基于时机理论的延续护理对肠造口患者照顾者的影响研究  

Study on the influence of continuous nursing based on Time It Right on caregivers of patients with enterostomy

作　　者：张娜[1] 宋金霞[2] 那娜[3] 王淑云[4] 王冬[4] 孙慧慧 ZHANG Na;SONG Jinxia;NA Na;WANG Shuyun;WANG Dong;SUN Huihui(School of Nursing,Qingdao University,Qingdao 266011,China;Management Department,the Affiliated Hospital of Qingd⁃ao University,Qingdao 266003,China;Department of Respiratory,the Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of General Surgery,the Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学护理学院,青岛市266011 [2]青岛大学附属医院管理部,青岛市266003 [3]青岛大学附属医院呼吸内科,青岛市266003 [4]青岛大学附属医院普通外科,青岛市266003

出　　处：《护理管理杂志》2019年第12期849-853,共5页Journal of Nursing Administration

摘　　要：目的探讨基于时机理论的延续护理对肠造口患者照顾者照顾能力及照料负担的影响。方法将105例肠造口患者主要照顾者随机分为对照组52例和干预组53例,对照组给予肠造口常规护理与随访,干预组在此基础上实施以时机理论为框架的延续护理,分别于患者入院时、出院时、出院后3个月、出院后6个月评价两组照顾者的照顾能力及照料负担。结果干预后两组照顾者照顾能力总分及各维度得分在时间、组间、交互作用方面,差异均具有统计学意义(P<0.01),干预组照顾者照料负担水平在干预后各时间点均低于对照组,差异有统计学意义(P<0.01或P<0.05)。结论基于时机理论的延续护理有利于提高肠造口患者照顾者照顾能力,降低其照料负担。Objective To explore the effect of continuous nursing on caring ability and burden of caregivers of enterostomy patients, based on Time It Right(TIR).Methods A total of 105 patients were randomly divided into a control group(n=52) and an intervention group(n=53).The control group received routine nursing care and follow-up visit,while the intervention group were given continuous care intervention based on TIR framework.The caring ability and burden level of caregivers in the two groups were evaluated at discharge,and 3 months and 6 months after discharge.Results After the intervention,the total scores of the two groups of care ability and the scores of each dimension were significantly different in terms of time,group,and interaction(P<0.01).The severity of caregivers’ care burden in the intervention group was lower than that in the control group at all measuring points(P<0.01 or P<0.05).Conclusion Continuous nursing based on "Time It Right" can improve the care ability of caregivers of enterostomy patients and reduce their burden of care.

关 键 词：照顾者 时机理论 肠造口 延续护理 照顾能力 照料负担 

分 类 号：R473.6[医药卫生—护理学]