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自我护理缺陷护理理论在囊性纤维化青少年中的应用:一项随机对照研究。

The application of the self-care deficit nursing theory in adolescents with cystic fibrosis: A randomized controlled study.

机构信息

Pediatric Nursing Department, Faculty of Nursing, Hacettepe University, Turkey.

Head of Pediatric Nursing Department, Faculty of Nursing, Hacettepe University, Turkey.

出版信息

J Pediatr Nurs. 2024 Jul-Aug;77:96-105. doi: 10.1016/j.pedn.2024.03.011. Epub 2024 Mar 14.

DOI:10.1016/j.pedn.2024.03.011
PMID:38490107
Abstract

PURPOSE

The present study evaluates the effects of the application of Self-Care Deficit Nursing Theory (SCDNT) on the self-care knowledge and skills in adolescents with Cystic Fibrosis.

DESIGN AND METHODS

This randomized controlled study included 30 adolescents who were equally divided into the intervention and control groups. The data were collected by using the Sociodemographic Data Form and the Self-Care Knowledge and Skills Evaluation Forms for Adolescents with Cystic Fibrosis. A total of seven home visits were conducted with the adolescents in the intervention group, during which individualized care plans were applied based on the Self-Care Deficit Nursing Theory. The self-care needs of the adolescents in the control group were identified based on data collected during two home visits conducted at the onset of the study and after 4.5 months.

RESULTS

As a result of the application of nursing interventions based on the SCDNT, a statistically significant increase was noted in the self-care knowledge and skills of the adolescents in the intervention group (p < 0.05). Additionally, after the interventions based on SCDNT, the need of adolescents for nursing interventions decreased significantly over time in all adolescents in the intervention group (p < 0.05).

CONCLUSIONS

The application of nursing interventions based on the SCDNT was effective in enhancing the self-care knowledge and skills of adolescents with Cystic Fibrosis.

PRACTICE IMPLICATIONS

Nurses can benefit from Orem's Self-Care Deficit Nursing Theory in the design and application of the individualized care of adolescents with Cystic Fibrosis to improve their self-care practices.

摘要

目的

本研究评估了自我护理缺陷护理理论(SCDNT)在囊性纤维化青少年自我护理知识和技能方面的应用效果。

设计和方法

这项随机对照研究纳入了 30 名青少年,他们被平均分为干预组和对照组。数据通过使用社会人口统计学数据表格和囊性纤维化青少年自我护理知识和技能评估表格收集。对干预组的青少年进行了总共 7 次家访,根据自我护理缺陷护理理论应用个性化护理计划。对照组的青少年在研究开始时和 4.5 个月后进行了两次家访,根据收集到的数据确定他们的自我护理需求。

结果

基于 SCDNT 的护理干预应用后,干预组青少年的自我护理知识和技能显著提高(p<0.05)。此外,基于 SCDNT 的干预后,干预组所有青少年的护理干预需求随时间显著降低(p<0.05)。

结论

基于 SCDNT 的护理干预应用有效提高了囊性纤维化青少年的自我护理知识和技能。

实践意义

护士可以从 Orem 的自我护理缺陷护理理论中受益,在设计和应用囊性纤维化青少年的个性化护理时,提高他们的自我护理实践。

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