自主支持性健康教育对老年血液透析患者主要照顾者自我效能及幸福感的影响

Influence of autonomy supporting health education on self-efficacy and happiness of primary caregivers of elderly hemodialysis patients

摘要:

 摘要：目的  探讨自主支持性健康教育对老年血液透析患者主要照顾者自我效能及幸福感的影响。方法  将90对老年血液透析患者及其主要照顾者按照患者的透析时间分为对照组和观察组，对照组46对，观察组44对。对照组采取常规护理，观察组在对照组的基础上实施自主支持性健康教育，干预3个月后评价两组照顾者的自我效能及主观幸福感。结果  观察组照顾者在干预后，自我效能（24.26±5.99）分、总体幸福感（82.36±13.97）分、对生活的满足和兴趣（6.56±1.43）分、对健康的担心（9.79±2.31）分、精力（19.27±4.41）分、忧郁或愉快的心境（18.25±3.38）分、对情感和行为的控制（13.27±1.80）分、松弛和紧张（20.20±4.24）分，两组各项得分比较差异有统计学意义（P <0.05），观察组各项得分均高于对照组。结论  对老年血透患者主要照顾者开展自主支持性健康教育后，照顾者自我效能水平提高，主观幸福感增强，有助于减轻照顾者负担，提高其对患者的照护质量。

Abstract:

Abstract: Objective To evaluate the impact of autonomy supporting health education on the self-efficacy and happiness of primary caregivers of elderly hemodialysis patients. Methods The 90 pairs of patients and primary caregivers were divided into control group and observation group according to the dialysis time. The control group had 46 pairs, the observation group had 44 pairs. The control group took routine nursing, the observation group implemented independent support health education on the basis of routine nursing. The self-efficacy and happiness were evaluated and compared between the two groups after 3-month intervention. Results After health education, the score of self-efficacy of the caregivers of the observation group was (24.26 ± 5.99), the score of happiness was (82.36 ± 13.97), the score of satisfaction and interest in life was (6.56 ± 1.43), the score of worry about health was (9.79 ± 2.31), the score of energy was (19.27 ± 4.41), the score of sad or happy mood was (18.25 ± 3.38), the score of control of emotion and behavior was (13.27 ± 1.80), the score of relaxation and tension was (20.20 ± 4.24), all the scores were significantly higher than those of the control group. Conclusions The autonomy supporting health education can improve their level of self-efficacy and happiness in primary caregivers of elderly hemodialysis patients. This will help to reduce the burden of the caregivers, improve the quality of care for the patients.