| 陆亚青,柴春燕,王冬梅,李丹.家属赋能模式对老年下肢淋巴水肿患者居家维持期治疗效果的影响[J].上海护理,2023,23(7): |
| 家属赋能模式对老年下肢淋巴水肿患者居家维持期治疗效果的影响 |
| The effect of family empowerment model on the treatment effect of elderly patients with lower-limb lymphedema in the maintenance period |
| 投稿时间：2023-01-05 修订日期：2023-07-10 |
| DOI： |
| 中文关键词: 淋巴水肿，下肢 老年 家属 赋能 维持期 自我护理 居家护理 |
| 英文关键词: |
| 基金项目:南京医科大学科技发展(NMUB2019335) |
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| 中文摘要: |
| 摘要：目的 探讨家属赋能模式对老年下肢淋巴水肿患者居家维持期治疗效果的影响 。方法 便利选 取在南京医科大学附属苏州医院门诊接受综合消肿治疗的盆腔肿瘤术后淋巴水肿的老年患者作为研 究对象 。 以 2020 年 1－12 月接受治疗的的 32 例患者为对照组，以 2021 年 1－12 月接受治疗的 42 例患 者为观察组 。对照组接受常规护理，观察组在常规护理的基础上对家属进行赋能干预，比较两组患者 居家维持期治疗 3 个月及 12 个月时的自我照护能力、自我照护依从性及淋巴水肿程度 。结果 居家维 持期的第 3、12 个月，观察组患者掌握淋巴水肿知识、手法淋巴引流、功能锻炼的正确率均高于对照组， 观察组患者自我照护依从性优于对照组，差异均有统计学意义（P<0.05）；但两组患者随访 12 个月时的 自我照护依从性均低于 3 个月时，差异有统计学意义（P<0.05）。 最初完成门诊治疗时，两组患者淋巴水 肿程度均得到有效缓解，差异无统计学意义（P>0.05）；在居家维持期，观察组患者水肿程度明显轻于对 照组，差异有统计学意义（P<0.05）。 结论 家属赋能模式有效提高了老年下肢淋巴水肿患者的居家自 我照护能力，减轻了其淋巴水肿程度，有助于改善患者临床结局。 |
| 英文摘要: |
| Abstract: Objective To explore the effect of the family empowerment model on home ? based maintenance treatment of elderly patients with lower extremity lymphedema. Methods The elderly patients with lymphedema after pelvic tumor surgery who received complex decongestive therapy in the outpatient of Suzhou Hospital Affiliated to Nanjing Medical University were selected by convenience sampling. A total of 32 patients treated from January to December 2020 were included in the control group, and 42 patients treated from January to December 2021 were included in the observation group. The control group was given routine care, while the observation group was given family empowerment intervention on this basis. The self?care ability, self? care compliance and degree of lymphedema were compared between the two groups at 3 months and 12 months of home?based maintenance treatment. Results At 3 and 12 months of home?based maintenance treatment, the mastery rates of lymphedema knowledge, manual lymphatic drainage and functional exercise in the observation group were all higher than those in the control group, and the self?care compliance in the observation group was superior to that in the control group, with statistical significance (P<0.05); however, the self?care compliance at 12 months of follow ? up was lower than that at 3 months of follow ? up in both groups (P<0.05). At the initial completion of outpatient treatment, the degree of lymphedema was effectively relieved in both groups, with no statistical significance (P>0.05). During home?based maintenance treatment, the degree of lymphedema in the observation group was obviously milder than that in the control group, with statistical significance(P<0.05). Conclusion The family empowerment model improves the home ? based self ? care ability of elderly patients with lower extremity lymphedema, reduces the degree of lymphedema, and helps to improve the clinical outcome of patients. |
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