老人院护工接受循证健康教育模式培训对高龄失能失智疼痛老人生存质量的影响  

作　　者：李冰娜 叶丹 彭碧婷 

机构地区：[1]广东省佛山市禅城区向阳医院痛症科,528000 [2]广东省佛山市禅城区向阳医院家庭病床科,528000

出　　处：《中华现代护理杂志》2012年第34期4117-4120,共4页Chinese Journal of Modern Nursing

基　　金：佛山市医学类科技攻关项目（201108112）

摘　　要：目的探讨老人院护工接受循证健康教育模式培训对提高高龄失能失智疼痛老人生存质量的影响。方法对仁爱老人院12名护工进行疼痛知识的系统培训，然后督导护工遵照所学内容为54名高龄失能失智老人实行缓解疼痛的护理措施，观察比较护工在培训前和培训后对老人生存质量的影响。结果经统计显示护工接受培训后，理论和操作考核成绩均显著优于培训前[（76．75±2．43）分比（57．33±2．65）分，（87．50±1．51）份比（65．42±1．24）分]，差异均有统计学意义（t值分别为-4．833，-14．389；P〈0．01）；老人的疼痛评分培训后（3．74±2．07）分，低于培训前（4．98±2．11）分，差异有统计学意义（t=15．702，P〈0．01）；生存质量评分培训后（37．464±6．73）分，高于培训前（27．41±3．07）分，差异有统计学意义（t=-9．916，P〈0．01）。结论护工接受循证健康教育模式的培训对提高护工的职业素养和照护能力有重要意义，可以更有效地提高老人的生存质量。Objective To discuss the effect of evidence-based training to the caregivers in homes for the aged on improving the quality of life of the elderly with disability and dementia and pain.Methods Totals of 12 caregivers in Ren' ai homes for the aged were systematically trained in knowledge of pain,and supervised they caring 54 elder with disabilily and dementia and pain according to what they had learned.Observations and comparisons were made between the effects on improving the quality of life of the elder before and after training.Results Statistics showed that theory and operation of test results of caregivers after training significantly were better than before [(76.75 ±2.43) vs (57.33 ±2.65),(87.50 ±1.51) vs (65.42 ±1.24)],with significant differences (t =-4.833,-14.389 ; P ＜0.01).After the intervention,pain score of the elderly was significantly lower [(3.74 ± 2.07) vs (4.98 ± 2.11)] and quality of life score was significantly higher [(37.46 ±6.73) vs (27.41 ± 3.07)] than that of before intervention,with significant differences (t =15.702,-9.916;P ＜0.01).Conclusions Evidence-based training education model can significantly improve caregivers' professionalism and caring skills,thereby effectively enhance the life quality of the elderly.

关 键 词：社区卫生服务 循证医学 老年人 80以上 生活质量 疼痛 失能失智 护工培训 

分 类 号：R47[医药卫生—护理学]