在接受全喉切除术的老年人自我护理干预中,护士领导的指导的有效性:一项随机对照试验
Liyuan Zheng1, Jian Chen1, Huifen Wang2
1Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
BMJ open
|January 14, 2025
概括
护士主导的自我护理 (SC) 干预措施显著改善了全喉切除术 (TL) 后老年患者的自我护理能力,自我有效性,生活质量和营养状况. 这一策略提供了多维的好处和更短的住院时间.
科学领域:
- 瘤科 护理 护理专业
- 老年医疗护理 医疗护理
- 康复医学 康复医学 康复医学
背景情况:
- 全喉切除术 (TL) 显著影响老年患者的生活质量和自我护理能力.
- 有效的术后干预对于管理这些患者的复杂需求至关重要.
研究的目的:
- 评估护士领导的自我护理 (SC) 干预指导对接受TL的老年患者的有效性.
- 评估这些干预措施对自我护理能力,自我有效性,生活质量 (QoL) 和营养状况的影响.
主要方法:
- 一个双臂,单中心随机试验,遵循CONSORT指南.
- 接受TL的老年患者被随机分配到对照组 (例行护理) 或干预组 (护士领导的SC指导).
- 干预包括家庭SC手册,定期护士监督和评估SC有效性.
主要成果:
- 与对照组相比,SC干预组在自我护理能力,自我有效性,生活质量和营养状况方面显著改善 (p<0.01).
- 时间和干预效应都对SC能力,自我有效性和QoL (p<0.05) 有意义.
- 通过PG-SGA评估的营养状况在干预组显著改善 (p<0.001),没有报告任何不良事件.
结论:
- 护士主导的SC干预是TL的老年患者的有效策略.
- 这种方法带来了多方面的好处,包括提高自我效能,改善质量生活,改善营养状况,并可能缩短住院时间.
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