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2012年在伊斯法罕沙希德·查姆兰医院调查以家庭为中心的护理干预对冠状动脉搭桥手术患者家属照顾者负担的影响。

Investigating the effect of family-focused nursing intervention on caregiver burden of the family members of the patients undergoing coronary bypass surgery in Isfahan Shahid Chamran Hospital during 2012.

作者信息

Moieni Mahin, Poorpooneh Zahra, Pahlavanzadeh Saeed

机构信息

Department of Medical surgical Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Medical Surgical Nursing Isfahan University of Medical Sciences, Alzahra Hospital, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2014 Mar;19(2):187-92.

Abstract

BACKGROUND

Family burden is defined as the problems, concerns, and unpleasant events affecting the patients undergoing coronary arteries' surgery, and is associated with these patients physical and psychological improvement. Nurses are in a good position to provide appropriate intervention. This study aimed to investigate the effect of family-focused nursing interventions on the burden of the family members of the patients undergoing coronary bypass surgery.

MATERIALS AND METHODS

This is a clinical trial conducted on 50 family members of the patients undergoing coronary bypass surgery in Isfahan Shahid Chamran hospital. Caregivers were selected by convenient sampling and were randomly assigned to two groups of study and control. Caregivers in the study group attended a three-interventional session program during their hospitalization time, while the subjects in control group did not. Data collection tool was Novak and Guest caring burden inventory (CBI). Data were analyzed by SPSS.

RESULTS

Means and SDs of caring burden before and after the intervention were 30.08 (14.03) and 19.2 (10) in the study group, respectively, and 30.16 (12.62) and 35.44 (10.42) in the control group, respectively. Changes of total scores of caring burden showed a significant difference after the intervention in the study and control groups (P < 0.001). Score changes of subscales of time dependence (P < 0.001), developmental (P < 0.001), physical (P < 0.001), and emotional caring burden (P = 0.007) were also significant.

CONCLUSIONS

Results showed that family-focused nursing interventions were effective in reducing the family burden of the patients undergoing coronary bypass surgery. Nurses can administrate family-focused nursing interventions to reduce the caregiver burden.

摘要

背景

家庭负担被定义为影响接受冠状动脉手术患者的问题、担忧和不愉快事件,并且与这些患者的身体和心理改善相关。护士处于提供适当干预的有利位置。本研究旨在调查以家庭为中心的护理干预对冠状动脉搭桥手术患者家庭成员负担的影响。

材料与方法

这是一项在伊斯法罕沙希德·查姆兰医院对50名冠状动脉搭桥手术患者的家庭成员进行的临床试验。通过便利抽样选择照顾者,并将其随机分为研究组和对照组。研究组的照顾者在住院期间参加了一个为期三次的干预课程,而对照组的受试者没有参加。数据收集工具是诺瓦克和格斯特护理负担量表(CBI)。数据用SPSS进行分析。

结果

干预前后护理负担的均值和标准差在研究组分别为30.08(14.03)和19.2(10),在对照组分别为30.16(12.62)和35.44(10.42)。研究组和对照组干预后护理负担总分的变化显示出显著差异(P<0.001)。时间依赖性(P<0.001)、发展性(P<0.001)、身体性(P<0.001)和情感护理负担(P = 0.007)子量表的得分变化也具有显著性。

结论

结果表明,以家庭为中心的护理干预在减轻冠状动脉搭桥手术患者的家庭负担方面是有效的。护士可以实施以家庭为中心的护理干预来减轻照顾者的负担。

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