首页|基于Kales概念模型的护理干预对痴呆患者激越行为的影响

基于Kales概念模型的护理干预对痴呆患者激越行为的影响

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目的 探讨基于Kales概念模型的护理干预对痴呆患者激越行为的影响.方法 选取 2021 年 12 月至 2022 年12 月在北京市某三级甲等综合医院老年科住院的 80 例痴呆患者作为研究对象.采用随机数字表法将患者分为对照组和观察组.对照组(n=40)接受常规护理,观察组(n=40)在常规护理的基础上实施基于Kales概念模型的护理干预,分别比较干预前、干预 2w后、干预 4w后两组患者激越行为及生活质量.结果 重复测量方差分析显示,两组患者干预 3 个时间点激越行为得分和生活质量得分的时间效应、组间效应和交互效应比较,差异具有统计学意义(均P<0.05).干预后观察组患者激越行为得分均低于对照组,两组比较,差异具有统计学意义(P<0.001).干预后观察组患者生活质量得分均高于对照组,两组比较,差异有统计学意义(P<0.01).结论 基于Kales概念模型的护理干预有助于改善痴呆患者激越行为,提高痴呆患者生活质量.
Impact of nursing interventions based on Kales conceptual model on agitated behaviours of dementia patients
Objective To investigate the impact of nursing interventions based on Kales conceptual model on agitated behaviours of dementia patients.Methods A total of 80 dementia patients were randomly divided into two groups using a random number table.Patients in the control group(n=40)received routine care,while those in the observation group(n=40)received the nursing interventions based on Kales concept model on top of the routine care.The agitated behaviours and quality of life of the two groups were compared before,2 weeks and 4 weeks after the intervention.Results The repeated measures ANOVA showed statistically significant differences in three time points in terms of the time effect,inter-group effect and interactive effects on the scores of agitations and quality of life(all P<0.05).After the intervention,the score of agitations in the observation group was significantly lower than that of the control group(P<0.05),and the score of quality of life in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The nursing interventions based on Kales conceptual model is effective in reducing agitations of dementia patients and improving the quality of life.

Kales conceptual modeldementiabehavioural and psychological symptomsagitation

杜红娣、王薇、何志娟、薄琳

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中国医学科学院北京协和医院保健医疗部,北京,100730

Kales概念模型 痴呆 精神行为症状 激越行为

中国医学科学院医学与健康科技创新工程项目中央保健科研课题北京协和医院护理科研课题

2020-I2M-C&T-B-0082020YB22XHHLKY202116

2024

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子:1.317
ISSN:1671-8283
年,卷(期):2024.23(1)
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