授权赋能护理对系统性红斑狼疮患者遵医行为及对其病情的影响

旨在创新性地探究授权赋能护理对系统性红斑狼疮患者遵医行为、病情稳定的积极影响。方法 从医院2021年1月-2023年12月期间诊疗的系统性红斑狼疮患者中抽取符合纳入标准的60例为研究对象,以随机数字表法进行对照研究,共分成2组,分别是对照组(30例,常规护理)和观察组(30例,授权赋能护理)。比较两组护理前后的遵医行为、病情改善[系统性红斑狼疮疾病活动度评分(SLEDAI)]程度和生活质量[慢性病患者生命质量测定量表(QLICD-GM)]。结果 与对照组相比,观察组护理后的遵医行为评分、QLICD-GM评分均较高(P<0.05);与对照组相比,观察组护理后的SLEDAI评分均较低(P<0.05)。结论 授权赋能护理在系统性红斑狼疮患者中的效果显著,不仅可加强遵医行为,促进病情稳定,还可提高生活质量。

授权赋能护理对系统性红斑狼疮患者遵医行为及病情转归的影响

目的:探讨授权赋能护理对系统性红斑狼疮患者遵医行为及病情转归的影响。方法:将上海中医药大学附属曙光医院2020年9月—2022年2月收治的85例系统性红斑狼疮患者按照组间基线匹配资料的原则分为对照组42例和观察组43例。对照组采用常规护理,观察组在对照组的基础上采用授权赋能护理。两组均干预6个月。对两组患者干预后的遵医行为、病情转归情况进行比较。结果:干预后,观察组用药及复查、避免接触复发因素、发现复发征象、饮食习惯、避免感染、活动与休息评分及总分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组的系统性红斑狼疮疾病活动度指数低于对照组,红细胞沉降率、免疫球蛋白G(IgG)、24 h尿蛋白定量均低于对照组,差异均有统计学意义(P<0.05)。结论:授权赋能护理能够显著提高系统性红斑狼疮患者的遵医行为,改善病情转归,是一种有效的慢病管理模式。

三维绩效在心脏内科授权赋能护理管理模式中的应用

目的探讨三维绩效结构理论在心脏内科授权赋能护理管理中的应用效果。方法将三维绩效考核与科室授权赋能管理模式相结合,建构各能级护理人员的护理管理绩效考评模块与分组授权模块。采用心理授权量表、自我效能感量表和护士工作满意度量表评估实施前和4个月后的相关评分。结果与实施前比较,执行三维绩效与授权赋能相结合模式后,科室护理人员的心理赋能得分、自我效能感得分及工作满意度均提高(P<0.01),患者对护理人文及护理工作的总体评价方面满意度均提高(P<0.05)。结论实施三维绩效与授权赋能相结合模式能优化绩效考评与岗位管理,增加各级护理人员的心理授权感知水平及自我效能感,提高护士及患者的满意度。

Bibliometric analysis of researches of empowerment theory applied to nursing in China

Objective:To analysis the development trend and research focus of empowerment theory applied to Nursing in China.Methods:Literatures related to the objective were searched and collected from CNKI,WangFang,VIP and CBM,then Excel 2003 was used to setup the database and co-word matrix,SPSS 21.0 was utilized to make the visualized analysis by way of multivariate statistics analysis,cluster analysis and multidimensional scaling analysis.Results:Literatures with the number of 486 were selected out and 18 high frequency keywords were retrieved from 140 journals.Among the literatures,the first one was published in 2002,then a tremendous rising started since 2009,and reached the peak in 2017,mainly from the southern part of China,such as the province of Jiangsu,Guangdong,and Zhejiang.Regarding the content of the literatures,the research of intervention accounted for 61.32%,then the research of description came to the second at the ratio of 24.49%.What’s more,378(77.78%)were cited,154(31.69%)were funded.Conclusion:Nowadays,empowerment applied in the therapy of chronic disease is the focus and trend of the research of empowerment theory,and the psychological empowerment to nursing staff,as well as the constructed empowerment is going mature.In the future,more attention should be paid to the study and practice of empowerment theory,in order to vary the direction of research and enrich the theory.