摘要
目的探讨以家庭为中心的护理对颈动脉狭窄术后患者家庭环境和血脂控制的影响。方法按科别分为观察组和对照组,收治于血管外科患者共32例为观察组,收治于神经外科患者共42例为对照组,分别按设计实施护理干预。采用家庭亲密度和适应性量表中文版(FACESⅡ-CV)分别在干预前、出院后6个月和12个月评价家庭环境,并在干预前和出院后12个月监测血脂水平。结果观察组的亲密度和适应性在出院后6个月和12个月时都明显高于对照组(P<0.05);出院后12个月观察组甘油三酯、胆固醇和低密度脂蛋白水平均比同期的对照组低,差异有统计学意义(P=0.004,P=0.007,P=0.001)。结论以家庭为中心的护理在颈动脉狭窄术后护理中的应用,可以显著提升患者家庭亲密度和适应性,并明显改善术后患者药物控制血脂水平。
Objective To evaluate the effect of family-centered care on family adaptability and cohesion and hyperlipidemia control for post-surgery patients with carotid stenosis. Methods 32 patients was selected as experimental group received family-centered care（ FCC）,while 42 patients in control group received routine health education. All of the patients were investigated by family adaptability and Coheson scale（ FACESⅡ-CV） before the trail and at the end of 6 and12 months after discharge of hospital. Triglyceride,cholesterol and low-density lipoprotein-cholesterol（ LDL-c） levels were measured at the same time. Results In experimental group,both of family adaptability score and cohesion score were significantly improved by FCC versus control（ P 0.05）,while triglyceride,cholesterol and LDL-c levels in experimental group were markedly lower than that of control（ P = 0.004,P = 0.007,P = 0.001）.Conclusion Family-centered care could significantly improve family adaptability and cohesion and promote hyperlipidemia control in post-surgery patients with carotid stenosis.
出处
《护士进修杂志》
2017年第1期6-9,共4页
Journal of Nurses Training
基金
国家临床重点专科建设项目(编号:ZB183)
关键词
颈动脉狭窄
家庭环境
血脂控制
家庭护理
Carotid stenosis
Family environment
Hyperlipidemia control
Family nursing
