主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (9): 1344-1350.doi: 10.3969/j.issn.1672-1756.2020.09.013

• 全民健康助力全面小康专题 • 上一篇    下一篇

基于Swanson关怀理论的养老机构人文关怀照护模式的构建与应用

刘玥 沈军 喻秀丽 张虹 王欣霞 陈秋   

  1. 重庆医科大学护理学院,400016 重庆市(刘玥,沈军,张虹,王欣霞,陈秋);重庆医科大学附属第一医院青杠老年护养中心(喻秀丽)
  • 出版日期:2020-09-15 发布日期:2020-09-15
  • 通讯作者: 沈军,硕士,教授,E-mail:793096729@qq.com
  • 作者简介:刘玥,硕士在读
  • 基金资助:
    重庆市教委科学技术研究项目(KJZD-K201913201)

The construction and application of humanistic caring model based on Swanson's theory of caring in nursing homes

LIU Yue, SHEN Jun, YU Xiuli, ZHANG Hong, WANG Xinxia, CHEN Qiu   

  1. School of Nursing, Chongqing Medical University, Chongqing, 400016, China
  • Online:2020-09-15 Published:2020-09-15
  • Contact: E-mail:793096729@qq.com

摘要: 目的:构建基于Swanson关怀理论的人文关怀照护模式并分析其在养老机构失能老人中应用的效果。方法:将两所医养结合型养老机构随机分为干预组(n=49)和对照组(n=49),对照组接受养老机构原人文关怀照护模式,干预组采用基于Swanson关怀理论的养老机构人文关怀照护模式。采用重复测量方差分析对干预前、干预3个月及6个月时两组孤独、抑郁及生活质量得分进行比较。结果:两组孤独、抑郁及生活质量得分的组间效应、时间效应以及交互效应均具有统计学意义(P<0.05);干预组干预后3个月、6个月的孤独得分分别为(34.65±5.86)分、(30.06±4.93)分,低于对照组[(39.16±6.24)分、(37.61±6.36)分],干预后6个月抑郁得分[(8.12±2.82)分]低于对照组[(10.71±2.88)分],生活质量得分[(95.46±9.06)分]高于对照组[(87.86±10.54)分],差异均有统计学意义(P<0.05)。结论:基于Swanson关怀理论的人文关怀照护模式能有效缓解失能老人的孤独、抑郁情绪,改善生活质量。

关键词: Swanson关怀理论;人文关怀;失能老人;养老机构

Abstract: Objective: To construct a humanistic caring model based on Swanson's theory of caring and analyze its effects on the disabled elderly in nursing homes. Methods: Two nursing homes were randomly divided into the intervention group (n=49) and the control group (n=49). The control group received the original humanistic caring model of the nursing home, and the intervention group was offered the humanistic caring model in nursing homes based on Swanson's theory of caring. Loneliness, depression and quality of life were compared between the two groups before intervention, the 3 months and the 6 months after intervention, respectively. Results: The between-group effect, time effect and interaction effect of loneliness, depression and quality of life in the two groups were statistically significant (P<0.05). The scores of loneliness in the intervention group 3 and 6 months after intervention were significantly lower than those in the control group, and the scores of depression and quality of life 6 months after intervention were significantly better than those in the control group (P<0.05).Conclusion: This humanistic caring model based on Swanson's theory of caring in nursing homes could effectively alleviate the loneliness and depression of the disabled elderly and improve their life quality.

Key words: Swanson's theory of caring; humanistic care; disabled elderly; nursing homes

中图分类号: 

  • R47