病区助理服务模式对老年慢性病患者自我护理能力及自我效能的影响  

Effects of ward assistant service model on self-care ability and self-efficacy of elder patients with chronic diseases

作　　者：李勤[1] 袁静华[1] 陆建芳[1] 

机构地区：[1]江苏省常熟市第二人民医院全科医疗科,江苏常熟215500

出　　处：《中西医结合护理（中英文）》2017年第1期40-43,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨病区助理服务模式对老年慢性病患者自我护理能力及自我效能的影响。方法老年慢性病患者73例随机分为实验组36例和对照组37例。对照组实施常规服务模式,实验组实施病区助理服务模式,观察2组干预前后自我护理能力测定表(ESCA)及慢性病自我效能量表(CDSES)评分。结果干预后实验组ESCA量表4个维度及自我护理能力总分均高于对照组,差异有统计学意义(P<0.01),实验组CDSES量表症状管理自我效能、疾病共性管理自我效能及自我管理效能总分均高于对照组,差异有统计学意义(P<0.01)。结论病区助理服务模式能够提升老年慢性病患者自我护理能力,改善患者自我效能。Objective To explore the effect of ward assistant service model on self-care ability and self efficacy in elderly patients with chronic diseases. Methods A total of 73 cases of elderly patients with chronic disease were divided into the study group（ n = 36） and control group（ n = 37）. The control group received routine nursing care while the study group was given ward assistant service mode. The score of exercise of self-care Agency Scale（ ESCA） and chronic disease self-efficacy scale（ CDSES） were compared between twogroups before and after intervention. Results Patients in the experimental group achieved higher scores of ESCA compared with those in the control group（ P〈0. 01）. The score in symptoms management,common disease and overall score of CDSES were higher in the experimental group than those of controls,with significant difference（ P〈0. 01）. Conclusion The ward assistant service model can not only improve the self-care ability of elderly patients with chronic diseases,improve the self-efficacy of patients,but also help to build a long-term management model of elderly patients with chronic diseases.

关 键 词：病区服务助理 老年 慢性病 自我护理能力 自我效能 

分 类 号：R473.5[医药卫生—护理学]