摘要
目的 探讨基于Kales概念模型的护理干预对痴呆患者激越行为的影响。方法 选取2021年12月至2022年12月在北京市某三级甲等综合医院老年科住院的80例痴呆患者作为研究对象。采用随机数字表法将患者分为对照组和观察组。对照组(n=40)接受常规护理,观察组(n=40)在常规护理的基础上实施基于Kales概念模型的护理干预,分别比较干预前、干预2w后、干预4w后两组患者激越行为及生活质量。结果 重复测量方差分析显示,两组患者干预3个时间点激越行为得分和生活质量得分的时间效应、组间效应和交互效应比较,差异具有统计学意义(均P<0.05)。干预后观察组患者激越行为得分均低于对照组,两组比较,差异具有统计学意义(P<0.001)。干预后观察组患者生活质量得分均高于对照组,两组比较,差异有统计学意义(P<0.01)。结论 基于Kales概念模型的护理干预有助于改善痴呆患者激越行为,提高痴呆患者生活质量。
Objective To investigate the impact of nursing interventions based on Kales conceptual model on agitated behaviours of dementia patients.Methods A total of 80 dementia patients were randomly divided into two groups using a random number table.Patients in the control group(n=40)received routine care,while those in the observation group(n=40)received the nursing interventions based on Kales concept model on top of the routine care.The agitated behaviours and quality of life of the two groups were compared before,2 weeks and 4 weeks after the intervention.Results The repeated measures ANOVA showed statistically significant differences in three time points in terms of the time effect,inter-group effect and interactive effects on the scores of agitations and quality of life(all P<0.05).After the intervention,the score of agitations in the observation group was significantly lower than that of the control group(P<0.05),and the score of quality of life in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The nursing interventions based on Kales conceptual model is effective in reducing agitations of dementia patients and improving the quality of life.
作者
杜红娣
王薇
何志娟
薄琳
Du Hongdi;Wang Wei;He Zhijuan;Bo Lin(Department of Health Care,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing,100730,China)
出处
《现代临床护理》
2024年第1期49-55,共7页
Modern Clinical Nursing
基金
中国医学科学院医学与健康科技创新工程项目,编号为2020-I2M-C&T-B-008
中央保健科研课题,编号为2020YB22
北京协和医院护理科研课题,编号为XHHLKY202116。
关键词
Kales概念模型
痴呆
精神行为症状
激越行为
Kales conceptual model
dementia
behavioural and psychological symptoms
agitation
作者简介
杜红娣(1980-),女,副主任护师,本科,主要从事老年护理工作;通信作者:薄琳,副主任护师,本科,E-mail:bolin@pumch.cn。
