自主支持性健康教育对老年血液透析患者主要照顾者自我效能及幸福感的影响

发布时间：2018-03-25 17:47

本文选题：自主支持性健康教育　切入点：血液透析　出处：《中国现代医学杂志》2017年03期

【摘要】：目的探讨自主支持性健康教育对老年血液透析患者主要照顾者自我效能及幸福感的影响。方法将90对老年血液透析患者及其主要照顾者按照患者的透析时间分为对照组和观察组,对照组46对,观察组44对。对照组采取常规护理,观察组在对照组的基础上实施自主支持性健康教育,干预3个月后评价两组照顾者的自我效能及主观幸福感。结果观察组照顾者在干预后,自我效能(24.26±5.99)分、总体幸福感(82.36±13.97)分、对生活的满足和兴趣(6.56±1.43)分、对健康的担心(9.79±2.31)分、精力(19.27±4.41)分、忧郁或愉快的心境(18.25±3.38)分、对情感和行为的控制(13.27±1.80)分、松弛和紧张(20.20±4.24)分,两组各项得分比较差异有统计学意义(P0.05),观察组各项得分均高于对照组。结论对老年血透患者主要照顾者开展自主支持性健康教育后,照顾者自我效能水平提高,主观幸福感增强,有助于减轻照顾者负担,提高其对患者的照护质量。
[Abstract]:Objective to explore the effect of self-supporting health education on self-efficacy and well-being of main caregivers in elderly hemodialysis patients. Methods 90 elderly hemodialysis patients and their main caregivers were treated according to the dialysis time. Divided into control group and observation group, The control group (46 pairs) and the observation group (44 pairs) received routine nursing care. The observation group carried out self-supporting health education on the basis of the control group. After 3 months of intervention, the self-efficacy and subjective well-being of the caregivers in the two groups were evaluated. Results after intervention, self-efficacy was 24.26 卤5.99, overall well-being was 82.36 卤13.97, satisfaction and interest in life was 6.56 卤1.43, and concern for health was 9.79 卤2.31). Mental energy was 19.27 卤4.41, melancholy or happy mood 18.25 卤3.38, emotion and behavior control 13.27 卤1.80, relaxation and tension 20.20 卤4.24. The scores of the two groups were significantly higher than that of the control group (P 0.05). Conclusion the self-efficacy level of the caretakers increased after the main caregivers of the elderly hemodialysis patients were given self-supportive health education. The enhancement of subjective well-being is helpful to lighten the burden of caregivers and improve the quality of care for patients.
【作者单位】：郑州大学护理学院;河南省胸科医院内分泌老年科;河南省人民医院;郑州大学第一附属医院;
【分类号】：R692.5

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