以家庭为中心的赋权干预对军队离退休老干部生活质量和家庭照护负担的影响  

Impacts of family⁃centered empowerment intervention on the life quality and family burden among retired military cadres

作　　者：张金梅 包蓉 李玉梅[4] 董洁 刘立媛 Zhang Jinmei;Bao Rong;Li Yumei;Dong Jie;Liu Liyuan(Department of Respiratory Medicine,Hongkou Branch,First Affiliated Hospital of Naval Medical University,Shanghai 200081,China)

机构地区：[1]海军军医大学第一附属医院虹口院区呼吸内科,上海200081 [2]同济大学医学院 [3]海军军医大学第一附属医院虹口院区护理部,上海200081 [4]同济大学附属上海市肺科医院护理部

出　　处：《海军医学杂志》2023年第5期463-467,477,共6页Journal of Navy Medicine

基　　金：海军军医大学第一附属医院“234学科攀峰计划”立项项目(2020YZL017)。

摘　　要：目的探讨以家庭为中心的赋权干预对提高军队离退休老干部生活质量和减轻家庭主要照顾者照护负担的影响。方法选取2020年6月至2021年5月在海军军医大学第一附属医院虹口院区住院治疗的102例离退休老干部及其主要照顾者作为研究对象,根据患者治疗意愿的不同将其分为对照组(n=50)和干预组(n=52)。对照组给予常规护理,干预组在对照组的基础上采取家庭赋权干预方案。比较2组患者生活质量、服药依从性以及家庭主要照顾者照顾负担。结果2组患者干预前生活质量、家庭主要照顾者照护负担评分比较差异无统计学意义(P>0.05);干预后,干预组生活质量(生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康)各维度评分均高于对照组,差异有统计学意义(P<0.05);干预组家庭主要照顾者照护负担低于对照组,差异有统计学意义(P<0.05);干预组患者服药依从性(82.7%)高于对照组(62.0%),差异有统计学意义(P<0.05)。结论在军队离退休老干部及其主要照顾者中实施以家庭为中心的赋权干预,能够有效改善其生活质量,提升其服药依从性及减轻家庭照护负担。Objective To explore the effects of family‑centered empowerment on the improvement of life quality and the burden of caregivers among retired military cadres.Methods A total of 102 retired cadres and the main caregivers who stayed in Hongkou Branch,the First Affiliated Hospital of Naval Medical University from June 2020 to May 2021 were selected as research subjects,and were divided into the control group(n=50)and the intervention group(n=52),according to patients’different desires for treatment.The control group was given routine nursing,while the intervention group received family‑centered empowerment intervention on the basis of the control group.Differences in life quality,medication compliance and care burden of primary caregivers were compared between the two groups.Results Before intervention,there were no significant differences in the scores of life quality and care burden of the main caregivers,when comparisons were made between the two groups(P>0.05).After intervention,the scores of various dimentions of life quality,including physiological function,somatic pain,general health,vitality,social function,emotional function,mental health in the intervention group were all higher than those in the control group,with statistical significance(P<0.05).The care burden of the main caregivers in the intervention group was lighter than that in the control group,with statistical significance(P<0.05).The medication compliance of the intervention group(82.7%)was higher than that of the control group(62.0%),also with statistical significance(P<0.05).Conclusion The implementation of family‑centered empowerment intervention among the retired military cadres and their main caregivers could effectively improve their life quality and medication compliance,and reduce the burden of family care.

关 键 词：家庭赋权方案 老干部 生活质量 服药依从性 照护负担 

分 类 号：R473.82[医药卫生—护理学]