摘要
目的 探讨健康赋权增能理论指导下的护理干预对白血病患儿照顾者照护能力的影响。方法2020年6月—2021年6月以1:1选取白血病患儿照顾者92例为研究对象,按照组间基线资料匹配原则将患儿照顾者分为观察组及对照组,每组46例,对照组行常规健康指导,观察组在对照组基础上实施健康赋权增能理论指导下的护理干预,比较两组患儿照顾者干预前后照护技能评分、照顾负担、不良情绪。结果 干预前,两组照顾者照顾技能评分比较差异无统计学意义(P>0.05);干预后,观察组照顾者照护知识、照护概念、照护责任感、照顾技能评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分比较差异无统计学意义(P>0.05);干预后,观察组HAMA评分、HAMD评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组照顾者与患儿关系、经济状况、健康状况、精神状况、社会生活5个维度评分比较差异无统计学意义(P>0.05);干预后,观察组照顾者照顾负担评分低于对照组,组间比较差异有统计学意义(P<0.05)。结论 健康赋权增能理论指导下的护理干预可提高白血病患儿照顾者照护能力,减轻照顾者照顾负担,有助于缓解照顾者由于照顾压力而产生的不良情绪。
Objective To explore the ef fect of nursing intervention under the guidance of health empowerment theory on nursing ability of caregivers of children patients with leukemia.Methods To select 92 caregivers of children with leukemia from June 2020 to June 2021 at a 1:1 ratio as the study objects,and the caregivers of the children patients were divided into an observation group and a control group according to the matching principle of baseline data between groups,with 46 cases in each group.The control group was given routine health guidance,while the observation group was given nursing intervention based on the theory of health empowerment and empowerment to compare the scores of care skills,care burden,and negative emotions before and after the intervention.Results Before the intervention,there were no significant differences in the care skills score of caregivers between the two groups(P>0.05).After the intervention,the scores of caring knowledge,caring concepts,caring responsibility and caring skills of caregivers in the observation group were higher than those in the control group,and the dif ferences were statistically signifi cant(P<0.05).Before the intervention,there were no signifi cant dif ferences in scores of Hamilton anxiety scale(HAMA) and Hamilton depression scale(HAMD)between the two groups(P>0.05).After the intervention,the scores of HAMA and HAMD in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there were no significant differences in the scores of five dimensions of relationship between caregivers and children,economic status,health status,mental status,and social life between the two groups(P>0.05).After the intervention,the care burden score of caregivers in the observation group was lower than that in the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion The application of nursing intervention under the guidance of the theory of health empower
作者
田丽
TIAN Li(Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan,430000,China)
出处
《护理实践与研究》
2022年第6期891-895,共5页
Nursing Practice and Research
关键词
健康赋权增能理论
白血病患儿
照顾者
照护能力
照顾负担
Health empowerment theory
Children patients with leukemia
Caregivers
Care ability
Care burden
