预后
elderly
pressure ulcer
behavior change wheel
prognosis
