照护者体验式培训对癌症晚期压力性损伤风险患者的前馈控制效果  

Effect of caregiver experiential training on feedforward control of patients at risk of stress injury in advanced cancer

作　　者：郭云 张红[2] 朱笑葳 GUO Yun;ZHANG Hong;ZHU Xiaowei(Tianjin People's Hospital,Tianjin,300122,China)

机构地区：[1]天津市人民医院肿瘤科,300122 [2]天津天狮学院,300122

出　　处：《护理实践与研究》2023年第22期3388-3393,共6页Nursing Practice and Research

基　　金：2020年天津市教委科研计划项目(编号:2020SK138);2020年天津市级一流本科建设项目(编号:YLK202003)。

摘　　要：目的 探讨照护者体验式培训对癌症晚期压力性损伤风险患者前馈控制的效果。方法 选取医院2021年8月—2022年8月96例癌症晚期患者的主要照护者为研究对象。按照组间基本特征具有可比性的原则分为观察组与对照组,各48例。对照组实施传统健康教育,观察组对照护者实施体验式培训,观察比较两组压力性损伤认知水平、压力性损伤照护行为以及患者压力性损伤发生情况。结果 干预前,两组照护者压力性损伤认知水平的压力性损伤知识、感知到的严重性、感知到的易感性评分比较差异无统计学意义(P>0.05);干预后,观察组照护者压力性损伤知识、感知到的严重性、感知到的易感性均高于对照组,差异有统计学意义(P<0.05);干预后,观察组照护者压力性损伤照护行为的翻身行为、皮肤护理、创面护理、营养支持评分高于对照组,观察组患者压力性损伤发生程度低于对照组,差异均有统计学意义(P<0.05)。结论 对照护者实施体验式培训能提升照护者对于压力性损伤的认知,促进其照护行为的规范,并有效降低患者压力性损伤发生情况与严重程度。Objective To explore the effect of caregiver experiential training on feedforward control of patients at risk of stress injury in advanced cancer.Methods To select the primary caregivers of 96 advanced cancer patients from the hospital from August 2021 to August 2022 as the research subjects.According to the principle of comparability of basic characteristics between groups,48 cases were divided into an observation group and a control group,with 48 cases in each group.The control group received traditional health education,while the observation group received experiential training for the control caregivers.The cognitive level,care behavior,and occurrence of stress injury in the two groups were observed and compared.Results Before intervention,there was no statistically significant difference in the stress injury knowledge,perceived severity,and perceived susceptibility scores in cognitive level of stress injury between the two groups of caregivers(P>0.05).After the intervention,the stress injury knowledge,perceived severity,and perceived susceptibility scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the observation group showed higher scores in terms of turnover behavior,skin care,wound care,and nutritional support in the care behavior of patients with stress injuries compared to the control group,the incidence of stress injuries in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion Implementing experiential training for caregivers can enhance their awareness of stress related injuries,promote standardized care behavior,and effectively reduce the occurrence and severity of stress related injuries in patients.

关 键 词：体验式培训 照护者 癌症晚期 压力性损伤 前端控制 风险因素 

分 类 号：R473.73[医药卫生—护理学]