多学科家庭赋权模式在经皮内镜下胃造瘘术后居家疗护中应用效果研究  

Application of multidisciplinary family empowerment mode in home care for patients after percutaneous endoscopic gastrostomy

作　　者：李玉 黄志成[2] 方海丽 杨晶 牟彩瑕 王丽娟 刘彦江[2] 周秀玲 LI Yu;HUANG Zhicheng;FANG Haili;YANG Jing;MOU Caixia;WANG Lijuan;LIU Yanjiang;ZHOU Xiuling(School of Nursing,Changchun University of Traditional Chinese Medicine,Changchun,Jilin Province 130117,China)

机构地区：[1]长春中医药大学护理学院,吉林长春130117 [2]吉林省肿瘤医院护理部放射科

出　　处：《介入放射学杂志》2024年第11期1234-1238,共5页Journal of Interventional Radiology

摘　　要：目的探讨多学科家庭赋权模式在经皮内镜下胃造瘘术(PEG)后居家疗护中的应用效果。方法选取2021年1月至2023年7月在吉林省肿瘤医院初次接受PEG的86例患者为研究对象,随机分为观察组与对照组。对照组实施常规造瘘口护理指导,观察组采用多学科家庭赋权干预模式。评价比较两组间患者干预后自我护理能力[老年人自我护理能力量表(SASE)评分]、健康行为能力[健康行为能力自评量表(SRAHP)评分]、并发症例数、并发症治愈时间的差异。结果观察组患者干预后自我护理能力[SASE评分(129.48±5.48)分比(73.05±12.04)分]、健康行为能力[SRAHP评分(80.14±1.00)分比(70.25±7.92)分]显著高于对照组(均P<0.05),并发症例数及并发症治愈时间均低于对照组。结论采用多学科家庭赋权模式实施居家干预,可提高PEG术后患者自我护理能力、健康行为能力,减少术后并发症,缩短并发症治愈时间,适用于术后居家患者。Objective To discuss the effect of multidisciplinary family empowerment mode in home care for patients after receiving percutaneous endoscopic gastrostomy(PEG).Methods A total of 86 patients,who received initial PEG at the Jilin Provincial Cancer Hospital of China from January 2021 to July 2023,were selected for this study.The patients were randomly divided into observation group.The patients of the control group received routine nursing guidance for gastrostomy,while the patients of the observation group received multidisciplinary family empowerment nursing mode.The self-care ability[using self-care ability scale of the elderly(SASE)score],health behavior ability[using self-rating scale of health behavior ability(SRAHP)score],incidence of complications,and healing time of complications were compared between the two groups.Results In the observation group the SASE[(129.48±5.48)points vs.(73.05±12.04)points]and the SRAHP[(80.14±1.00)points vs.(70.25±7.92)points]were significantly higher than those in the control group(all P<0.05),the incidence of complications was lower than that in the control group,and the healing time of complications was shorter than that in the control group.Conclusion The implementation of multidisciplinary family empowerment nursing mode can improve the self-care ability and health behavior ability of patients after receiving PEG,reduce postoperative complications,as well as shorten the healing time of complications,therefore,this nursing mode is suitable for home patients after receiving PEG.

关 键 词：多学科团队 家庭赋权 经皮内镜下胃造瘘术 居家患者 并发症 自我护理能力 健康行为能力 

分 类 号：R473.73[医药卫生—护理学]