摘要
目的 :评价应用健康行为改变理论对出院后居家老年卧床患者康复效果的影响。方法 :将120例老年卧床患者按出院时间顺序分为对照组和实验组,分别由外展小组评估患者并制订家庭康复护理计划,对照组给予常规出院宣教及出院后的电话随访,实验组按照健康行为改变整合理论方法,实施出院后延续护理管理,采用日常生活能力量表和生存质量量表比较两组患者出院时、出院后6个月、出院后12个月的日常生活能力、生活质量。结果 :实验组出院后6个月、12个月日常生活能力以及生活质量的生理领域、心理领域得分均高于对照组,差异有统计学意义(P<0.05)。两组环境领域、社会领域得分比较无统计学意义(P>0.05)。结论 :应用健康行为改变理论的方法对老年卧床患者实施出院家庭康复管理,能提高老年卧床患者的生存质量和日常生活能力。
Objective： To evaluate health behavior change theory to the rehabilitation effect of patients with elderly bedridden at home after discharge from hospital. Method： 120 cases of elderly patients in bed were randomly divided into control group and experimental group by in hospital time order. Respectively, the outreach team evaluate patients family rehabilitation nursing plan. The control group was given conventional propaganda and telephone follow-up after discharge. Experimental group was developed family rehabilitation nursing plans according to the health behavior change integration theory. Compared the two groups of patients discharged from hospital, 6 and 12 months after discharge in daily living, quality of life and other aspects of rehabilitation by using Activity of Daily Living Scale（ADL） and Quality of Life Questionnaire. Results： The patients discharged from hospital for 6 months, 12 months physiological and psychological field, the individual subjective feeling of the overall quality of survival,the overall subjective health, daily life ability scores were higher than in the control group, the difference was statistically significant（P〈0.05）. Two groups in environmental, social, differences are not significant（P〉0.05）. Conclusion： The application of the theory of health behavior change for elderly patients in bed home rehabilitation, can significantly improve the patients＇ quality of life and daily life ability.
出处
《中国护理管理》
CSCD
2015年第7期786-789,共4页
Chinese Nursing Management
基金
广东省科技计划项目(2012B040301039)
广东省医学科学技术研究基金(A2012004)
关键词
老年卧床患者
健康行为改变整合理论
家庭康复计划
日常生活能力
生活质量
elderly patients in bed
health behavior change integration theory
family rehabilitation program
daily life ability
quality of life
作者简介
徐永能，本科，副主任护师，护士长
通信作者：卢少萍，本科，副主任护师，科护士长，Email：lushaopingjia@126．com
