护理学报 ›› 2020, Vol. 27 ›› Issue (21): 19-22.doi: 10.16460/j.issn1008-9969.2020.21.019
家庭赋权的临床护理应用研究进展
张梦, 刘于, 张文艳, 周璟, 毛忠民
- 华中科技大学同济医学院附属同济医院 护理部,湖北 武汉 430030
摘要： 目的 对家庭赋权的临床护理应用综述,以期为家庭赋权的评估和干预提供理论支持。方法 检索国内外数据库,对家庭赋权模型、测量工具、在临床护理的应用进行总结归纳。结果 介绍了以家庭为中心授权模型、家属参与式授权模型、家庭赋权模型3种模型。量表涵盖了家庭授权量表、以家庭为中心授权量表和家庭照顾者授权量表。发现在儿童、慢性病、精神心理和公共卫生领域,家庭赋权均能帮助患者及家属提高知识和技能,改变疾病认知和态度,增强自我效能和自尊水平,最终改善患者结局。结论 家庭赋权干预效果较为理想,是一种简单而有效的干预手段。今后可倡导家庭赋权干预的开展,完善家庭功能、激发赋权效能,倡导多学科合作式家庭赋权,促进家庭赋权领域多向延伸。
中图分类号:
- R47
| [1] 李奇,李真,李尊柱,等. 以患者和家庭为中心护理干预在成人ICU应用进展[J]. 护理学报, 2020, 27(9):23-26. DOI:10.16460/j.issn1008-9969.2020.09.023. [2] Marilyn JH, Wilson D.Wong's Nursing Nare of Infants and Children-E-Book[M].Canada: Elsevier, 2018. [3] Afsaneh G, Rahimi FA, Kheibar N, et al.Effects of Family-Centered Empowerment Model Based Education Program on Quality of Life in Methamphetamine Users and Their Families[J]. Iran Red Crescent Me, 2014, 16(3):1-23. DOI:10.5812/ircmj.13375. [4] Zohreh G,Minooei MS, Abdeyazdan Z, et al.Effect of Family Empowerment Model on Quality of Life in Children with Chronic Kidney Diseases[J].Iran J Nurs Midwifery Res, 2014, 19(4):371-375. [5] Mahrokh K, Hedayati B, Moeini M, et al.A Survey on the Effect of Implementation of a Family-centered Empowerment Model on Blood Pressure and Empowerment Dimensions in the Elderly People with Hypertension[J]. J Educ Health Promot, 2015,4(1):1-30. DOI:10.4103/2277-9531.171808. [6] Shahram E, Heidari M, Jivad N, et al.Effects of Family-centered Empowerment Intervention on Stress, Anxiety, and Depression among Family Caregivers of Patients with Epilepsy[J]. Epilepsy Behav, 2018,88:106-112. DOI:10.1016/j.yebeh.2018.08.030. [7] Afsaneh G, Chehregosha M, Dastoorpoor M, et al.The effect of an Education Program based on the Family-centered Empowerment Model on Addiction Severity among Methamphetamine Users[J]. Ment Health Prev, 2018, 11(7):54-59. DOI:10.1016/j.mhp.2018.07.002. [8] Amir VA, Miller AC, Hajiesmaieli M, et al.Cardiac Rehabilitation using the Family-centered Empowerment Model versus Home-based Cardiac Rehabilitation in Patients with Myocardial Infarction: A Randomised Controlled Trial[J]. Open heart, 2016, 3(1):e349. DOI:10.1136/openhrt-2015-000349. [9] Azimi V, Alhani F, Goharimogaddam K, et al.Effect of Family-centered Empowerment Model on the Quality of Life in Patients with Myocardial Infarction: A Clinical Trial Study[J]. J Nurs Educ, 2015, 4(1):8-22. [10] Olin SS, Hoagwood KE, Rodriguez J, et al.The Application of Behavior Change Theory to Family-based Services: Improving Parent Empowerment in Children's Mental Health[J]. J Child Fam Stud, 2020, 19(4):462-470. DOI: 10.1007/s10826-009-9317-3. [11] James R, Olin SS, Hoagwood KE, et al.The Development and Evaluation of a Parent Empowerment Program for Family Peer Advocates[J]. J Child Fam Stud, 2011, 20(4): 397-405. DOI:10.1007 / s10826-010-9405-4. [12] Cleek EN, Wofsy M,Boyd FN,et al.The Family Empowerment Program: An Interdisciplinary Approach to Working with Multi-Stressed Urban Families[J]. Fam Process, 2012,51(2):207-217. DOI:10.1111/j.1545-5300.2012.01392.x. [13] Koren PE, Neal DC, Friesen BJ.Measuring Empowerment in Families whose Children have Emotional Disabilities: A Brief Questionnaire[J]. Rehabil Psychol, 1992, 37(4):305. DOI:10.1037//0090-5550.37.4.305. [14] 吴媚斯,周芬,管萍,等. 白血病患儿家庭充权现状调查[J]. 护理学杂志, 2012,27(15):9-11. DOI:10.3870/hlxzz.2012.15.009. [15] Mary Banah, Iudice J, Conway L, et al.Family Support and Empowerment: Post Autism Diagnosis Support Group for Parents[J]. Soc Work with Groups, 2010, 33(1):69-83. DOI:10.1080/01609510903437383. [16] Degeneffe CE, Chan F, Dunlap L, et al.Development and Validation of the Caregiver Empowerment Scale:A Resource for Working with Family Caregivers of Persons with Traumatic Brain Injury[J]. Rehabil Psychol, 2011, 56(3): 243-250. DOI:10.1037/a0024465. [17] Kargar NM.The Effect of Family-Centered Empowerment Model on the Mothers' Knowledge and Attitudes about Thalassemia Disorder[J]. Iran J Ped Hema Oncol, 2011, 3(1):98-103. [18] Zahra P, Kashaninia Z, Mahdaviani SA, et al.Effect of Family Empowerment on the Quality of Life of School-Aged Children with Asthma[J]. Tanaffos, 2014, 13(1):35. [19] Reza N, Alami A, Delshad NA.Effect of Family-Centered Empowerment Model on Quality of Life in Patients with Hypertension[J]. J Mazandaran Univ of Med Scien, 2015, 25(127):100-107. [20] Mahrokh K, Hedayati B, Moeini M, et al.A Survey on the Effect of Implementation of a Family-Centered Empowerment Model on Blood Pressure and Empowerment Dimensions in the Elderly People with Hypertension[J]. J Educ Health Promot,2015,4:94.DOI:10.4103/2277-9531.171808. eCollection 2015. [21] Iskim L, Ardian I.Effects of Family Empowerment on Increasing Family Support in Patients with Type-2 Diabetes Mellitus[J]. Nur Media J, 2019, 9(1):58-68.DOI:10.14710/nmjn.v9i1.22501. [22] 朱竹青. 以家庭为中心的赋能教育模式对妊娠期糖尿病孕产妇的干预研究[D]. 苏州:江苏大学, 2018. [23] Maryam MA, Taghdisi MH, Shidfar F, et al.The Impact of Training on Women's Capabilities in Modifying their Obesity-related Dietary Behaviors: Applying Family-Centered Empowerment model[J]. J Res Heal Sci, 2013, 14(1):76-81. [24] Batool H.The Effect of Implementation of Family-Centered Empowerment Model on the Self-Esteem of the Old People with Hypertension[J]. J Educ Heal Promot, 2015, 4:74-85. DOI:10.4103/2277-9531.171787. [25] Sara S, Pearce S.The Oxford Friends and Family Empowerment (OFAFE) Service: Support and Education for those Affected by Friends or Family with Personality Disorder[J]. The Ment Heal Rev,2010,15(4):58.DOI:10.5042/mhrj.2010.0741. [26] Shahram E, Heidari M, Jivad N, et al.Effects of Family-centered Empowerment Intervention on Stress,Anxiety, and Depression among Family Caregivers of Patients with Epilepsy[J]. Epilepsy Behav, 2018, 88:106-112. DOI:10.1016/j.yebeh.2018.08.030. [27] 段永暖,魏忠梅,卢金菊,等. 家庭赋权护理在神经外科危重症患者中应用的效果[J]. 中国医药导报, 2015, 12(36): 148-151. DOI:10.3969/j.issn.2095-2260.2019.03.150. [28] 张旭,任蔚虹,泮燕红. 家庭赋权方案对首发脑卒中患者主要照顾者的影响研究[J]. 中华护理杂志, 2018, 53(2): 7-12. DOI:10.3761/j.issn.0254-1769.2018.02.001. [29] Letitia CP, Dembo R, Schmeidler RJ.Family Empowerment Intervention: An Innovative Service for High-risk Youths and their Families[M]. London and New York: Routledge, 2014. [30] Ghasemi A, Rahimi FA, Kheibar N, et al.Effects of Family-centered Empowerment Model Based Education Program on Quality of Life in Methamphetamine Users and Their Families[J].Iran Red Crescent Med J, 2014, 16(3):e13375-e13375.DOI:10.5812/ircmj.13375. [31] Cox PJ, Sandra O, Cook-Craig PG, et al.Strengthening Systems for the Primary Prevention of Intimate Partner Violence and Sexual Violence: CDC's DELTA and EMPOWER Programs[J]. J Family Social Work, 2010, 13(4):287-296. DOI:10.1080/10522158.2010.492565. [32] 马敏,高越,王媛媛. 家庭赋权干预对妊娠合并麻疹患者感染及妊娠结局的影响[J]. 山西医药杂志, 2019, 48(20): 2567-2570. DOI:10.3969/j.issn.0253-9926.2019.20.048. [33] 李珏,李亚洁. 家庭护理干预对早期宫颈癌术后患者家庭功能和生活质量的影响[J]. 护理学报, 2015,22(10):1-4. DOI:10.16460/j.issn1008-9969.2015.10.001. [34] 蒋园园,练敏,邓小岚. 基于老年综合评估的家庭赋权方案在老年吞咽障碍患者中的应用研究[J]. 中华现代护理杂志, 2019, 25(4):467-471. DOI:10.3760/cma.j.issn.1674-2907.2019.04.022. [35] 赵莎莎,余佳,杨林. 家庭赋权管理策略在PICC置管的化疗间歇期老年肺癌患者中的应用效果[J].健康研究, 2019, 39(6):624-627.DOI:10.3969/j.issn.1674-6449.2019.06.007. |
| [1] | 王佩, 陈俊春, 张茵. 基于即刻学堂和微信整合移动学习平台对老年科护士培训的效果观察[J]. 护理学报, 2020, 27(9): 6-9. |
| [2] | 陈绍传, 王鑫, 孙蓉, 廖书娟, 高熙, 白丽君. 院校结合模式在高职助产专业人才培养中的应用[J]. 护理学报, 2020, 27(9): 10-13. |
| [3] | 李奇, 李真, 李尊柱, 孙建华, 罗红波. 以患者和家庭为中心护理干预在成人ICU应用进展[J]. 护理学报, 2020, 27(9): 23-26. |
| [4] | 马莹, 叶君荣, 黄昭君, 夏志春, 徐丹, 邓爱萍, 刘名河, 罗斯莉, 张建龙. 基于循证构建精神科护理质量敏感性指标[J]. 护理学报, 2020, 27(9): 27-32. |
| [5] | 程维, 程蕾, 唐鹰, 黎红英, 谭荣欢, 申利华, 王灵晓. 老年专科护士主导的吞咽障碍患者转介模式的建立与效果评价[J]. 护理学报, 2020, 27(9): 48-51. |
| [6] | 戴利, 王民心, 叶艳兰, 罗静珍, 杨云智. 新型冠状病毒肺炎疫情期间社区居家护理感染防控应用失效模式效应分析的效果观察[J]. 护理学报, 2020, 27(9): 59-63. |
| [7] | 米元元, 李巧云, 明耀辉, 王婷, 庞志强, 胡恩华, 聂涛, 陈卉, 黄海燕. 1例危重型新型冠状病毒肺炎合并ARDS患者的成功救护[J]. 护理学报, 2020, 27(9): 64-67. |
| [8] | 刘颖, 黎丹, 黄燕波, 王倩, 贯华. 优化术前肠道准备方案对根治性膀胱全切加回肠通道术患者的影响[J]. 护理学报, 2020, 27(9): 68-70. |
| [9] | 蔡国旗, 汪晖, 张梦霞, 尹世玉, 胡凯利, 王冰花, 杨纯子. 2 291名护士工作环境感知与对护士长领导行为评价的相关性分析[J]. 护理学报, 2020, 27(8): 30-33. |
| [10] | 刘梅娟, 周丽华, 唐美云, 谭文欣, 刘玉萍, 程凤平. 2种术后进食方案在上消化道内镜黏膜下剥离术患者的应用效果观察[J]. 护理学报, 2020, 27(8): 51-53. |
| [11] | 黄媛媛, 傅巧美, 刘光香, 白雅馨, 张青. 肾移植患者基于“互联网+”延续护理的效果观察[J]. 护理学报, 2020, 27(8): 69-72. |
| [12] | 刘丽萍, 吴艳妮, 从维莲, 胡明钰, 李晓霞, 周春兰. 癌症患者化疗期自我护理体验质性研究的系统评价[J]. 护理学报, 2020, 27(7): 1-6. |
| [13] | 邱楚瑾, 张凤英, 冯先琼. 多视角录播系统在本科护生口腔护理操作教学中的运用[J]. 护理学报, 2020, 27(7): 15-19. |
| [14] | 裴坤一, 郑欣, 徐柳, 李霞. 基于Servqual模型构建急性酒精中毒护理质量评价体系[J]. 护理学报, 2020, 27(7): 25-29. |
| [15] | 李嫒, 庞艳, 林芳初, 涂素华. 婴幼儿顺应喂养的研究进展[J]. 护理学报, 2020, 27(7): 34-37. |
|