摘要
目的:研究压疮患者实施家属参与式远程管理后对其心理状态、自我管理能力及预后改善情况。方法:选择本院2018年5月至2019年5月收治的压疮患者184例,对照组进行常规离院指导及离院后随访,观察组则在此基础上进行家属参与式远程管理,两组患者均实施为期3个月远程管理干预。观察出院时、干预结束后焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)、自拟压疮知识调查问卷、自拟压疮患者自我管理能力调查问卷评分情况,对比两组患者干预结束后压疮分期、Waterlow量表评分、压疮恢复情况。结果:观察组干预结束时SAS、SDS量表评分明显低于对照组(t=-10.107,-10.396;P<0.05);观察组干预结束时压疮知识问卷中营养支持、压疮发展监测、压疮分期及并发症维度评分均高于对照组(t=11.262,16.154,10.002,12.048;P<0.05);观察组干预结束时自我管理能力问卷症状管理、日常生活管理、情绪管理、信息管理及自我效能维度评分均高于对照组(t=17.773,10.231,17.214,10.929,16.286;P<0.05);观察组患者干预完成后Waterlow量表评分、压疮分期、压疮复发改善情况均优于对照组(χ^(2)=26.492,13.019,7.659;P<0.05)。结论:压疮患者实施家属参与式远程管理后能有效调节其居家期间产生的不良心理状态,同时提升患者及其家属压疮相关知识掌握情况,并通过改善其自我管理能力,进一步改善患者预后。
Objective:To study the improvement of psychological status,self-management ability and prognosis of patients with pressure sore after family members’ participatory remote management.Methods:A total of 184 patients with pressure sore treated in our hospital from May 2018 to May 2019 were selected.The control group received routine discharge guidance and follow-up after leaving hospital,while the observation group received family members’ participatory remote management on this basis.Patients in both groups were treated with remote management intervention for 3 months.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-designed "pressure sore knowledge questionnaire" and self-designed "self-management ability questionnaire for patients with pressure sore" were observed at discharge and after intervention.The stage of pressure sore,the score of Waterlow scale and the recovery of pressure sore were compared between the two groups after intervention.Results:At the end of intervention,the scores of SAS and SDS scale in the observation group were significantly lower than those in the control group(t=-10.107,-10.396;P<0.05).At the end of intervention,the scores of nutritional support,pressure sore development monitoring,pressure ulcer staging and complications in the observation group were significantly higher than those in the control group(t=11.262,16.154,10.002,12.048;P<0.05).At the end of the intervention,the scores of symptom management,daily life management,emotion management,information management and self-efficacy in the observation group were significantly higher than those in the control group(t=17.773,10.231,17.214,10.929,16.286;P<0.05).After intervention,the score of Waterlow scale,the stage of pressure sore and the improvement of recurrence of pressure sore in the observation group were better than those in the control group(χ^(2)=26.492,13.019,7.659;P<0.05).Conclusion:The implementation of participatory remote management of family members can effectively regulate the bad psychological state of patients during their stay at home,improve the knowledge of patients and their families about pressure sores,and improve their self-management ability and further improve the prognosis of patients.
作者
魏晓艳
WEI Xiaoyan(Nursing Department of Puyang Oil Field General Hospital,Puyang457001,China)
出处
《中国健康心理学杂志》
北大核心
2021年第1期66-70,共5页
China Journal of Health Psychology
基金
河南省医学科技攻关计划项目(编号:201703682)。
关键词
压疮管理
家属参与式管理
远程管理
心理状态
自我管理能力
预后
Pressure sore management
Family member participatory management
Remote management
Mental state
Self-management ability
Prognosis
