适时模式干预对动脉瘤性蛛网膜下隙出血病人照顾者照顾能力及照顾负担的影响  

Effect of timing it right intervention on caregiving ability and caregiving burden of caregivers of patients with aneurysmal subarachnoid hemorrhage

作　　者：张雨薇 许娟[2] 任晋瑞[2] 马倩茹 武妮妮 ZHANG Yuwei;XU Juan;REN Jinrui;MA Qianru;WU Nini(Nursing College,Shanxi Medical University,Shanxi 030001 China;Shanxi Provincial People's Hospital;Shanxi University of Chinese Medicine)

机构地区：[1]山西医科大学护理学院,山西030001 [2]山西省人民医院 [3]山西中医药大学

出　　处：《护理研究》2025年第1期96-102,共7页Chinese Nursing Research

基　　金：山西省科学技术厅基础研究计划项目,编号:20210302123351。

摘　　要：目的:探讨基于适时模式的干预方案对动脉瘤性蛛网膜下隙出血病人照顾者照顾能力及照顾负担的影响。方法:选取山西省某三级甲等医院神经外科2023年3月—10月收治的72名动脉瘤性蛛网膜下隙出血病人照顾者作为研究对象,根据入院时间将3月—6月入院的病人照顾者纳入对照组,7月—10月入院的病人照顾者纳入干预组;对照组实施神经外科常规护理,干预组在常规护理的基础上实施基于适时模式的干预方案,分别在急性期、围术期、出院准备期、出院1个月、出院3个月进行针对性干预,比较各个时期病人照顾者照顾能力及照顾负担。结果:最终对照组32人、干预组33人完成干预。干预组照顾者出院前、出院1个月及出院3个月的照顾能力、照顾负担评分均低于对照组(P<0.05),两组照顾者照顾能力及照顾负担评分均存在组间效应、时间效应及交互效应(P<0.05)。结论:基于适时模式的干预方案可以提高动脉瘤性蛛网膜下隙出血病人照顾者照顾能力,减轻照顾负担。Objective:To explore the impact of an intervention program based on the timely model on caregivers'caregiving ability and burden among patients with aneurysmal subarachnoid hemorrhage.Methods:Seventy-two caregivers of patients with aneurysmal subarachnoid hemorrhage admitted to the neurosurgery department of a tertiary hospital in Shanxi Province from March to October 2023 were selected as study subjects.Patients admitted from March to June were included in the control group,and those admitted from July to October were included in the intervention group.The control group received routine neurosurgical care,while the intervention group received an intervention program based on the timely model in addition to routine care.Targeted interventions were conducted during the acute phase,perioperative period,discharge preparation phase,adjustment phase,and adaptation phase.Caregiving ability and burden were compared between caregivers in both groups across these phases.Results:In the end,32 participants in the control group and 33 participants in the intervention group completed the intervention.The caregivers in the intervention group had lower caregiving ability and burden scores before discharge,one month after discharge,and three months after discharge compared to the control group(P<0.05).There were significant inter-group effects,time effects,and interaction effects for caregiving ability and burden scores between the two groups(P<0.05).Conclusion:The intervention program based on the timely model can improve caregivers'caregiving ability and reduce their burden among patients with aneurysmal subarachnoid hemorrhage.

关 键 词：蛛网膜下隙出血 适时模式 照顾能力 照顾负担 护理 

分 类 号：R473.74[医药卫生—护理学]