摘要
目的探讨基于照顾者技能模型的家庭赋权干预在吞咽功能障碍脑卒中患者中的应用效果。方法采用便利抽样法,选取2023年2月—2024年1月在新乡市中心医院住院的144例脑卒中吞咽障碍患者及其照顾者为研究对象,采用随机数字生成器将患者分为观察组和对照组,各72例,对照组给予常规护理,观察组在对照组基础上实施基于照顾者技能模型的家庭赋权干预。采用吞咽障碍患者照顾者照顾能力问卷、Zarit照顾负担量表(ZBI)、照顾者积极效能量表(PAC)对照顾者进行调查,比较两组患者吞咽功能和营养状况。结果出院1个月后,观察组照顾者ZBI评分低于对照组,吞咽障碍患者照顾者照顾能力问卷评分、PAC评分均高于对照组,差异均有统计学意义(P<0.05);观察组患者SSA总分低于对照组,血清白蛋白、前白蛋白水平高于对照组,差异均有统计学意义(P<0.05)。结论基于照顾者技能模型的家庭赋权干预可以有效提高照顾者的照顾能力、减轻照顾负担、促进照顾者积极效能,并改善患者吞咽功能和营养水平。
Objective To investigate the application effect of a family empowerment intervention based on the Caregiver Skill Model in stroke patients with dysphagia.Methods A total of 144 stroke patients with dysphagia and their caregivers hospitalized at Xinxiang Central Hospital from February 2023 to January 2024 were selected by convenience sampling.Patients were randomly assigned using a random number generator into an observation group(n=72)and a control group(n=72).The control group received routine nursing care,while the observation group received an additional family empowerment intervention based on the Caregiver Skill Model.The Caregiver Competence Questionnaire for Patients with Dysphagia,Zarit Burden Interview(ZBI),Positive Aspects of Caregiving(PAC)scale were used to evaluate caregiver outcomes.Swallowing function and nutritional status of patients were also compared between the two groups.ResultsOne month after discharge,the ZBI score of caregivers in the observation group was lower than that in the control group,the scores of the Caregiver Competence Questionnaire and PAC were higher than those in the control group,the differences were all statistically significant(P<0.05).The total SSA score of patients in the observation group was lower than that in the control group,and the levels of serum albumin and prealbumin were higher than those in the control group,these differences were also statistically significant(P<0.05).ConclusionsFamily empowerment intervention based on the Caregiver Skill Model can effectively improve caregivers'competence,reduce caregiver burden,enhance positive caregiving efficacy,and improve patients'swallowing function and nutritional status.
作者
原会棉
方晓霞
杨杰
Yuan Huimian;Fang Xiaoxia;Yang Jie(The Fifth ICU Ward,Xinxiang Central Hospital,Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000,China;Department of Nursing,Xinxiang Central Hospital,Fourth Clinical College of Xinxiang Medical University,Key Laboratory for Elderly Health Care and Promotion of Xinxiang,Xinxiang 453000,China;Special Care Ward,East Branch of Xinxiang Central Hospital,Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000,China)
出处
《中华现代护理杂志》
2025年第22期3048-3052,共5页
Chinese Journal of Modern Nursing
作者简介
通信作者:杨杰,Email:yhm13503440962@126.com。
