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基于性别与年龄视角下的休闲护理体验模式应用于老年糖尿病患者的效果评价
Application of gender- and age-based leisure care experience model in elderly patients with diabetes

作者:林允照 张海松 苏若葵 林朦朦 沈健 施敏敏 郭丰 常江 杨施施 李莉莉 黄丝丝 吴润源 郑斯文 李影倩

单位:杭州,杭州万向职业技术学院(林允照、张海松);浙江工商大学出版社(林朦朦);杭州医学院(沈健);浙江长征职业技术学院(林允照、苏若葵、施敏敏、郭丰、常江、吴润源、郑斯文、李影倩);温州医科大学附属第一医院(杨施施);温州市人民医院(李莉莉、黄丝丝)

关键词:慢病管理;休闲护理;老年糖尿病;情感特质;自理行为

分类号:

DOI:10.3969/j.issn.2095-7432.2018.03.012

出版年,卷(期),页码:2018,8 (3):51-56

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摘要:

目的 探讨基于性别与年龄视角下的休闲护理体验模式对老年糖尿病患者的情感特质与自理行为的影响,并为 这类特殊群体的优质照护积累临床循证经验。方法 2015 年 9 月至 2017 年 3 月,将温州医科大学附属第一医院收治的符合纳 入标准的 78 例老年糖尿病患者作为研究对象,采用随机数字表分为研究组和对照组,每组各 39 例。研究组在传统的护理照 护基础上引入基于性别与年龄视角下的休闲护理体验模式,对照组仅采用传统的护理照护。两组患者在干预前及干预后接受 焦虑自评量表 (Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、自我护理能力测定量表(Exercise of Self-care Agency,ESEA)、健康调查简表 (MOS item short from health survey, SF-36) 测评。结果 干预后,研究组患者的 SAS 及 SDS 评分均低于对照组,ESEA 测评中的自我概念、自我责任感、自我护理技能、健康知识及总分均高于对照组,SF-36 中 的生理功能、躯体功能、总体健康、生理职能、情感职能、精神健康、社会功能和活动评分高于对照组,差异均有统计学意 义(P<0.05)。结论 对于老年糖尿病患者而言,引入基于性别与年龄视角下的休闲护理体验模式,有助于改善患者的情感特质, 且能提高其自理行为。

英文摘要:

Objective To explore the effects of gender- and age-based leisure care experience model (LCEM) on the emotional trait and self-care behavior of elderly patients with diabetes so as to accumulate clinical evidence-based experience in the quality-care of this special population. Methods A total of 78 elderly patients with diabetes admitted to the First Affiliated Hospital of Wenzhou Medical University from September 2015 to March 2017 were included in the study. They were randomly divided into an observation group and a control group, with 39 patients in each group. In the observation group, the LCEM was introduced in addition to the traditional nursing care, whereas the control group received only the traditional nursing care. Both groups of patients were evaluated with Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Exercise of Self-care Agency (ESEA), and MOS item short from health survey (SF-36). Results After the intervention, the SAS and SDS scores of the observation group were lower than those of the control group. The self-concept, self-responsibility, self-care skills, health knowledge, and total scores were also higher in the observation group. The scores of physical function, bodily function, general health, physical role, emotional role, mental health, social function and activity in the SF-36 were also higher in the observation group. The differences were all statistically significant (P<0.05). Conclusion For elderly patients with diabetes, gender- and age-based LCEM helps to improve the patient's emotional traits and self- care behaviors.


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