基于赋权的干预措施对状细胞病患者的自我有效性和自我护理能力的影响:一项随机对照试验
Zohour Ibrahim Rashwan1,2, Hasan Abdali Khalil3, Leena Mohamed Khonji4
1Pediatric Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain.
International journal of nursing sciences
|February 24, 2025
概括
基于赋权的干预措施显著改善了状细胞疾病 (SCD) 的成年人自我有效性和自我护理能力. 5As模型干预表明,对患者的结果有统计学上显著的积极影响.
科学领域:
- 血液学 血液学 血液学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 状细胞病 (SCD) 显著影响成年人的生活质量,需要有效的管理策略.
- 自我有效性和自我护理能力对于管理SCD等慢性疾病至关重要.
- 基于赋权的干预措施提供了一个有希望的方法来增强患者的自主性和健康结果.
研究的目的:
- 评估基于赋权的干预对SCD成年人自我有效性和自我护理能力的有效性.
- 将基于赋权的干预结果与SCD患者的常规健康教育进行比较.
主要方法:
- 一项随机对照试验 (NCT06296654) 涉及巴林76名患有SCD的成年人.
- 参与者进行了集群抽样,并随机分配到干预组 (n=38) 或对照组 (n=38).
- 干预包括小组讨论,5As模型咨询和后续会议;对照组接受了标准的健康教育. 用SCSES和ASA-R尺度衡量自我效能和自我护理机构.
主要成果:
- 共有68名患者完成了这项研究.
- 与对照组相比,干预组在状细胞自效量表 (SCSES) 上的得分显著更高 (P < 0.001).
- 与对照组相比,干预组在自我护理机构规模修订评估 (ASA-R) 上的得分也明显高 (P < 0.001).
结论:
- 基于赋权的干预,利用5A模型,有效地提高了SCD成年人的自我效能.
- 这种干预也显著改善了状细胞病患者的自我护理能力.
- 研究结果支持将基于赋权的策略整合到SCD患者护理中,以改善健康结果.
相关概念视频
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
Stress Prevention and Stress Management Techniques VI
26
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
26
Community Based Intervention
28
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
28
Stress Prevention and Stress Management Techniques I
34
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
34
Self-Help Support Groups
25
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
25
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K


