应用健康行为改变整合理论改善出院后居家老年卧床-中国护理管理.PDF

Special Planning 特别策划 养老护理服务 · 应用健康行为改变整合理论改善出院后 居家老年卧床患者的康复效果 徐永能 卢少萍 林建华 黄巧 李绣球 任晓晓 何金莲 赵雪琴 吴博 肖风霞 李远红 [ 摘 要] 目的：评价应用健康行为改变理论对出院后居家老年卧床患者康复效果的影响。方法：将120 例老年卧床患者按 出院时间顺序分为对照组和实验组，分别由外展小组评估患者并制订家庭康复护理计划，对照组给予常规出院宣教及出院后的 电话随访，实验组按照健康行为改变整合理论方法，实施出院后延续护理管理，采用日常生活能力量表和生存质量量表比较两 组患者出院时、出院后 6 个月、出院后12个月的日常生活能力、生活质量。结果：实验组出院后 6 个月、12个月日常生活能力 以及生活质量的生理领域、心理领域得分均高于对照组，差异有统计学意义（P0.05）。两组环境领域、社会领域得分比较无 统计学意义（P0.05)。结论：应用健康行为改变理论的方法对老年卧床患者实施出院家庭康复管理，能提高老年卧床患者的 生存质量和日常生活能力。 [ 关键词 ] 老年卧床患者；健康行为改变整合理论；家庭康复计划；日常生活能力；生活质量 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.07.005 Application the health behavior change integration theory to improve rehabilitation effect after discharge in elderly patients with bed occupy / XU Yongneng, LU Shaoping, LIN Jianhua, HUANG Qiao, LI Xiuqiu, REN Xiaoxiao, HE Jinlian, ZHAO Xueqin, WU Bo, XIAO Fengxia, LI Yuanhong // The second comprehensive area of East ward, Guangdong province peoples hospital, Guangzhou, 510080 China /// Chinese Nursing Management-2015,15(7): 786-789 [Abstract] Objective: To evaluate health behavior change theory to the rehabilitation effect of patients with elderly bedridden at home after discharge from hospital. Method: 120 cases of elderly patients in bed were randomly divided into control group and experimental group by in hospital time order. Respectively, the outreach team evaluate patients family rehabilitation nursing plan. The control group was given conventional propaganda and telephone follow-up after discharge. Experimental group was developed family rehabilitation nursing plans according to the health behavior change integration theory. Compared the two groups of patients discharged from hospital, 6 and 12 months after discharge in daily living, quality of life and other a