家庭支持护理对老年慢性病患者自我感受及结局事件的影响  

Effect of family support nursing on self-perception and outcome events of elderly patients with chronic diseases

作　　者：屈玉洁 常陆[1] 屈玉清 张俊梅[3] 谢赫男[4] Qu Yujie;Chang Lu;Qu Yuqing;Zhang Junmei;Xie Henan(First Ward,Department of Geriatrics,Henan Provincial People's Hospital,Zhengzhou 450003,China;Cardiac Intensive Care Unit,Henan Provincial People's Hospital,Zhengzhou 450003,China;Department of Nursing,Henan Provincial People's Hospital,Zhengzhou 450003,China;Second Ward,Department of Geriatrics,Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院老年医学科一病区,郑州450003 [2]河南省人民医院心脏重症监护室,郑州450003 [3]河南省人民医院护理部,郑州450003 [4]河南省人民医院老年医学科二病区,郑州450003

出　　处：《中华现代护理杂志》2022年第11期1494-1499,共6页Chinese Journal of Modern Nursing

基　　金：河南医学科技攻关计划(LHGJ20190583);河南省高等学校重点科研项目计划(20A320004)。

摘　　要：目的探讨家庭支持护理对老年慢性病患者自我感受及结局事件的影响。方法采用简单随机抽样方式,选取2019年1月—2020年1月河南省人民医院出院的老年慢性病患者115例,以随机数字表法分为观察组(58例)、对照组(57例)。对照组采用常规护理方式,观察组采用家庭支持护理方式。比较干预前和干预3、6个月后两组患者自我感受、家庭功能评分;比较两组患者用药依从性、再入院率。结果干预3个月后,观察组、对照组自我感受负担量表(SPBS)评分分别为(25.73±3.85)、(28.14±3.90)分,家庭亲密度和适应性量表(FACES)评分分别为(105.62±12.41)、(96.35±10.05)分;干预6个月后,观察组、对照组SPBS评分分别为(21.89±4.33)、(25.41±4.20)分,FACES评分分别为(122.60±14.70)、(112.35±16.32)分;重复测量方差分析显示,两组SPBS、FACES总分比较的交互效应、时间效应和组间效应差异均有统计学意义(P均<0.01)。干预6个月后,观察组、对照组用药依从性良好率分别为70.69%(41/58)、50.88%(29/57),观察组高于对照组,差异有统计学意义(χ^(2)=4.738,P=0.030)。干预后随访1年,观察组、对照组再入院率分别为18.87%(10/53)、39.22%(20/51),观察组低于对照组,差异有统计学意义(χ^(2)=5.243,P=0.022)。结论家庭支持护理可减轻老年慢性病患者的自我感受负担,提高其家庭功能和用药依从性,减少再入院的发生。Objective To explore the effect of family supportive nursing on self-perception and outcome events in elderly patients with chronic diseases.Methods A simple random sampling method was used to select 115 elderly patients with chronic diseases discharged from Henan Provincial People's Hospital from January 2019 to January 2020.They were divided into the observation group(58 cases)and the control group(57 cases)by random number table method.The control group received routine nursing,while the observation group received family support nursing.The self-perception and family function scores of the two groups were compared before the intervention and after 3 and 6 months of the intervention.The medication compliance and readmission rate were compared between the two groups.Results After 3 months of intervention,scores of Self-Perceived Burden(SPBS)of the observation group and the control group were respectively(25.73±3.85)and(28.14±3.90)and scores of Family Adaptability Cohesion Environment Scale(FACES)were respectively(105.62±12.41)and(96.35±10.05).After 6 months of intervention,the SPBS scores of the observation group and the control group were respectively(21.89±4.33)and(25.41±4.20),and the FACES scores were(122.60±14.70)and(112.35±16.32)respectively.Repeated-measures analysis of variance showed that there were statistically significant differences in interaction effect,time effect and between-group effect in the comparison of SPBS and FACES total scores between the two groups(all P<0.01).After 6 months of intervention,the rate of good medication compliance in the observation group and the control group was respectively 70.69%(41/58)and 50.88%(29/57),and that of the observation group was higher than the control group,and the difference was statistically significant(χ^(2)=4.738,P=0.030).After one-year follow-up after intervention,the readmission rates of the observation group and the control group were respectively 18.87%(10/53)and 39.22%(20/51),and the observation group was lower than the control group,and

关 键 词：老年人 慢性病 家庭支持 自我感受 家庭功能 用药依从性 再入院 

分 类 号：R473.2[医药卫生—护理学]