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中华养生保健 ›› 2024, Vol. 42 ›› Issue (24): 136-139.

• 护理研究 • 上一篇    下一篇

概念重建认知护理联合罗伊适应模式护理在老年慢性心力衰竭患者中的应用

李志娟, 王进, 吕娜   

  1. 内蒙古自治区人民医院老年医学科,内蒙古 呼和浩特,010017
  • 出版日期:2024-12-16 发布日期:2024-12-13
  • 作者简介:李志娟(1987—),女,汉族,籍贯:内蒙古自治区乌兰察布市,本科,主管护师,研究方向:老年内科。

Application of conceptual reconstruction cognitive nursing and Roy adaptation model nursing in elderly chronic heart failure patients

LI Zhi-juan, WANG Jin, LYU Na   

  1. Department of Geriatrics, Inner Mongolia Autonomous Region People's Hospital, Hohhot, Inner Mongolia, 010017, China
  • Online:2024-12-16 Published:2024-12-13

摘要: 目的 探讨老年慢性心力衰竭(CHF)患者应用概念重建认知护理联合罗伊适应模式护理的效果。方法 选取2020年10月-2023年10月内蒙古自治区人民医院收治的老年CHF患者102例,以随机数表法分成干预组和对照组,每组51例。对照组给予常规护理,干预组给予概念重建认知护理联合罗伊适应模式护理,比较两组疾病认知情况、自我效能感、自我管理能力。结果 干预后,两组患者疾病认知评分、自我效能评分量表(GSES)评分、心力衰竭自我护理指数量表(SCHFI)均较干预前升高,差异均具有统计学意义(P<0.05),且干预组上述指标升高幅度大于对照组,差异均具有统计学意义(P<0.05)。结论 老年CHF患者应用概念重建认知护理联合罗伊适应模式护理,能够提高疾病认知程度,提升自我效能感及自我管理能力。

关键词: 概念重建认知护理, 罗伊适应模式护理, 老年慢性心力衰竭

Abstract: Objective To explore the effect of applying concept reconstruction cognitive nursing and Roy adaptation mode nursing in elderly patients with CHF. Methods A total of 102 elderly CHF patients from October 2020 to October 2023 who were admitted in Neimenggu Autonomous Region People's Hospital were selected, and randomly divided into the intervention group (n=51, concept reconstruction cognitive care and Roy adaptation mode care) and the control group (n=51, routine care). The disease cognition, self-efficacy, and self-management ability in both groups were compared. Results After intervention, the disease cognition score, self-efficacy score scale (GSES) score, and heart failure self-care index scale (SCHFI) of both groups of patients increased compared with before intervention, and the differences were statistically significant(P<0.05). Moreover, the intervention group had a greater increase in the above indicators than the control group, and the differences were statistically significant(P<0.05). Conclusion Concept reconstruction cognitive nursing and Roy adaptation model nursing used in elderly CHF patients can enhance disease awareness, enhance self-efficacy and self-management ability.

Key words: conceptual reconstruction cognitive nursing, roy adaptation mode nursing, old age chronic heart failure

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