赋权指导对长期住院脑卒中患者家庭主要照顾者照顾能力的影响

Influence of empowerment guidance on the care ability of family caregivers of long-term hospitalized stroke patients

目的探讨长期住院脑卒中患者家庭主要照顾者应用赋权指导对照顾能力的影响。方法选取2019年6~12月广东省佛山市南海区第七人民医院长期住院的80例脑卒中患者家庭主要照顾者作为研究对象,采用随机数字表法分为两组,每组各40例。对照组实施常规护理,观察组在对照组的基础上实施赋权指导。比较两组的准备度和照顾能力。结果两组干预前的准备度量表(CPS)评分比较,差异无统计学意义(P>0.05);观察组干预3个月后的CPS评分(22.36±4.37)分,高于对照组的(18.22±3.79)分,差异有统计学意义(P<0.05)。两组干预前的照顾能力测量表(FCTI)各维度评分比较,差异无统计学意义(P>0.05);观察组干预3个月后的应变及提供协助[(2.24±0.71)分]、适应照顾角色[(2.08±0.87)分]、处理个人情绪[(1.24±0.55)分]、调整生活满足照顾需求[(1.18±0.35)分]、评估家人及社区资源[(1.38±0.42)分],低于对照组的(2.65±1.02)、(3.30±1.04)、(2.26±1.08)、(1.71±0.47)、(1.98±0.71)分,差异均有统计学意义(P<0.05)。结论赋权指导应用于长期住院脑卒中患者家庭主要照顾者,对提高其照顾准备度和照顾能力有积极的意义,可推广使用。

Objective To explore the influence of empowerment guidance on the care ability of family caregivers of long-term hospitalized stroke patients.Methods A total of 80 cases family caregivers of stroke patients in the Seventh People′s Hospital of Nanhai District,Foshan City from June to December 2019 were selected and divided into two groups according to random number table method,40 cases in each group.The control group was given routine nursing,while the observation group was given empowerment guidance on the basis of the control group.The care readiness and care ability of the two groups were compared.Results There was no significant difference between the two groups before intervention in caregiver preparedness scale(CPS)score(P>0.05).After 3 months of intervention,the CPS score of the observation group was(22.36±4.37)points,which was higher than that of the control group of(18.22±3.79)points,the difference was statistically significant(P<0.05).There was no significant difference in the score of family caregiver task inventory(FCTI)between the two groups before intervention(P>0.05);after 3 months of intervention,the observation group scores were(2.24±0.71)points in response and assistance,(2.08±0.87)points in adapting to care roles,(1.24±0.55)points in dealing with personal emotions,(1.18±0.35)points in adjusting life to meet care needs,and evaluating family and community The score of resource was(1.38±0.42)points,lower than those of the control group of(2.65±1.02),(3.30±1.04),(2.26±1.08),(1.71±0.47),(1.98±0.71)points,and the differences were statistically significant(P<0.05).Conclusion Empowerment guidance applied to family caregivers of long-term hospitalized stroke patients has positive significance to improve their care preparation and care ability,and can be widely used.