目的 探讨全程赋能健康干预对老年重症肺炎患者心理弹性和自护能力的影响.方法 纳入2020年1月-2023年12月四川省人民医院接收的210例老年重症肺炎患者,按照入院顺序依次进行编号,采用随机数字表法,将其按照1∶1比例分为常规组、全程赋能组,均为105例.常规组给予常规临床干预,全程赋能组在常规组干预基础上予以全程赋能健康干预方案.比较两组干预前后心理弹性量表(Connor-Davidson Resilience Scale,CD-RISC)、自护能力量表(Exercise of Self-Care Agency Scale,ESCA)和生活质量测定量表(World Health Organization Quality of Life Brief Version,WHOQOL-BREF)评估结果.结果 干预后,全程赋能组CD-RISC各维度评分高于常规组(t=10.326,P＜0.001;t=6.386,P＜0.001;t=9.581,P＜0.001);干预后,全程赋能组ESCA各维度评分高于常规组(t=11.599,P＜0.001;t=9.072,P＜0.001;t=4.353,P＜0.001;t=16.646,P＜0.001);干预后,全程赋能组WHOQOL-BREF中各维度评分高于常规组(t=9.164,P＜0.001;t=13.809,P＜0.001;t=5.001,P＜0.001;t=6.695,P＜0.001).结论 对老年重症肺炎患者施予全程赋能健康干预,可显著提高其心理弹性,增强其自护能力,改善生活质量.
Effect of Whole-Course Empowerment Health Intervention on Psychological Resilience and Self-care Ability in Older Patients With Severe Pneumonia
Objective To investigate the effect of whole-course empowerment health intervention on the psychological resilience and self-care ability of older patients with severe pneumonia.Methods A total of 210 older patients with severe pneumonia admitted to Sichuan Provincial People's Hospital between January 2020 and December 2023 were enrolled.The patients were sequentially numbered according to the order of admission.Then,they were assigned to a conventional care group(105 cases)and a whole-course empowerment group(105 cases)by a 1∶1 ratio using a random number table.The conventional care group received conventional clinical intervention,while the whole-course empowerment group received the whole-course empowerment health intervention regimen in addition to the intervention administered in the conventional care group.Psychological resilience was assessed with the Connor-Davidson Resilience Scale(CD-RISC),self-care ability with Exercise of Self-Care Agency Scale(ESCA),and quality of life with the World Health Organization Quality of Life Brief Version(WHOQOL-BREF).The evaluation results obtained before and after the interventions were compared.Results After intervention,the scores for all dimensions of CD-RISC in the whole-course empowerment group were higher than those in the conventional care group(t=10.326,P＜0.001;t=6.386,P＜0.001;t=9.581,P＜0.001).The scores for all dimensions of ESCA after intervention were higher in whole-course empowerment group than those in the conventional care group(t=1 1.599,P＜0.001;t=9.072,P＜0.001;t=4.353,P＜0.001;t=16.646,P＜0.001).After intervention,the scores for all dimensions of WHOQOL-BREF in the whole-course empowerment group were higher than those in the conventional care group(t=9.164,P＜0.001;t=13.809,P＜0.001;t=5.001,P＜0.001;t=6.695,P＜0.001).Conclusion Whole-course empowerment health intervention significantly enhances psychological resilience,self-care capacity,and quality of life in older patients with severe pneumonia.
Severe pneumoniaEmpowerment theoryHealth educationPsychological burdenPsychological resilienceSelf-care abilityQuality of life
万方数据
维普
