针对中风后患者和家属的家庭计划的有效性:一个集群随机对照试验
Saisunee Deepradit1,2, Arpaporn Powwattana1, Sunee Lagampan1
1Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand.
International journal of nursing sciences
|November 29, 2023
概括
这项研究表明,基于家庭的计划显著改善了中风幸存者的功能状态,并减少了中风幸存者的抑郁症. 它还增强了家庭功能,减少了家庭的照顾者负担.
科学领域:
- 神经学 神经学
- 家庭医学 家庭医学 家庭医学
- 康复医学 康复医学 康复医学
背景情况:
- 脑卒中显著影响患者的功能状态和心理健康.
- 家庭护理人员在中风后经常经历相当大的负担和压力.
- 现有的干预措施可能无法完全满足中风幸存者及其家人的整体需求.
研究的目的:
- 评估基于家庭的干预对中风后患者及其家属的有效性.
- 评估该计划对患者功能状态,抑郁症和家庭动态的影响.
- 测量护理人员负担和压力的变化.
主要方法:
- 一个集群随机对照试验,涉及62个家庭 (每组31个).
- 实验组接受了基于纽曼系统模型的基于家庭的计划,而比较组接受了通常的护理.
- 包括功能状态,抑郁症,家庭功能和护理人员负担在内的结果在基线,4周和12周被评估.
主要成果:
- 在干预组中,中风后的患者表现出功能状态的显著改善和抑郁症的减少 (P < 0.05).
- 在干预组中,家庭功能显著改善,护理人员负担和压力下降 (P < 0.05).
- 在实验组中观察到的并发症较少 (3对7名患者).
结论:
- 这项以家庭为基础的计划有效地提高了功能状态,并减少了中风幸存者的抑郁症.
- 该干预成功地改善了家庭功能,并减轻了护理人员的负担和压力.
- 建议进行进一步的研究,以探索延长计划持续有效性的持续时间.
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