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基于家庭授权理论的教育模式在首次腹膜透析患者主要照顾者中的应用

Application of the education model based on family empowerment theory for main caregivers of patients on first time peritoneal dialysis
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摘要 目的探讨基于家庭授权理论的教育对提高首次腹膜透析患者主要照顾者照顾能力和照顾准备度的效果。方法采用便利抽样法,选取2016年1月—2017年12月绍兴第二医院腹膜透析中心首次腹膜透析患者主要照顾者150名为研究对象;2016年1—12月75名为对照组,接受常规教育模式,2017年1—12月75名为试验组,在常规教育的基础上,实施基于家庭授权理论的教育,包括明确问题、表达情感、制定照顾方案、实施方案、评价效果5个阶段。采用照顾者照顾能力量表和照顾准备度量表评价干预效果。结果干预前两组照顾者一般资料、照顾能力、照顾准备度比较差异无统计学意义(P>0.05);干预后两组主要照顾者照顾能力总分及各维度得分、照顾准备度总分比较,差异有统计学意义(P<0.05)。结论基于家庭授权理论的教育模式能有效提高首次腹膜透析患者主要照顾者的照顾能力和照顾准备度,在促进腹膜透析患者的疾病康复中起积极作用。 Objective To investigate the effects of education based on family empowerment theory on care ability and care preparedness for the main caregivers of patients on first time peritoneal dialysis. Methods By convenience sampling, 150 main caregivers of the patients undergoing peritoneal dialysis for the first time in the peritoneal dialysis center of Shaoxing Second Hospital from January of 2016 to December of 2017 were selected in the study;75 caregivers of the patients who underwent the dialysis from January to December of 2016 were put into the control group and received routine education approach;the other 75 caregivers of the patients who underwent the dialysis from January to December of 2017 were put into the experimental group, on the basis of routine education, education based on the family empowerment theory was adopted which included five stages: clarify problems, express emotions, formulate care plan, implement care plan, and evaluate effects. Family Caregiver Task Inventory (FCTI) and Care Preparedness Scale (CPS) were used to evaluate the intervention effects of the main caregivers. Results Before intervention, there was no statistically significant difference in the caregivers' general information, care ability, and caregiver preparedness between the two groups (P>0.05). After intervention, there were statistically significant differences between the two groups in terms of the total scores and each dimensional score of care ability, and the total scores of caregiver preparedness (P<0.05). Conclusions The education approach based on family empowerment theory can effectively improve the care ability and care preparedness of the main caregivers of patients on peritoneal dialysis for the first time, and plays a positive role in promoting recovery of the peritoneal dialysis patients.
作者 王彩云 江海燕 Wang Caiyun;Jiang Haiyan(Nephrology Department, Shaoxing Second Hospital, Zhejiang Province, Shaoxing 312000, China;Blood Purification Centre, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou 310009, China)
出处 《中华现代护理杂志》 2019年第18期2339-2343,共5页 Chinese Journal of Modern Nursing
关键词 透析 家庭授权理论 主要照顾者 照顾能力 照顾准备度 Dialysis Family empowerment theory Main caregiver Care ability Care preparedness
作者简介 通信作者:王彩云,Email:1320833096@qq.com.
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