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目的观察个性化健康教育指导对老年血透患者家庭照顾者护理能力的影响。方法将56个老年血透患者家庭照顾者随机分为干预组与对照组,干预组针对老年血透患者家庭护理工作中的常见问题进行个性化、有针对性的健康教育干预指导,并分别于干预前后进行问卷调查。结果干预后,饮食干预、服药干预、监测体重、维护血管通路、运动干预、心理疏导、观察病情等7方面护理行为总正确率,干预组由45.59%提高至88.03%,明显高于对照组和干预前,差异均有统计学意义(P值均<0.01);7个方面护理行为正确率干预组分别由57.14%、45.24%、53.57%、60.71%、23.81%、25.00%、41.07%提高至96.42%、84.52%、92.86%、96.43%、80.95%、96.43%、69.64%,与对照组和干预前比较,除观察病情外,其他6方面差异均有统计学意义(P值均<0.05)。结论个性化健康教育指导有助于提高老年血透患者家庭照顾者的家庭护理能力。
Objective To observe the influence of personalized health education on the nursing ability of the family caregivers in elderly patients with hemodialysis. Methods Fifty-six elderly patients with hemodialysis were randomly divided into intervention group and control group. The intervention group conducted personalized and targeted interventions for health education on the common problems of home-care in elderly patients with hemodialysis. Before and after the intervention questionnaire. Results After intervention, the total correct rate of nursing behavior in seven aspects such as diet intervention, medication intervention, body weight monitoring, vascular access maintenance, exercise intervention, psychological counseling and observation of illness were improved from 45.59% to 88.03% in the intervention group, which were significantly higher than those in the control group and Before intervention, the differences were statistically significant (P <0.01). The correct rate of nursing intervention in 7 groups was increased from 57.14%, 45.24%, 53.57%, 60.71%, 23.81%, 25.00%, 41.07% 96.42%, 84.52%, 92.86%, 96.43%, 80.95%, 96.43%, 69.64% respectively. Compared with the control group and before intervention, there were significant differences in other 6 aspects (all P <0.05) . Conclusion The guidance of personalized health education can help improve the home care ability of the family caregivers in elderly hemodialysis patients.