人文关怀在老年肌萎缩侧索硬化症病人中的应用

doi:10.3969/j.issn.1003-9198.2024.05.025

实用老年医学 ›› 2024, Vol. 38 ›› Issue (5): 537-540.doi: 10.3969/j.issn.1003-9198.2024.05.025

• 护理园地 • 上一篇

人文关怀在老年肌萎缩侧索硬化症病人中的应用

谢兆敏, 李雪芬, 朱建英, 余梦婷, 刘卫国, 尹俊雄, 李蕴奕

210029 江苏省南京市,南京医科大学附属脑科医院神经内科

收稿日期:2023-05-15 出版日期:2024-05-20 发布日期:2024-05-23
通讯作者: 李蕴奕,Email: lyy85308554＠163.com
基金资助:
江苏省重点研发计划资助项目(BE2019611)

Application of humanistic care in elderly patients with amyotrophic lateral sclerosis

XIE Zhaomin, LI Xuefen, ZHU Jianying, YU Mengting, LIU Weiguo, YIN Junxiong, LI Yunyi

Department of Neurology, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, China

Received:2023-05-15 Online:2024-05-20 Published:2024-05-23
Contact: LI Yunyi, Email: lyy85308554@163.com

摘要/Abstract

摘要： 目的分析人文关怀护理在老年肌萎缩侧索硬化症病人中的应用效果。方法便利选取2021年2月至2023年3月南京脑科医院神经内科收治的67例老年肌萎缩侧索硬化症病人为研究对象,比较人文关怀护理实施前后病人的关怀感受、自我效能感、情绪状态与生活质量。结果人文关怀护理实施后病人的关怀行为评价量表(CBI)评分、一般自我效能感量表(GSES)评分和健康生活量表简表(SF-36)评分均高于护理前(P＜0.05);状态-特质焦虑问卷(STAI)中各分表的评分均低于护理前(P＜0.05);病人的治疗依从性、护理满意度均显著提高(P＜0.05)。结论在老年肌萎缩侧索硬化症病人中实施人文关怀护理,不仅能增强其关怀感受,提高自我效能感,而且还能改善病人情绪状态,提升治疗依从性及护理满意度,促进其生活质量进一步提高。

关键词: 人文关怀, 肌萎缩侧索硬化, 关怀感受, 自我效能感, 情绪状态, 生活质量

Abstract: Objective To investigate the effect of humanistic care-based nursing in the elderly patients with amyotrophic lateral sclerosis. Methods A total of 67 elderly patients with amyotrophic lateral sclerosis admitted to Department of Neurology,Nanjing brain Hospital from February 2021 to March 2023 were enrolled by convenient sampling. All patients’ feelings of care, self-efficacy, emotional state, and quality of life were assessed and compared before and after the application of humanistic care-based nursing. Results After the application of humanistic care-based nursing, the scores of the Care Behavior Inventory (CBI),the General Self-Efficacy Scale (GSES) and Short Form-36 Health Survey (SF-36) were significantly higher, and the scores of each subscale of the State-Trait Anxiety Inventory (STAI) were lower than those before nursing intervention(P＜0.05).The patients’ medication adherence and satisfaction with nursing care were significantly improved after the application of humanistic care-based nursing (P<0.05). Conclusions The application of humanistic care-based nursing in the elderly patients with amyotrophic lateral sclerosis can enhance the patients’ sense of care, improve self-efficacy, emotional state, treatment compliance and nursing satisfaction, and further improve their quality of life.

Key words: humanistic care, amyotrophic lateral sclerosis, caring feelings, self-efficacy, emotional state, quality of life

中图分类号:

R 473

谢兆敏, 李雪芬, 朱建英, 余梦婷, 刘卫国, 尹俊雄, 李蕴奕. 人文关怀在老年肌萎缩侧索硬化症病人中的应用[J]. 实用老年医学, 2024, 38(5): 537-540.

XIE Zhaomin, LI Xuefen, ZHU Jianying, YU Mengting, LIU Weiguo, YIN Junxiong, LI Yunyi. Application of humanistic care in elderly patients with amyotrophic lateral sclerosis[J]. Practical Geriatrics, 2024, 38(5): 537-540.

参考文献

[1] LOU K, MURPHY S, TALBOT C. Cannabinoids for the treatment of refractory neuropathic pruritus in amyotrophic lateral sclerosis: a case report[J]. Palliat Med,2022,36(1):208-211.
[2] 马志,赵慧慧,牛琦.肌萎缩侧索硬化基因治疗研究进展[J].中华神经科杂志,2022,55(3):260-265.
[3] 单淑慧,张艳丽,罗永梅,等.肌萎缩侧索硬化症患者呼吸障碍护理的研究进展[J].中华护理杂志,2020,55(9):1431-1435.
[4] 薛晶,刘义兰,莫蓓蓉,等.人文关怀护理在合作医院的推进及成效[J].护理学杂志,2021,36(20):97-99.
[5] 中华医学神经病学分会肌电图与临床神经电生理学组,中华医学会神经病学分会神经肌肉病学组.中国肌萎缩侧索硬化诊断和治疗指南[J].中华神经科杂志,2012,45(7):531-533.
[6] 达朝锦.关怀行为量表的汉化及其中文版的信度,效度研究[D].兰州:兰州大学,2016.
[7] 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2011,7(1):38-40.
[8] COX J L, HOLDEN J M, SAGOVSKY R. Detection of postnatal depression. Development of the 10-item edinburgh postnatal depression scale[J]. Br J Psychiatry,1987,150(6):782-786.
[9] JENKINSON C,LAYTE R,JENKINSON D,et al. A shorter form health survey:can the SF-12 replicate results from the SF-36 in longitudinal studies [J].J Public Health Med,1997,19(2):179-186.
[10] 沈妃,何国琪,严焕然,等.知识-信念-行为模式训练对抑郁症药物治疗患者服药依从性、抑郁程度、生活质量影响研究[J].中国现代医生,2021,59(35):91-94.
[11] 李雅青,骆丽娜,沈谏卿.穴位敷贴配合健脾益肺方治疗肌萎缩侧索硬化症疗效观察[J].辽宁中医杂志,2022,49(5):169-172.
[12] 张艳,陈向荣,彭叶叶,等.1例存活19年老年肌萎缩侧索硬化症的护理[J].中国临床神经外科杂志,2020,25(10):719-721.
[13] HOGDEN A, AOUN S M,SILBERT P L, et al. Palliative care in neurology: integrating a palliative approach to amyotrophic lateral sclerosis care[J]. Euro Med J Neurol,2018,6(1):68-76.
[14] GAO M X, ZHU L Q, CHANG J L, et al. Safety and efficacy of edaravone in patients with amyotrophic lateral sclerosis: a systematic review and meta-analysis[J]. Clin Drug Invest,2022,43(1):1-11.
[15] 达彬琳,张娟娟,刁艳青,等.经皮内镜下胃造口术在肌萎缩侧索硬化病人中的应用[J].肠外与肠内营养,2021,28(4):204-206.
[16] 马明逸,鲁丰华,尹征.微信干预在肌萎缩侧索硬化症患者院外延续性护理中的应用[J].中华现代护理杂志,2019,25(34):4513-4515.

人文关怀在老年肌萎缩侧索硬化症病人中的应用

Application of humanistic care in elderly patients with amyotrophic lateral sclerosis

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 8

Metrics

推荐阅读 10

[1]	李净兵, 王会军, 王少颖, 赵璨, 王莉迪, 曹玉娇. 己酮可可碱联合硫辛酸对老年衰弱综合征病人躯体功能及生活质量的影响[J]. 实用老年医学, 2024, 38(8): 812-815.
[2]	叶念思, 胡慧, 邓蓓, 刘雪婷, 周诗, 李雨灿, 王晓梦. 轻度认知障碍老年人口腔健康相关生活质量现状及影响因素分析[J]. 实用老年医学, 2024, 38(7): 674-678.
[3]	胡阳阳, 王越, 谢庆磊. 中医体质辨证护理改善老年透析病人疲乏及生活质量的研究[J]. 实用老年医学, 2024, 38(6): 545-548.
[4]	宋涵菁, 孙文江, 余波. 老年病人全脊柱内镜术后常规康复辅以髋部加强训练的临床效果分析[J]. 实用老年医学, 2024, 38(10): 1020-1024.
[5]	侯煜, 吴晓尉, 梁铭铭, 周洁琛, 丁霞, 杨艳. 老年肠易激综合征患者的生活质量及其影响因素[J]. 实用老年医学, 2016, 30(2): 111-.
[6]	张艳, 易念华, 吴兰, 方俊, 娴唐念. 盆底康复训练治疗中老年妇女压力性尿失禁的效果评价[J]. 实用老年医学, 2014, 28(10): 859-.
[7]	王兆霞. 延伸护理对老年痴呆患者生活质量的影响[J]. 实用老年医学, 2014, 28(03): 254-.
[8]	李球兵, 刘飒, 王红阳, 韩晓庆, 张盼盼. 复方丹参滴丸联合呼吸操对慢性阻塞性肺疾病患者疗效及凝血功能的影响[J]. 实用老年医学, 2013, 27(8): 670-.