首页|基于授权理论的延续护理对中青年慢性心力衰竭患者自我管理能力的影响

基于授权理论的延续护理对中青年慢性心力衰竭患者自我管理能力的影响

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目的 探讨基于授权理论的延续护理对中青年慢性心力衰竭(CHF)患者自我管理能力的影响。方法 采用方便抽样法选取2020年9月至2022年9月山西白求恩医院收治的150例中青年CHF患者,并按随机数字表法分为观察组和对照组,各75例。对照组接受常规延续护理,观察组接受基于授权理论的延续护理。对比2组的自我管理能力、躯体功能、服药依从性和再入院率。结果 干预3个月后,观察组冠心病自我管理量表中的日常生活管理等维度评分、中文版简易躯体功能评估工具总分和Morisky用药依从性量表总分均高于对照组(P均<0。05);2组的上述评分均比出院前1 d更高(P均<0。05)。观察组1年内再入院率低于对照组(P<0。05)。结论 基于授权理论的延续护理能提升中青年CHF患者的自我管理能力和服药依从性,改善其躯体功能,并降低再入院率。
Effect of continuous nursing based on empowerment theory on self-management ability of young and middle-aged patients with chronic heart failure
Objective To investigate the effect of continuous nursing based on empowerment theory on the self-management ability of young and middle-aged patients with chronic heart failure ( CHF ).Methods Convenience sampling was used to recruit 150 young and middle-aged CHF patients who were admitted to Shanxi Bethune Hospital between September 2020 and September 2022.They were assigned into an observation group and a control group through random number table method,each with 75 cases.The control group received routine continuous nursing,while the observation group received continuous nursing based on empowerment theory.The self-management ability,physical function,medication adherence,and readmission rate were compared between the two groups.Results After 3 months of intervention,the observation group had higher scores than the control group in the various dimension scores such as daily life management of the Coronary Heart Disease Self-Management Scale,the total score of the Chinese Mini-Physical Performance Testing,and the total score of the Morisky Medication Adherence Scale ( all P<0.05 ),and the above scores of both groups were higher than those at 1 day before discharge ( all P<0.05 ).The readmission rate within 1 year was lower in the observation group than in the control group ( P<0.05 ).Conclusion Continuous nursing based on empowerment theory can improve the self-management ability,medication adherence,and physical function of young and middle-aged patients with CHF,and reduce the readmission rate.

chronic heart failureyoung and middle-aged peopleempowerment theorycontinuous nursingself-management ability

赵晓晓、史秀山、张瑾钰、李倩、王燕

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山西白求恩医院,山西 太原,030012

慢性心力衰竭 中青年 授权理论 延续护理 自我管理能力

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(11)