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  本文關(guān)鍵詞：護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理的實施狀況及干預(yù)研究　出處：《寧夏醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 護(hù)士 高齡患者 活動能力低下 預(yù)防性護(hù)理 影響因素

【摘要】：目的了解護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理的實施狀況并分析其影響因素;制定預(yù)防高齡患者活動能力低下的護(hù)士干預(yù)方案并評價其效果。方法采用便利抽樣法,選取寧夏醫(yī)科大學(xué)總醫(yī)院和心腦血管醫(yī)院符合納入標(biāo)準(zhǔn)的護(hù)士300名作為研究對象,選用一般資料問卷、護(hù)士對老年患者活動能力低下預(yù)防性護(hù)理評價量表、護(hù)士對老年人的態(tài)度量表、老化知識量表進(jìn)行現(xiàn)況調(diào)查�；�于現(xiàn)況調(diào)查,將研究對象按年齡、技術(shù)職稱、工作年限進(jìn)行1:1配對并隨機(jī)分為干預(yù)組(40例)與對照組(40例),干預(yù)組連續(xù)4周接受每周1次以集中授課和小組討論形式的干預(yù),對照組連續(xù)4周參與醫(yī)院組織的常規(guī)業(yè)務(wù)學(xué)習(xí)。干預(yù)結(jié)束1個月后,再次評價護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理實施狀況,護(hù)士對老年人的態(tài)度及老化知識水平。所收集資料經(jīng)過嚴(yán)格查對后,錄入SPSS17.0統(tǒng)計軟件進(jìn)行分析,計數(shù)資料使用頻數(shù)、百分比描述,計量資料懫用均數(shù)、標(biāo)準(zhǔn)差描述。結(jié)果1.護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理總得分為(137.04±7.05)分;各維度得分標(biāo)準(zhǔn)化后,從高到低依次為環(huán)境整理(3.17±0.38)分,指導(dǎo)日�；顒�(3.16±0.31)分,協(xié)助移行(3.14±0.41)分,體能管理(3.10±0.31)分,肌力管理(3.06±0.30)分,協(xié)助關(guān)節(jié)活動(2.88±0.37)分,刺激認(rèn)知(2.28±0.48)分,咨詢專科護(hù)士(2.13±0.51)分。2.護(hù)士對老年人態(tài)度總得分為(145.92±4.31)分,持輕度積極態(tài)度;老化知識總得分為(13.32±2.89)分,知識掌握情況較差。3.年齡、技術(shù)職稱、工作年限、護(hù)士對老年人態(tài)度及老化知識是護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理實施的主要影響因素。4.干預(yù)后干預(yù)組護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理總得分及各維度得分高于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。干預(yù)組護(hù)士對老年人態(tài)度及老化知識得分高于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。干預(yù)后干預(yù)組護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理總得分及各維度得分高于干預(yù)前,差異有統(tǒng)計學(xué)意義(P0.05)。干預(yù)組護(hù)士對老年人態(tài)度及老化知識得分高于干預(yù)前,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論1.護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理處于中等偏下水平。2.年齡、技術(shù)職稱、工作年限、護(hù)士對老年人態(tài)度及老化知識是護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理的主要影響因素。3.以集中授課和小組討論相結(jié)合的干預(yù)方式以及基于臨床需求提供的干預(yù)內(nèi)容,改善了護(hù)士對待老年人的態(tài)度,增加了護(hù)士的老化知識,提高護(hù)士對高齡患者活動能力低下預(yù)防性護(hù)理的意識及行為。
[Abstract]:Objective to understand the implementation of preventive nursing care for elderly patients with low mobility and analyze its influencing factors. To establish a nursing intervention program to prevent the inactivity of elderly patients and evaluate its effect. Methods convenience sampling method was used. A total of 300 nurses in Ningxia Medical University General Hospital and Cardiovascular and Cerebrovascular Hospital were selected as the subjects of the study. The general information questionnaire was used to evaluate the preventive nursing of elderly patients with low mobility. The nurses' attitude toward the elderly and the Aging knowledge scale were investigated. Based on the status survey, the subjects were divided into age and technical title. The working years were matched with 1: 1 and randomly divided into the intervention group (n = 40) and the control group (n = 40). The intervention group received the intervention once a week once a week in the form of concentrated teaching and group discussion. The control group participated in the routine study of hospital organization for 4 weeks in succession. One month after the intervention, the implementation of preventive nursing for the elderly patients with low mobility was evaluated again. The nurses' attitude towards the elderly and their knowledge level of aging. After strict checking, the data collected were recorded into the SPSS17.0 statistical software for analysis, and the frequency and percentage of the counting data were described. Results 1. The total score of nurses for the elderly patients with low mobility preventive nursing was 137.04 鹵7.05; After the standardization of the scores of each dimension, the order from high to low was 3.17 鹵0.38), 3.16 鹵0.31) to guide daily activities, and 3.14 鹵0.41) to assist the migration. The score of physical fitness management was 3.10 鹵0.31, muscle strength management was 3.06 鹵0.30, assisted joint movement was 2.88 鹵0.37 and cognitive stimulation was 2.28 鹵0.48). The total score of nurses' attitude towards the elderly was 145.92 鹵4.31, with a slight positive attitude. The total score of aging knowledge was 13.32 鹵2.89), and the knowledge mastery was poor. 3. Age, technical title, working years. Nurses' attitude towards the elderly and their knowledge of aging are the main influencing factors for the implementation of preventive nursing care for the elderly patients with low activity ability. 4. General knowledge of preventive nursing care for the elderly patients with low activity ability in the intervention group after intervention. Scores and dimensions of the control group were higher than those of the control group. The difference was statistically significant (P 0.05). The scores of nurses' attitude towards the elderly and the knowledge of aging in the intervention group were higher than those in the control group. The difference was statistically significant (P 0.05). The total scores and dimensions of preventive nursing in intervention group were higher than those before intervention. The difference was statistically significant (P 0.05). The scores of nurses' attitude towards the elderly and the knowledge of aging in the intervention group were higher than those before the intervention. The difference was statistically significant (P 0.05). Conclusion 1. Preventive nursing care of elderly patients with low mobility is at the lower middle level. 2. Age, technical title, working years. 2. Nurses' attitude towards the elderly and their knowledge of aging are the main influencing factors of nurses' low mobility and preventive nursing. 3. Interventions based on the combination of intensive teaching and group discussions and based on clinical needs. The content of the intervention. It improved the nurses' attitude towards the elderly, increased the nurses' knowledge of aging, and raised the nurses' awareness and behavior of preventive nursing for the elderly patients with low activity ability.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R47

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳素彬;;預(yù)防性護(hù)理在老年呼吸內(nèi)科感染控制中的作用[J];中外醫(yī)學(xué)研究;2016年31期

2 姚金秀;劉宇;;基層二級醫(yī)院護(hù)士對老年人態(tài)度及相關(guān)因素分析[J];護(hù)理管理雜志;2016年04期

3 徐艷;;預(yù)防性護(hù)理對老年呼吸衰竭患者呼吸機(jī)相關(guān)性肺炎發(fā)生率的影響[J];中國煤炭工業(yè)醫(yī)學(xué)雜志;2015年02期

4 徐欣;王兆霞;曹琳琳;劉美滿;王大英;;不同職稱護(hù)士通用能力現(xiàn)狀調(diào)查分析[J];中國地方病防治雜志;2014年S2期

5 馮麗;顧怡蓉;;老年心血管疾病患者預(yù)防跌倒的方法與效果[J];護(hù)理管理雜志;2014年06期

6 黃金銀;陳井芳;徐萍;;高職護(hù)生對老年護(hù)理專業(yè)及老年人態(tài)度的調(diào)查[J];護(hù)理與康復(fù);2013年07期

7 廖春妍;;預(yù)防性護(hù)理在高齡股骨骨折患者預(yù)防壓瘡中的應(yīng)用[J];齊魯護(hù)理雜志;2013年06期

8 董寧;鮑美娟;張林;葉虹;胡雁;吳金球;;住院肝硬化患者及照顧者跌倒預(yù)防知識和行為的調(diào)查[J];護(hù)理管理雜志;2013年01期

9 趙利群;萬巧琴;;老年人跌倒風(fēng)險評估工具研究進(jìn)展[J];中國護(hù)理管理;2012年11期

10 李琳;;老年神經(jīng)科患者跌倒相關(guān)因素分析及護(hù)理[J];醫(yī)學(xué)理論與實踐;2012年02期

相關(guān)碩士學(xué)位論文 前2條

1 毛冰佳;鄭州市三級醫(yī)院護(hù)士職業(yè)獲益感現(xiàn)狀及其認(rèn)知干預(yù)研究[D];鄭州大學(xué);2015年

2 郝秀華;內(nèi)分泌科護(hù)士對糖尿病患者綜合護(hù)理干預(yù)能力的現(xiàn)狀調(diào)查及培養(yǎng)策略研究[D];吉林大學(xué);2014年

，

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