摘要
目的研究Peplau人际关系模式指导下的家庭访视对老年支气管哮喘患者负性情绪和用药依从性的影响。方法采用便利抽样法,选取2015年5月-2017年5月在郑州大学第一附属医院就诊的90例老年支气管哮喘患者作为研究对象,采用随机数字表法将患者分为观察组和对照组,每组45例。观察组根据Peplau人际关系模式对老年支气管哮喘患者进行家庭访视护理,对照组行常规随访护理。分别采用支气管哮喘用药依从性量表(MARS-A)、疾病认知和自知力与治疗态度问卷(ITAQ)记录两组患者用药依从性和疾病认知水平。采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)记录两组患者护理干预前后焦虑、抑郁状态。记录出院后1年患者支气管哮喘急性发作情况。结果观察组家庭访视完成和出院后1年时用药依从性优良率高于对照组,ITAQ评分高于对照组和出院时,差异均有统计学意义(P<0.05)。观察组出院后1年支气管哮喘急性发作率低于对照组,差异有统计学意义(P<0.05)。观察组家庭访视完成和出院1年时HAMA和HAMD评分均低于出院时和对照组,差异均有统计学意义(P<0.05)。结论在Peplau人际关系模式指导下进行家庭访视,有助于降低院外老年患者支气管哮喘急性发作率,纠正其负性情绪,提高患者对疾病的认知水平和用药依从性。
Objective To explore the effects of home visit directed by Peplau interpersonal relationship model on negative emotions and medication adherence in elderly bronchial asthma patients.Methods From May 2015 to May 2017,we selected 90 elderly bronchial asthma patients in the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling.All of the patients were divided into observation group and control group with the method of random number table,45 cases in each group.Observation group carried out home visit nursing based on the Peplau interpersonal relationship model for elderly bronchial asthma patients.Control group adopted routine follow-up care.The medication adherence and disease cognition of patients both groups were recorded with the Medication Adherence Report Scale for Asthma(MARS-A)as well as Insight and Treatment Attitude Questionnaire(ITAQ),and the anxiety and depression of patients both groups before and after intervention were assessed with the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD).We also observed the incidence of bronchial asthma acute attack in patients one year after discharge.Results When home visit was completed and one year after discharge,the medication adherence of observation group was higher than that of control group,and the score of ITAQ was higher than that of control group and that at discharge with statistical differences(P<0.05).One year after discharge,the incidence of bronchial asthma acute attack of observation group was lower than that of control group with a statistical difference(P<0.05).When home visit was completed and one year after discharge,the scores of HAMA and HAMD of observation group were lower than those of control group with statistical differences(P<0.05).Conclusions Home visit directed by Peplau interpersonal relationship model help to reduce the incidence of acute attack of elderly bronchial asthma patients external hospital,relieve the negative emotions and improve disease cognition as well as medication adherence
作者
贾英岚
柴宇霞
王月芹
裴理辉
杨洋
Jia Yinglan;Chai Yuxia;Wang Yueqin;Pei Lihui;Yang Yang(Emergency Internal Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Emergency Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Emergency Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Chest Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中华现代护理杂志》
2019年第12期1523-1527,共5页
Chinese Journal of Modern Nursing
基金
河南省自然科学基金资助项目(162300410276).
关键词
老年人
支气管哮喘
家庭访视
人际关系模式
用药依从性
Aged
Bronchial asthma
Home visit
Interpersonal relationship model
Medication adherence
