Gutiérrez Vilaplana Josep Maria, Zampieron Alessandra, Craver Lourdes, Buja Alessandra
University Hospital Arnau de Vilanova, Lleida, Spain.
J Ren Care. 2009 Sep;35(3):159-64. doi: 10.1111/j.1755-6686.2009.00113.x.
Aims of the study were to evaluate the effects of the intervention 'Group education' (NIC 5604) on patients' coping, fear control, anxiety and the association between demographic and clinical variables with the outcomes.
We studied all predialysis patients treated, at Lleida University Hospital, from 1 January 2007 till 31 March 2008, who received the total intervention for six months.
There were 41 patients, 33 male and 8 female. They had a mean age of 60.56 years (SD 13.96); 66% declared family support. Forty-one percent had a low educational level. The Charlson Comorbidity test showed a mean of 5.07 (SD 1.77). All patients were independent, using the Karnofsky scale and Barthel index. Patients reported a significant improvement in all the outcomes evaluated (anxiety, coping and fear response). Logistic regression showed that the reduction in anxiety and the improved nursing outcomes were not related to demographic and clinical variables.
The group educational programme was effective on the defined psychological outcomes in predialysis patients. Hence, it should be available for all clients.
本研究旨在评估“团体教育”(护理干预分类5604)对患者应对方式、恐惧控制、焦虑的影响,以及人口统计学和临床变量与这些结果之间的关联。
我们研究了2007年1月1日至2008年3月31日在莱里达大学医院接受治疗的所有透析前患者,这些患者接受了为期六个月的全面干预。
共有41名患者,其中男性33名,女性8名。他们的平均年龄为60.56岁(标准差13.96);66%的患者表示有家庭支持。41%的患者教育水平较低。查尔森合并症测试显示平均值为5.07(标准差1.77)。根据卡诺夫斯基量表和巴氏指数,所有患者均为独立个体。患者报告在所有评估结果(焦虑、应对方式和恐惧反应)方面均有显著改善。逻辑回归分析表明,焦虑的减轻和护理效果的改善与人口统计学和临床变量无关。
团体教育计划对透析前患者的特定心理结果有效。因此,应向所有患者提供该计划。