同伴支持教育在下肢动脉粥样硬化患者延续性护理中的应用效果研究  

Effect of Peer Support Education in the Continuous Nursing of Patients with Lower Extremity Atherosclerosis

作　　者：林丽琼[1] LIN Liqiong(First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院,福建福州350005

出　　处：《中外医学研究》2021年第22期96-99,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨同伴支持教育在下肢动脉粥样硬化(LEAD)患者延续性护理中的应用效果。方法:选取2018年10月-2019年11月笔者所在医院收治的LEAD患者84例,采用抽签法将其分为对照组(43例)和试验组(41例)。对照组实施常规护理,试验组实施同伴支持教育。比较两组足部评估情况及自我护理能力评分。结果:干预前,两组足部评估情况比较,差异无统计学意义(P>0.05);干预后,试验组足部评估中颜色异常、真菌感染、足背搏动异常、肢体麻木、踝反射异常、振动觉异常、压力觉异常、针刺觉异常、温度觉异常占比均低于对照组,差异有统计学意义(P<0.05)。试验组自护环境、自护目标、自护技能评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论:LEAD患者延续性护理中实施同伴支持教育,可提高患者自我护理能力,降低下肢血管病变及神经病变风险,值得在临床护理工作中应用推广。Objective:To explore the effect of peer support education in the continuous nursing of patients with lower extremity atherosclerosis(LEAD).Method:A total of 84 patients with LEAD admitted in our hospital from September 2018 to June 2019 were selected.They were divided into the control group (43 cases) and the experimental group (41 cases) by drawing lots method.The control group received routine nursing,and the experimental group received peer support education.The evaluation of foot and self-nursing ability were compared between the two groups.Result:Before intervention,there was no significant difference in foot evaluation between the two groups (P>0.05).After intervention,the proportion of abnormal color,fungal infection,abnormal dorsalis pedis pulse,limb numbness,abnormal ankle reflex,abnormal vibration sense,abnormal pressure sense,abnormal acupuncture sense and abnormal temperature sense in the foot evaluation in the experimental group were lower than those in the control group,and the differences were statistically significant (P<0.05).The scores of self-nursing environment,self-nursing goals,self-nursing skills and total score of the experimental group were higher than those of the control group,and the differences were statistically significant (P<0.05).Conclusion:The implementation of peer support education in the continuous nursing of lower extremity atherosclerosis patients can improve the self-nursing ability and reduce the risk of lower extremity vascular disease and neuropathy,which is worthy of application and promotion in clinical nursing work.

关 键 词：同伴支持教育 下肢动脉粥样硬化 护理 

分 类 号：R473.5[医药卫生—护理学]