以家庭为中心的赋权模式对高血压患者生活质量的影响

Mahsa Asadollahi Hamedani, A. Salar, F. Kermansaravi
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引用次数: 2

摘要

背景:当今,高血压的高患病率及其严重并发症已使该病成为世界范围内的主要健康问题。高血压和其他慢性疾病一样,会降低患者的生活质量。维持和改善他们的生活方式需要家庭的大力支持。目的:本研究旨在探讨以家庭为中心的赋权模式对高血压患者生活质量的影响。方法:选取2020年在伊朗东南部扎黑丹市扎黑丹医科大学两个综合卫生中心转诊的70例高血压患者进行临床试验。根据纳入标准选择并随机分配参与者到干预组(n = 35)和对照组(n = 35)。干预组的参与者根据家庭赋权模式,分别接受四次60分钟的培训。采用个人信息表和高血压患者生活质量问卷进行数据收集。问卷于干预前、干预后1个月和3个月以自报告方式完成。收集的资料采用SPSS-22进行独立样本t检验、卡方检验和重复测量方差分析。结果:时间和分组对生活质量影响的重复测量方差分析结果显示,两组患者在第二、第三阶段的生活质量差异有统计学意义。也就是说,干预和时间这两个变量影响生活质量的平均得分,在测量的时间间隔内,差异有统计学意义(P < 0.001)。结论:本研究表明,实施以家庭为中心的赋权模式可改善高血压患者的生活质量。因此,我们建议护士在治疗过程中采用这种方法与慢性病患者及其家属进行接触。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Family-centered Empowerment Model on Quality of Life of Patients with Hypertension
Background: Nowadays, the high prevalence of hypertension and its serious complications for affected patients have made this disease a major health issue worldwide. Hypertension, like other chronic diseases, reduces the patients’ quality of life. Maintaining and improving their lifestyles requires the serious support of families. Objectives: This study aimed to explore the effect of the family-centered empowerment model on the quality of life of patients with hypertension. Methods: This clinical trial was performed on 70 hypertensive patients who were referred to two comprehensive health centers in Zahedan University of Medical Sciences in Zahedan, southeastern Iran, in 2020. The participants were selected and randomly allocated based on the inclusion criteria to the intervention (n = 35) and control (n = 35) groups using the consort. The participants in the intervention group received training in four 60-min sessions individually based on the family empowerment model. To collect data, a personal information form and the Quality of Life Questionnaire for hypertensive patients were used. The questionnaire was completed before the intervention and one and three months after the intervention by a self-report method. The collected data were analyzed by SPSS-22 using the independent samples t test, chi-square test, and repeated-measures analysis of variance. Results: The results of repeated-measures analysis of variance regarding the effect of time and group on the quality of life showed a statistically significant difference in the second and third phases between the two groups. In other words, the two variables of intervention and time affected the mean score of quality of life, and a statistically significant difference was observed in the measured time intervals (P < 0.001). Conclusions: This study showed that implementing the family-centered empowerment model improves the quality of life of patients with hypertension. Therefore, we recommend employing this method by nurses to engage the patients with chronic diseases and their families in the process of treatment.
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