目的探析肺结核患者采取个性化多元督导模式联合同理心护理的价值。方法纳入福建省三明市第二医院(三明市永安总医院)2023年3月—2024年3月收治的98例肺结核患者作为研究对象,依据数字随机表法分为对照组和观察组,各49例。对照组干预模...目的探析肺结核患者采取个性化多元督导模式联合同理心护理的价值。方法纳入福建省三明市第二医院(三明市永安总医院)2023年3月—2024年3月收治的98例肺结核患者作为研究对象,依据数字随机表法分为对照组和观察组,各49例。对照组干预模式为常规护理,观察组干预模式为个性化多元督导模式联合同理心护理。比较2组遵医率、自我管理能力、自我效能、病耻感。结果观察组按时按量服药、科学饮食、适当运动、情绪调节、定时复诊遵医率分别为95.92%、91.84%、91.84%、89.80%、93.88%,与对照组的79.59%、75.51%、77.55%、75.51%、81.63%相比均有所提高(P<0.05)。干预后,观察组成年人健康自我管理能力测评量表(the rating scale of health self-management skill for adults,AH-SMSRS)中的自我管理行为、自我管理认知、自我管理环境评分分别为(55.25±5.16)分、(55.28±4.81)分、(42.62±4.88)分,均高于对照组的(48.52±4.85)分、(49.51±4.39)分、(38.52±4.52)分(P<0.05)。干预后,观察组一般自我效能感量表(general self-efficacy scale,GSES)评分为(25.07±2.98)分,高于对照组的(20.65±2.75)分(P<0.05)。干预后,观察组肺结核患者病耻感量表(tuberculosis-related stigma scale,TSS)评分为(43.16±4.88)分,低于对照组的(49.51±5.19)分(P<0.05)。结论肺结核患者采取个性化多元督导模式联合同理心护理能明显提高遵医率和自我管理能力,增强自我效能,改善患者病耻感水平。展开更多
我国目前大量社工站存在缺乏专业督导、专业工作人员缺乏、社工站服务专业性不突出等问题,尤其是少数民族地区乡镇社工站缺乏专业督导问题尤为明显。一个优秀、专业的督导可以协助社工站早日发展成为成熟的社工站,更好地为人民群众服务...我国目前大量社工站存在缺乏专业督导、专业工作人员缺乏、社工站服务专业性不突出等问题,尤其是少数民族地区乡镇社工站缺乏专业督导问题尤为明显。一个优秀、专业的督导可以协助社工站早日发展成为成熟的社工站,更好地为人民群众服务,提高民生保障质量以及加强基层社区治理等方面具有极为重要的作用。因此,乡镇社工站需要专业的督导来指引、帮助社工站更好、更高质量的发展。文章从目前广西乡镇(街道)社工站实际督导类型分析入手,借用嵌入视角作为理论支撑,探索有效、合理的民族地区乡镇(街道)社工站督导模式,希望能从本研究中发现和总结出适合民族地区乡镇社工站专业化发展的督导运行模式,完善督导指导体系,以兹更好地服务困难群体,提高乡镇社工站的服务专业性。At present, a large number of social work stations in our country suffer from problems such as lack of professional supervision, lack of professional staff, and lack of prominent professionalism in social work station services, especially in rural areas with ethnic minorities, where the lack of professional supervision is particularly evident. An excellent and professional supervisor can assist the social work station in developing into a mature social work station as soon as possible, better serving the people, improving the quality of livelihood guarantee, and strengthening grassroots community governance, which plays an extremely important role. Therefore, township social work stations require professional supervision to guide and help them develop better and higher quality. Starting from the analysis of the actual supervision types of social work stations in townships (streets) in Guangxi, this article uses an embedded perspective as theoretical support to explore an effective and reasonable supervision mode for social work stations in ethnic areas. It is hoped that this study can discover and summarize a supervision operation mode suitable for the professional development of social work stations in ethnic areas, improve the supervision and guidance system, and better serve disadvantaged groups, thereby improving the professionalism of social work stations in townships.展开更多
文摘目的探析肺结核患者采取个性化多元督导模式联合同理心护理的价值。方法纳入福建省三明市第二医院(三明市永安总医院)2023年3月—2024年3月收治的98例肺结核患者作为研究对象,依据数字随机表法分为对照组和观察组,各49例。对照组干预模式为常规护理,观察组干预模式为个性化多元督导模式联合同理心护理。比较2组遵医率、自我管理能力、自我效能、病耻感。结果观察组按时按量服药、科学饮食、适当运动、情绪调节、定时复诊遵医率分别为95.92%、91.84%、91.84%、89.80%、93.88%,与对照组的79.59%、75.51%、77.55%、75.51%、81.63%相比均有所提高(P<0.05)。干预后,观察组成年人健康自我管理能力测评量表(the rating scale of health self-management skill for adults,AH-SMSRS)中的自我管理行为、自我管理认知、自我管理环境评分分别为(55.25±5.16)分、(55.28±4.81)分、(42.62±4.88)分,均高于对照组的(48.52±4.85)分、(49.51±4.39)分、(38.52±4.52)分(P<0.05)。干预后,观察组一般自我效能感量表(general self-efficacy scale,GSES)评分为(25.07±2.98)分,高于对照组的(20.65±2.75)分(P<0.05)。干预后,观察组肺结核患者病耻感量表(tuberculosis-related stigma scale,TSS)评分为(43.16±4.88)分,低于对照组的(49.51±5.19)分(P<0.05)。结论肺结核患者采取个性化多元督导模式联合同理心护理能明显提高遵医率和自我管理能力,增强自我效能,改善患者病耻感水平。
文摘我国目前大量社工站存在缺乏专业督导、专业工作人员缺乏、社工站服务专业性不突出等问题,尤其是少数民族地区乡镇社工站缺乏专业督导问题尤为明显。一个优秀、专业的督导可以协助社工站早日发展成为成熟的社工站,更好地为人民群众服务,提高民生保障质量以及加强基层社区治理等方面具有极为重要的作用。因此,乡镇社工站需要专业的督导来指引、帮助社工站更好、更高质量的发展。文章从目前广西乡镇(街道)社工站实际督导类型分析入手,借用嵌入视角作为理论支撑,探索有效、合理的民族地区乡镇(街道)社工站督导模式,希望能从本研究中发现和总结出适合民族地区乡镇社工站专业化发展的督导运行模式,完善督导指导体系,以兹更好地服务困难群体,提高乡镇社工站的服务专业性。At present, a large number of social work stations in our country suffer from problems such as lack of professional supervision, lack of professional staff, and lack of prominent professionalism in social work station services, especially in rural areas with ethnic minorities, where the lack of professional supervision is particularly evident. An excellent and professional supervisor can assist the social work station in developing into a mature social work station as soon as possible, better serving the people, improving the quality of livelihood guarantee, and strengthening grassroots community governance, which plays an extremely important role. Therefore, township social work stations require professional supervision to guide and help them develop better and higher quality. Starting from the analysis of the actual supervision types of social work stations in townships (streets) in Guangxi, this article uses an embedded perspective as theoretical support to explore an effective and reasonable supervision mode for social work stations in ethnic areas. It is hoped that this study can discover and summarize a supervision operation mode suitable for the professional development of social work stations in ethnic areas, improve the supervision and guidance system, and better serve disadvantaged groups, thereby improving the professionalism of social work stations in townships.
