基于时机理论的居家护理对老年高血压脑出血出院患者自我效能及跌倒发生率的影响  

Effect of home nursing based on timing theory on self-efficacy and incidence of falls in elderly patients with hypertensive cerebral hemorrhage

作　　者：李琳[1] 蔡春雨[2] 酒晓盈 曾宪焕 Li Lin;Cai Chunyu;Jiu Xiaoying;Zeng Xianhuan(Nursing Department of Nanyang Second People's Hospital,473000,China;Department of Neurosurgery,Nanyang Second People's Hospital,473000,China)

机构地区：[1]南阳市第二人民医院护理部,473000 [2]南阳市第二人民医院神经外科,473000

出　　处：《国际护理学杂志》2021年第14期2677-2684,共8页international journal of nursing

基　　金：河南省医学科技攻关计划项目(2017062334)。

摘　　要：目的探讨基于时机理论的居家护理对老年高血压脑出血(HICH)出院患者自我效能及跌倒发生率的影响。方法选取2018年5月至2020年2月南阳市第二人民医院老年HICH患者98例作为研究对象,依据入院时间顺序分为观察组和对照组,各49例。对照组予以常规护理干预,观察组予以基于时机理论的居家护理。观察对比两组住院期间、居家护理期问跌倒发生率、不同时间段(入院时、出院时、出院后3个月及6个月)自我效能感(GSES)、自护能力(ESCA)、家属照顾能力量表(FCTI)评分及入院时、出院后6个月独立生活能力(FIM)、心理社会适应情况、家属护理满意度。结果居家护理期间观察组跌倒发生率低于对照组;出院时、出院后3个月、6个月观察组GSES、ESCA评分高于对照组;出院后6个月观察组括约肌控制能力、社会认知能力、自我照顾能力、转移能力、行动能力、交流能力评分高于对照组,抑郁、躯体化、人际关系敏感焦虑评分低于对照组;出院时、出院后3个月6个月观察组FCTI评分低于对照组,且观察组FCTI评分呈逐渐降低趋势;观察组家属护理满意度93.88%高于对照组77.55%,差异均有统计学意义(均P<0.05)。结论基于时机理论的居家护理可降低老年HICH出院患者跌倒发生率,提高其自我效能、自护能力及家属照顾能力,提高患者的独立生活能力、心理社会适应能力,且家属护理满意度高。Objective To explore the effect of home-based nursing based on timing theory on self-efficacy and incidence of fall in elderly patients discharged from hospital with hypertensive intracerebral hemorrhage(HICH).Methods A total of 98 elderly patients with HICH in the Second People's Hospital of Nanyang City from May 2018 to February 2020 were selected as the research subjects,and were divided into observation group and control group according to the order of admission time,with 49 patients in each group.The control group was given routine nursing interven­tion,while the observation group was given home nursing based on timing theory.The incidence of falls during hospi­talization and home care,the General Self-Efficacy Scale(GSES),Exercise of Self-Care Agency(ESCA)Scale and Family Care Giver Task Inventory(FCTI)scores at different time periods(admission,discharge,3 months and 6 months after discharge),the Functional Independence Measure(FIM),psychosocial adjustment and nursing satisfac­tion of family members at admission and 6 months after discharge were observed and compared.Results The incidence of fall in the observation group was lower than that in the control group during home care.GSES and ESCA scores of the observation group were higher than those of the control group at discharge,3 months and 6 months after discharge.Six months after discharge,scores of sphincter control ability,social cognition ability,self-care ability,transfer ability,mobility ability and communication ability in the observation group were higher than those in the control group,while scores of depression,somatization,interpersonal sensitivity and anxiety were lower in the observation group than those in the control group.At discharge,3 months and 6 months after discharge,the FCTI score of the observation group was lower than that of the control group,and the FCTI score of the observation group showed a gradually decreasing trend.The nursing satisfaction of the families in the observation group was 93.88%,which was higher than that of t

关 键 词：高血压脑出血 基于时机理论的居家护理 自我效能 跌倒 独立生活能力 家属照顾能力 

分 类 号：R473.2[医药卫生—护理学]