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題名 | The Effects of an Empowerment Intervention on Renal Transplant Recipients: A Randomized Controlled Trial=充能介入措施對腎臟移植接受者之成效--隨機控制試驗 |
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作 者 | 蕭秋月; 林麗味; 蘇玉文; 葉淑惠; 李麗娜; 蔡富棉; 葉淑惠; | 書刊名 | The Journal of Nursing Research |
卷期 | 24:3 2016.09[民105.09] |
頁次 | 頁201-210 |
分類號 | 419.73 |
關鍵詞 | 腎臟移植接受者; 充能; 自我照護; Renal transplant recipients; Empowerment; Self-care behaviors; |
語文 | 英文(English) |
中文摘要 | 背景 腎臟移植對腎衰竭病人是一項重要的治療方式,腎臟移植接受者須要調適技巧及自我照護行為的介入措施來協助提升生活品質;然而,許多學者討論腎臟移植術後自我照護的相關因素,僅少數研究審視介入措施對腎臟移植接受者之成效。目的 本研究主旨檢測充能團體對腎臟移植接受者的充能程度與自我照護行為之成效。方法 本研究採隨機控制先驅試驗,納入條件為過去20年曾接受腎臟移植、年齡>18歲、具讀寫能力且願意參與本研究者;由南部兩家醫學中心召募接受腎臟移植者122位,以隨機分配分為充能組(n = 56)和對照組(n = 66)。我們發展測量工具、充能支持團體的內容及草案,並檢測其效度;亦檢測充能組和對照組之成效。介入措施為每2星期一次,每次2小時的充能團體活動共6次;充能團體主題包括目標設立、解決問題、日常壓力的調適、尋求社會支持、保持動機等。活動過程包括說明主題、團體討論、確定接受腎臟移植後自我照護行為之窘境、發展一組目標及策略來克服問題。結果 利用混合模式分析,腎臟移植接受者在時間和年齡的交互作用下(F = 9.86, p < .001),充能組的腎臟移植接受者之充能程度(F = 5.29, p = .023)及自我照護行為(F = 7.15, p =.009)較控制組呈顯著地改善;年齡較長的腎臟移植接受者在參加充能團體後,其充能程度及自我照護行為亦顯著地改善。結論 腎臟移植接受者於參與充能團體後,能顯著地改善充能程度及自我照護行為,並且優於控制組;本研究結果可為未來提升腎臟移植接受者充能程度及自我照護行為的考量,並可為年齡較長的腎臟移植接受者設計介入措施之參考。 |
英文摘要 | Background: Renal transplantation is a vital treatment for end-stage renal disease. To help improve quality of life after renal transplant surgery, interventions are needed to strengthen the coping skills and self-care behaviors of patients. However, most research studies on self-care after renal transplantation have addressed related factors. Few studies have examined the effects of interventions on renal transplant recipients. Purpose: This study investigated the effects of an empowerment support group on the empowerment levels and self-care behaviors of renal transplant recipients. Methods: This study was a randomized controlled trial. Eligible participants were individuals who had undergone a renal transplant within the past 20 years, were 18 years old or older, were able to read and write in Chinese, and were willing to participate. We recruited 122 renal transplant recipients from two medical centers in southern Taiwan. The renal transplant outpatients were randomly assigned into empowerment support (n = 56) and comparison (n = 66) groups. The developed measures as well as the content, protocols, and the two groups were assessed for reliability and validity. The intervention involved one 2-hour meeting every 2 weeks for a total of six meetings. The topics included goal setting, problem solving, coping with daily stress, seeking social support, and staying motivated. The sessions consisted of introductions that highlighted the topic, group discussions, identifying areas of difficulty with self-care behaviors after renal transplant, and developing a set of goals and strategies to overcome these problems. Results: The empowerment group reported significant increases both in terms of level of empowerment (F = 5.29, p = .023) based on age and time interaction (F = 9.86, p < .001) and in terms of self-care behaviors (F = 7.15, p = .009). Moreover, these increases were significantly larger than the increases recorded by the comparison group. In addition, these increases were particularly large in the older empowerment-group participants with lower pretest scores for empowerment. Conclusions: Empowerment support may be critical to improve the empowerment and self-care behaviors of renal transplant patients. The results of this study may be applied to improve patient education and empowerment programs for renal transplant patients. Furthermore, these programs may be adjusted to take into consideration the learning preferences or needs of different age groups. |
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