Application of home visit directed by Peplau interpersonal relationship model in elderly bronchial asthma patients
10.3760/cma.j.issn.1674-2907.2019.12.017
- VernacularTitle:Peplau人际关系模式指导下的家庭访视在老年支气管哮喘患者中的应用
- Author:
Yinglan JIA
1
;
Yuxia CHAI
;
Yueqin WANG
;
Lihui PEI
;
Yang YANG
Author Information
1. 郑州大学第一附属医院急诊内科
- Keywords:
Aged;
Bronchial asthma;
Home visit;
Interpersonal relationship model;
Medication adherence
- From:
Chinese Journal of Modern Nursing
2019;25(12):1524-1528
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of home visit directed by Peplau interpersonal relationship model on negative emotions and medication adherence in elderly bronchial asthma patients. Methods? From May 2015 to May 2017, we selected 90 elderly bronchial asthma patients in the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of the patients were divided into observation group and control group with the method of random number table, 45 cases in each group. Observation group carried out home visit nursing based on the Peplau interpersonal relationship model for elderly bronchial asthma patients. Control group adopted routine follow-up care. The medication adherence and disease cognition of patients both groups were recorded with the Medication Adherence Report Scale for Asthma (MARS-A) as well as Insight and Treatment Attitude Questionnaire (ITAQ), and the anxiety and depression of patients both groups before and after intervention were assessed with the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD). We also observed the incidence of bronchial asthma acute attack in patients one year after discharge. Results? When home visit was completed and one year after discharge, the medication adherence of observation group was higher than that of control group, and the score of ITAQ was higher than that of control group and that at discharge with statistical differences (P＜ 0.05). One year after discharge, the incidence of bronchial asthma acute attack of observation group was lower than that of control group with a statistical difference (P＜ 0.05). When home visit was completed and one year after discharge, the scores of HAMA and HAMD of observation group were lower than those of control group with statistical differences (P＜0.05). Conclusions? Home visit directed by Peplau interpersonal relationship model help to reduce the incidence of acute attack of elderly bronchial asthma patients external hospital, relieve the negative emotions and improve disease cognition as well as medication adherence.
