护士对高龄患者活动能力低下预防性护理的实施状况及干预研究

发布时间：2018-01-07 06:06

本文关键词：护士对高龄患者活动能力低下预防性护理的实施状况及干预研究　出处：《宁夏医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的了解护士对高龄患者活动能力低下预防性护理的实施状况并分析其影响因素;制定预防高龄患者活动能力低下的护士干预方案并评价其效果。方法采用便利抽样法,选取宁夏医科大学总医院和心脑血管医院符合纳入标准的护士300名作为研究对象,选用一般资料问卷、护士对老年患者活动能力低下预防性护理评价量表、护士对老年人的态度量表、老化知识量表进行现况调查。基于现况调查,将研究对象按年龄、技术职称、工作年限进行1:1配对并随机分为干预组(40例)与对照组(40例),干预组连续4周接受每周1次以集中授课和小组讨论形式的干预,对照组连续4周参与医院组织的常规业务学习。干预结束1个月后,再次评价护士对高龄患者活动能力低下预防性护理实施状况,护士对老年人的态度及老化知识水平。所收集资料经过严格查对后,录入SPSS17.0统计软件进行分析,计数资料使用频数、百分比描述,计量资料懫用均数、标准差描述。结果1.护士对高龄患者活动能力低下预防性护理总得分为(137.04±7.05)分;各维度得分标准化后,从高到低依次为环境整理(3.17±0.38)分,指导日常活动(3.16±0.31)分,协助移行(3.14±0.41)分,体能管理(3.10±0.31)分,肌力管理(3.06±0.30)分,协助关节活动(2.88±0.37)分,刺激认知(2.28±0.48)分,咨询专科护士(2.13±0.51)分。2.护士对老年人态度总得分为(145.92±4.31)分,持轻度积极态度;老化知识总得分为(13.32±2.89)分,知识掌握情况较差。3.年龄、技术职称、工作年限、护士对老年人态度及老化知识是护士对高龄患者活动能力低下预防性护理实施的主要影响因素。4.干预后干预组护士对高龄患者活动能力低下预防性护理总得分及各维度得分高于对照组,差异有统计学意义(P0.05)。干预组护士对老年人态度及老化知识得分高于对照组,差异有统计学意义(P0.05)。干预后干预组护士对高龄患者活动能力低下预防性护理总得分及各维度得分高于干预前,差异有统计学意义(P0.05)。干预组护士对老年人态度及老化知识得分高于干预前,差异有统计学意义(P0.05)。结论1.护士对高龄患者活动能力低下预防性护理处于中等偏下水平。2.年龄、技术职称、工作年限、护士对老年人态度及老化知识是护士对高龄患者活动能力低下预防性护理的主要影响因素。3.以集中授课和小组讨论相结合的干预方式以及基于临床需求提供的干预内容,改善了护士对待老年人的态度,增加了护士的老化知识,提高护士对高龄患者活动能力低下预防性护理的意识及行为。
[Abstract]:Objective to understand the implementation of preventive nursing care for elderly patients with low mobility and analyze its influencing factors. To establish a nursing intervention program to prevent the inactivity of elderly patients and evaluate its effect. Methods convenience sampling method was used. A total of 300 nurses in Ningxia Medical University General Hospital and Cardiovascular and Cerebrovascular Hospital were selected as the subjects of the study. The general information questionnaire was used to evaluate the preventive nursing of elderly patients with low mobility. The nurses' attitude toward the elderly and the Aging knowledge scale were investigated. Based on the status survey, the subjects were divided into age and technical title. The working years were matched with 1: 1 and randomly divided into the intervention group (n = 40) and the control group (n = 40). The intervention group received the intervention once a week once a week in the form of concentrated teaching and group discussion. The control group participated in the routine study of hospital organization for 4 weeks in succession. One month after the intervention, the implementation of preventive nursing for the elderly patients with low mobility was evaluated again. The nurses' attitude towards the elderly and their knowledge level of aging. After strict checking, the data collected were recorded into the SPSS17.0 statistical software for analysis, and the frequency and percentage of the counting data were described. Results 1. The total score of nurses for the elderly patients with low mobility preventive nursing was 137.04 卤7.05; After the standardization of the scores of each dimension, the order from high to low was 3.17 卤0.38), 3.16 卤0.31) to guide daily activities, and 3.14 卤0.41) to assist the migration. The score of physical fitness management was 3.10 卤0.31, muscle strength management was 3.06 卤0.30, assisted joint movement was 2.88 卤0.37 and cognitive stimulation was 2.28 卤0.48). The total score of nurses' attitude towards the elderly was 145.92 卤4.31, with a slight positive attitude. The total score of aging knowledge was 13.32 卤2.89), and the knowledge mastery was poor. 3. Age, technical title, working years. Nurses' attitude towards the elderly and their knowledge of aging are the main influencing factors for the implementation of preventive nursing care for the elderly patients with low activity ability. 4. General knowledge of preventive nursing care for the elderly patients with low activity ability in the intervention group after intervention. Scores and dimensions of the control group were higher than those of the control group. The difference was statistically significant (P 0.05). The scores of nurses' attitude towards the elderly and the knowledge of aging in the intervention group were higher than those in the control group. The difference was statistically significant (P 0.05). The total scores and dimensions of preventive nursing in intervention group were higher than those before intervention. The difference was statistically significant (P 0.05). The scores of nurses' attitude towards the elderly and the knowledge of aging in the intervention group were higher than those before the intervention. The difference was statistically significant (P 0.05). Conclusion 1. Preventive nursing care of elderly patients with low mobility is at the lower middle level. 2. Age, technical title, working years. 2. Nurses' attitude towards the elderly and their knowledge of aging are the main influencing factors of nurses' low mobility and preventive nursing. 3. Interventions based on the combination of intensive teaching and group discussions and based on clinical needs. The content of the intervention. It improved the nurses' attitude towards the elderly, increased the nurses' knowledge of aging, and raised the nurses' awareness and behavior of preventive nursing for the elderly patients with low activity ability.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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