摘要
目的探讨家属赋能模式对老年下肢淋巴水肿患者居家维持期治疗效果的影响。方法便利选取在南京医科大学附属苏州医院门诊接受综合消肿治疗的盆腔肿瘤术后淋巴水肿的老年患者作为研究对象。以2020年1-12月接受治疗的32例患者为对照组,以2021年1-12月接受治疗的42例患者为观察组。对照组接受常规护理,观察组在常规护理的基础上对家属进行赋能干预,比较两组患者居家维持期治疗3个月及12个月时的自我照护能力、自我照护依从性及淋巴水肿程度。结果居家维持期的第3、12个月,观察组患者掌握淋巴水肿知识、手法淋巴引流、功能锻炼的正确率均高于对照组,观察组患者自我照护依从性优于对照组,差异均有统计学意义(P<0.05);但两组患者随访12个月时的自我照护依从性均低于3个月时,差异有统计学意义(P<0.05)。最初完成门诊治疗时,两组患者淋巴水肿程度均得到有效缓解,差异无统计学意义(P>0.05);在居家维持期,观察组患者水肿程度明显轻于对照组,差异有统计学意义(P<0.05)。结论家属赋能模式有效提高了老年下肢淋巴水肿患者的居家自我照护能力,减轻了其淋巴水肿程度,有助于改善患者临床结局。
Objective To explore the effect of the family empowerment model on home-based maintenance treatment of elderly patients with lower-limb lymphedema.Methods The elderly patients with lymphedema after pelvic tumor surgery who received complex decongestive therapy in the outpatient of Suzhou Hospital Affiliated to Nanjing Medical University were selected by convenience sampling.A total of 32 patients treated from January to December 2020 were included in the control group,and 42 patients treated from January to December 2021 were included in the observation group.The control group was given routine care,while the observation group was given family empowerment intervention on this basis.The self-care ability,self-care compliance and degree of lymphedema were compared between the two groups at 3 months and 12 months of home-based maintenance treatment.Results At 3 and 12 months of home-based maintenance treatment,the mastery rates of lymphedema knowledge,manual lymphatic drainage and functional exercise in the observation group were all higher than those in the control group,and the selfcare compliance in the observation group was superior to that in the control group,with statistical significance(P<0.05);however,the self-care compliance at 12 months of follow-up was lower than that at 3 months of follow-up in both groups(P<0.05).At the initial completion of outpatient treatment,the degree of lymphedema was effectively relieved in both groups,with no statistical significance(P>0.05).During home-based maintenance treatment,the degree of lymphedema in the observation group was obviously milder than that in the control group,with statistical significance(P<0.05).Conclusion The family empowerment model improves the home-based self-care ability of elderly patients with lower-limb lymphedema,reduces the degree of lymphedema,and helps to improve the clinical outcome of patients.
作者
陆亚青
柴春燕
杨雪芳
王冬梅
杨丽红
李丹
LU Yaqing;CHAI Chunyan;YANG Xuefang;WANG Dongmei;YANG Lihong;LI Dan(Suzhou Hos-pital Affiliated to Nanjing Medical University,Suzhou,Jiangsu 215001)
出处
《上海护理》
2023年第7期6-10,共5页
Shanghai Nursing
基金
南京医科大学科技发展基金项目(NMUB2019335)。
关键词
淋巴水肿
下肢
老年
家属
赋能
维持期
自我护理
Lymphedema,lower-limb
Elderly
Family
Empowerment
Maintenance period
Self-care
