摘要
目的探讨“四阶段五维”护理模式对重型颅脑损伤患者主要照护者照顾负担、照护能力及不良情绪的影响。方法以2021年6月—2022年7月医院所收治的60名重型颅脑损伤患者的主要照护者为研究对象,按基本资料匹配原则将主要照护者分为对照组与观察组,每组30名。对照组主要照护者给予常规护理,观察组主要照护者在对照组基础上给予“四阶段五维”护理模式护理。比较两组主要照护者的照顾负担(CBI)、照护能力及不良情绪。结果护理干预前,两组主要照护者的CBI评分对比,差异无统计学意义(P>0.05);护理干预后,观察组主要照护者的CBI评分低于对照组,并且观察组主要照护者的照护能力各维度和总评分均低于对照组,观察组不良情绪评分明显低于对照组,组间比较差异均有统计学意义(P<0.05)。结论应用“四阶段五维”护理模式针对护理重型颅脑损伤患者的主要照护者,能够有效缓解其照顾负担,提升其照护能力,改善其不良情绪。
Objective To explore the effects of the"Four-stage,Five-dimensional"nursing model on the caregivers'burden,caregiving capacity and bad mood of primary caregivers of patients with severe cranial injury.Methods 60 cases primary caregivers of patients with severe craniocerebral injury admitted to the hospital from June 2021 to July 2022 were selected as the study cases,and the primary caregivers were divided into a control group and an observation group according to the principle of matching basic data,30 cases in each group.The primary caregivers in the control group were given conventional care,the primary caregivers in the observation group were given the"Four stage,Five dimensional"nursing model on base of the control group.The primary caregivers in the two groups were compared in terms of their caregiving burden(CBI),caregiving capacity and negative emotions.Results Before the nursing intervention,there was no statistically significant difference between the CBI scores of the primary caregivers in the two groups(P>0.05);After the nursing intervention,the CBI scores of the primary caregivers in the observation group were lower than the control group,and the dimensions of caregiving ability and total scores of the primary caregivers in the observation group were lower than the control group,and the bad mood scores in the observation group were significantly lower than the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion The application of the"Four stage and Five dimensional"nursing model for primary caregivers of patients with severe craniocerebral injury can effectively relieve their caregiving burden,enhance their caregiving ability and improve their bad mood.
作者
王志敏
王平凡
刘颖
夏凯
陈清山
WANG Zhimin;WANG Pingfan;LIU Ying;XIA Kai;CHEN Qingshan(Liaocheng Second People's Hospital,Linqing,2526000,China)
出处
《护理实践与研究》
2023年第7期947-952,共6页
Nursing Practice and Research
基金
山东省医药卫生科技发展计划项目合同书(编号:202114010801)。
关键词
“四阶段五维”护理模式
重型颅脑损伤
照顾负担
照护能力
不良情绪
"Four-stage,five-dimensional"nursing model
Heavy craniocerebral injury
Caregiving burden
Caregiving capacity
Bad mood