老年慢性病患者基于保护动机理论护理干预的效果观察

doi:10.16460/j.issn1008-9969.2021.16.047

摘要/Abstract

摘要： 目的探讨基于保护动机理论的护理干预对老年慢性病患者自我护理能力及行为的影响。方法便利抽样法选取2018年2月—2019年7月在我院收治的老年慢性病患者93例,基于保护动机理论进行护理干预。评估干预前、干预1个月末、3个月末及6个月末老年慢性病患者自我护理能力和自我管理行为得分情况。结果 82%（76/93）老年慢性病患者自我护理能力处于低中等水平,77%（71/93）患者自我管理行为处于低、中等水平;干预前、干预1个月末、3个月末及6个月末老年慢性病患者自我护理能力和自我管理行为得分比较差异具有统计学意义（F=51.736,P<0.001;F=43.265,P<0.001）;随着干预时间延长,老年慢性病患者自我护理能力和自我管理行为均得到提高（P<0.001）。结论老年慢性病患者自我护理能力和自我管理行为处于低、中等水平,应用基于保护动机理论的护理干预不仅能提高其自我护理能力还能提高患者自我管理行为。

关键词: 老年患者, 慢性病, 保护动机理论, 自我护理能力, 自我管理行为

Abstract: Objective To investigate the current status of self-care ability of elderly patients with chronic diseases and to explore the effect of nursing intervention based on protective motivation theory on their self-care ability. Methods Convenience sampling method was used to select 93 elderly patients with chronic diseases in our hospital from February 2018 to July 2019, and nursing intervention was carried out based on the protection motivation theory. The score of self-care ability and self-management behavior before nursing intervention, 1 month, 3 and 6 months after intervention was compared using self-care ability measurement scale. Results Self-care ability of 82%（76/93）and self-management behavior of 77% (71/93) of the patients’ were in a low and medium level. The comparison in self-care ability and self-management behavior of patients before, 1 month, 3 and 6 months after intervention indicated statistical significance（F=51.736,P<0.001;F=43.265,P<0.001）With the prolonging of the time, self-care ability and self-management behavior of elderly patients with chronic diseases were effectively improved (P<0.001). Conclusion Self-care ability and self-management behaviorof elderly patients with chronic diseases is in a low level. Nursing intervention based on protection motivation theory can improve self-care ability and self-management behavior of patients, which is conducive to the prognosis of patients.

Key words: elderly patient, chronic diseases, protection motivation theory, self-care ability

中图分类号:

R473.59

徐爱红. 老年慢性病患者基于保护动机理论护理干预的效果观察[J]. 护理学报, 2021, 28(16): 47-51.

XU Ai-hong. Effect of Protective Motivation Theory-based Nursing Intervention on Self-care Ability of Elderly Patients with Chronic Diseases[J]. Journal of Nursing, 2021, 28(16): 47-51.

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