过渡护理方案对肝移植患者家属迁移应激干预效果的研究  

Intervention effect of transitional nursing program on migration stress of liver transplant patients'family members

作　　者：郭中献[1] 勾玉莉[1] 沙丽艳 蒋晶[2] 鞠伟伟 GUO Zhongxian;GOU Yuli;SHA Liyan;JIANG Jing;JU Weiwei(The Department of Hepatobiliary Pancreatitis and Organ Transplantation Center,The Second Hospital of Dalian Medical University,Dalian,116023,China;不详)

机构地区：[1]大连医科大学附属第二医院肝胆胰外一科暨器官移植中心,大连市116023 [2]大连医科大学附属第二医院护理部,大连市116023

出　　处：《中华急危重症护理杂志》2023年第2期101-105,共5页Chinese Journal of Emergency and Critical Care Nursing

基　　金：2021年大连医科大学附属第二医院护理学科专项科研基金(2021dyhl106)。

摘　　要：目的探讨过渡护理方案对肝移植患者家属迁移应激水平及照护能力的影响。方法采用非同期对照试验方法,选择2021年4月-2022年5月在大连市某三级甲等医院行肝移植手术患者的57名家属为研究对象,根据入院先后顺序分为试验组30名和对照组27名,试验组实施基于ABC-X模型的过渡护理方案,对照组实施常规护理方案。干预前后采用家属迁移应激量表(Family Relocation StressScale,FRSS)、家属照护能力量表(Family Caregiver Task Inventory,FCTI)评价干预效果。结果干预后,试验组FRSS评分为(30.17±7.29)分,低于对照组(32.40±4.88)分,差异具有统计学意义(t=9.816,P<0.001);试验组FCTI得分为(22.66±2.91)分,低于对照组(30.00±2.91)分,差异具有统计学意义(t=9.459,P<0.001)。结论基于ABC-X模型的过渡护理方案有助于降低肝移植患者家属迁移应激水平,提高其照护能力。Objective To investigate the effect of transitional nursing program on migration stress and care ability of liver transplant patients’ family members. Methods Using non-concurrent control experimental method,57liver transplant patients from April 2021 to May 2022 were selected as the study subjects in a tertiary Class A hospital of Dalian. They were randomly divided into observation group(n=27) and control group(n=30) according to the order of admission. The control group adopted routine nursing mode,and the observation group adopted transitional care program based on the ABC-X model. Family Relocation Stress Scale(FRSS) and Family Caregiver Task Inventory(FCTI) were used to evaluate the intervention effect before and after intervention. Results After intervention,the FRSS score of the observation group(30.17 ±7.29) was lower than that of the control group(32.40±4.88),and the difference was statistically significant(t=9.816,P<0.001). The FCTI score of the observation group(22.66±2.91) was lower than that of the control group(30.00±2.91),and the difference was statistically significant(t =9.459,P <0.001). Conclusion The transitional nursing program based on ABC-X model can reduce the migration stress level of family members of liver transplant patients and improve their care ability.

关 键 词：肝移植 ABC-X模型 照顾者 迁移应激 照护能力 

分 类 号：R473.6[医药卫生—护理学]