TTM干预对3~4期压疮主要照顾者的压疮认知度改变在压疮病人照顾行为中的效果探讨

陈梅; 余海云; 周丽梅; 柴佳丽; 程丽

doi:10.13898/j.cnki.issn.1000-2200.2021.07.026

TTM干预对3~4期压疮主要照顾者的压疮认知度改变在压疮病人照顾行为中的效果探讨

Application effects of the TTM intervention of stage 3-4 pressure ulcer for pressure ulcer awareness changes of primary caregivers in the care behavior of pressure ulcer patients

摘要

摘要:
目的探讨行为模式转变理论（TTM）对3~4期压疮主要照顾者的压疮认知度改变在压疮病人照顾行为中的应用效果。
方法选取2018年7月至2020年1月就诊的3~4期压疮病人的主要照顾者56名为研究对象，按照病人就诊时间分为2组，2018年7月至2019年3月主要照顾者28名为对照组，2019年4月至2020年1月主要照顾者28名为干预组，比较2组在TTM干预前和干预6个月后对压疮认知、照顾行为、压疮再发生率和压疮愈合时间情况。
结果干预后，干预组压疮认知总分、压疮相关知识、感知到严重性和易感性得分均明显高于对照组（P < 0.01），除对照组压疮相关知识和感知到易感性维度外，其余维度得分均较干预前有所增加，且干预组增加更明显（P < 0.01）；干预组干预后照顾行为总分、翻身行为、皮肤护理、营养支持和创面护理评分均高于对照组（P < 0.01），且干预后除对照组皮肤护理和营养支持维度外，其余维度得分均较干预前有所增加，干预组增加更明显（P < 0.01）；压疮再发生率明显降低，疮口愈合时间缩短（P < 0.01）。
结论TTM可有效改变压疮主要照顾者的压疮认知度，提高其对压疮病人的照顾行为，降低压疮再发生率，缩短伤口愈合时间，值得推广。

Abstract:
ObjectiveTo explore the application effects of the trans-theoretical model of change(TTM) intervention of stage 3-4 pressure ulcer for pressure ulcer awareness changes of primary caregivers in the care behavior of pressure ulcer patients.
MethodsFifty-six primary caregivers of patients with stage 3-4 pressure ulcer from July 2018 to January 2020 were selected as the research objects.Twenty-eight primary caregivers of patients with stage 3-4 pressure ulcer from July 2018 to March 2019 were set as the control group, and 28 primary caregivers of patients with stage 3-4 pressure ulcer from April 2019 to January 2020 were set as the intervention group.The cognition, care behavior, recurrence rate and healing time of pressure ulcer before TTM intervention and after 6 months of TTM intervention were compared between two groups.
ResultsBefore intervention, the total cognitive score, knowledge related to pressure ulcer, perceived severity and susceptibility score of pressure ulcer in intervention group were significantly higher than those in control group(P < 0.01).Except for the dimensions of knowledge related to pressure ulcer and perceived susceptibility in control group, the scores of the other dimensions increased compared with before intervention, and the increasing of which in the intervention group was more obvious(P < 0.01).The total score of care behavior, turn over behavior, skin care, nutritional support and wound care scores in intervention group after intervention were higher than those in control group(P < 0.01).Except for the dimensions of skin care and nutritional support in control group after intervention, the scores of other dimensions increased compared with before intervention, and the increasing of which in the intervention group was more obvious(P < 0.01).The recurrence rate of pressure ulcer and wound healing time in intervention group were significantly less than those in control group(P < 0.01).
ConclusionsTTM can effectively change the awareness of the primary caregivers of pressure ulcer, improve the care behavior of pressure ulcer, reduce the recurrence rate of pressure ulcer and shorten the wound healing time, which is worthy of promotion.

HTML全文

参考文献(17)

施引文献

资源附件(0)