居家认知行为干预对血液肿瘤老年患者housebound的影响研究  

Research of the effect of home-based cognitive behavior intervention on housebound of elderly patients with hematological tumor

作　　者：赵薇[1] Zhao Wei(Department of Hematology,People's Hospital of Wuxi City,Jiangsu Wuxi 214000)

机构地区：[1]无锡市人民医院血液科,江苏无锡214000

出　　处：《中国社区医师》2020年第27期80-81,共2页Chinese Community Doctors

基　　金：南京医科大学科技发展基金(NMUB2018362)。

摘　　要：目的:探讨居家认知行为干预对老年血液肿瘤患者居家不出(housebound)的影响。方法:2017年5月-2019年6月收治血液肿瘤老年housebound患者72例,随机分为两组,各36例。观察组实施居家认知行为干预;对照组采用常规护理干预。比较两组干预效果。结果:观察组干预后housebound状态评分显著低于对照组,差异有统计学意义(P<0.05);观察组营养、睡眠、身体活动、自我照顾及药物治疗方案等方面评分均优于对照组,差异有统计学意义(P<0.05)。结论:针对血液肿瘤老年housebound患者,实施居家认知行为干预,能改善housebound状态,使健康行为得以改善,有利于疾病预后。Objective:To discuss the effect of home-based cognitive behavior intervention on housebound in elderly patients with hematological tumor.Methods:From May 2017 to June 2019,72 elderly housebound patients with hematological tumor were enrolled,they were randomly divided into two groups with 36 cases in each group.The observation group implemented home-based cognitive behavior intervention.The control group used conventional nursing intervention.The effect of intervention in the two groups was compared.Results:After intervention,the housebound status score of the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).The scores of nutrition,sleep,physical activity,self-care and drug treatment solutions in observation group were better than those in control group,the differences were statistically significant(P<0.05).Conclusion:For elderly housebound patients with hematological tumors,implementing home-based cognitive behavior intervention can improve their housebound state,so that health behavior problems can also be improved,which is beneficial to the prognosis of the disease.

关 键 词：居家认知行为干预 血液肿瘤 housebound 健康行为 

分 类 号：R473.2[医药卫生—护理学]