针对性护理对眼科手术患者认知行为情况及应激状况的影响
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摘要
目的:探讨针对性护理对眼科手术患者认知行为情况及应激状况的应用效果。方法:选取2015年11月-2017年10月因眼科手术于本院就诊的患者80例作为研究对象,按照随机数字表法将其分成对照组(n=40)和观察组(n=40)。对照组给予眼科门诊常规护理,观察组则在对照组的基础上给予针对性护理干预,比较两组应激状况、干预前后认知行为情况和对各项护理干预的满意度评分。结果:干预后观察组的心率(HR)、收缩压(SBP)和舒张压(DBP)差值水平均明显低于对照组,自我感知舒适度改善程度明显优于对照组,差异均有统计学意义(P<0.05)。干预后,两组SDS、SAS评分均明显低于干预前,生活质量评分明显高于干预前;且观察组SDS、SAS评分均明显低于对照组,生活质量评分明显高于对照组,差异均有统计学意义(P<0.05)。对照组的依从优良率为80.00%明显低于观察组的97.50%,差异有统计学意义(X~2=6.454,P<0.05)。干预后对照组患者对心理护理、护理技术、热情服务、健康指导和服务态度的满意度评分均明显低于观察组,差异均有统计学意义(P<0.05)。结论:采用针对性护理对眼科手术患者实施干预,能够有效减轻患者的心理应激反应,提高患者治疗的依从性,缓解患者抑郁和焦虑状态,提高患者生活质量水平。
Objective:To explore the application effect of targeted nursing on cognitive behavior and stress status in patients with ophthalmic surgery.Method:A total of 80 patients who had undergone ophthalmic surgery in our hospital from November 2015 to October 2017 were selected as the study objects.According to the random number table method,they were divided into control group (n=40) and observation group (n=40).The control group was given routine ophthalmic outpatient nursing,the observation group was given targeted nursing intervention on the basis of the control group.The stress status,cognitive behavior before and after intervention and the satisfaction score of various nursing interventions between the two groups were compared.Result:After intervention,the difference levels of heart rate (HR),systolic blood pressure (SBP) and diastolic blood pressure (DBP) in the observation group were significantly lower than those in the control group,the improvement of selfperceived comfort was significantly better than that in the control group,the differences were statistically significant (P<0.05).After intervention,SDS and SAS scores of the two groups were significantly lower than those before intervention,quality of life scores were significantly higher than those before intervention;and the scores of SDS and SAS in the observation group were significantly lower than those in the control group,the score of quality of life was significantly higher than that in the control group,the differences were statistically significant (P<0.05).The excellent and good compliance rate of the control group was 80.00%,which was significantly lower than 97.50% of the observation group,the difference was statistically significant ( X~2=6.454,P<0.05).The scores of satisfaction degree with psychological nursing,nursing skills,enthusiastic service,health guidance and service attitude in the control group were significantly lower than those in the observation group,the differences were statistically significant (P<0.05).Conclusion:Targeted nursing intervention on ophthalmic surgery patients can effectively alleviate psychological stress reaction of patients,improve patients' compliance with treatment,alleviate depression and anxiety and improve the quality of life of patients.
Objective:To explore the application effect of targeted nursing on cognitive behavior and stress status in patients with ophthalmic surgery.Method:A total of 80 patients who had undergone ophthalmic surgery in our hospital from November 2015 to October 2017 were selected as the study objects.According to the random number table method,they were divided into control group (n=40) and observation group (n=40).The control group was given routine ophthalmic outpatient nursing,the observation group was given targeted nursing intervention on the basis of the control group.The stress status,cognitive behavior before and after intervention and the satisfaction score of various nursing interventions between the two groups were compared.Result:After intervention,the difference levels of heart rate (HR),systolic blood pressure (SBP) and diastolic blood pressure (DBP) in the observation group were significantly lower than those in the control group,the improvement of selfperceived comfort was significantly better than that in the control group,the differences were statistically significant (P<0.05).After intervention,SDS and SAS scores of the two groups were significantly lower than those before intervention,quality of life scores were significantly higher than those before intervention;and the scores of SDS and SAS in the observation group were significantly lower than those in the control group,the score of quality of life was significantly higher than that in the control group,the differences were statistically significant (P<0.05).The excellent and good compliance rate of the control group was 80.00%,which was significantly lower than 97.50% of the observation group,the difference was statistically significant ( X~2=6.454,P<0.05).The scores of satisfaction degree with psychological nursing,nursing skills,enthusiastic service,health guidance and service attitude in the control group were significantly lower than those in the observation group,the differences were statistically significant (P<0.05).Conclusion:Targeted nursing intervention on ophthalmic surgery patients can effectively alleviate psychological stress reaction of patients,improve patients' compliance with treatment,alleviate depression and anxiety and improve the quality of life of patients.
引文
[1]蔡卫卫,陈华蓉,游肖露,等.眼科门诊患者健康教育需求调查与对策[J].中医药管理杂志,2018,26(10):8-10.
[2]王侠,晁媛媛.全面全程护理干预对改善眼科手术患者应激反应的效果[J].临床医学研究与实践,2018,3(13):160-161.
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[7]薛朝华,刘义兰,鲁才红.眼科住院患者关怀护理体验的质性研究[J].护理学杂志,2017,32(12):79-82.
[8]海旭虹,赵伟,陈蕾.健康教育在眼科护理中的应用分析[J].当代医学,2017,23(17):183-185.
[9]胡嫦娥,童海霞.护理安全在眼科护理管理中的应用探讨[J].首都食品与医药,2018,25(9):91.
[10]刘茹茹,王爱孙,黄小琼,等.影响眼科门诊护患沟通常见因素及护理对策[J].医院管理论坛,2017,34(1):17-20.
[11]叶月娥,叶嫦嫦,游肖露,等.眼科门诊治疗室开展健康教育的措施和效果[J].中医药管理杂志,2016,24(22):123-124.
[12]陆月萍.健康教育在眼科护理管理中的作用[J].中医药管理杂志,2016,24(16):110-111.
[13]金晓丹,张燕,章灵芝,等.眼科护理风险与管理[J].医院管理论坛,2016,33(8):13-16.
[14]刘苈莹,李燕飞,祝菊蕊.眼科日间手术护理服务模式的实践效果探讨[J].临床医学研究与实践,2016,1(11):165,168.
[15]薛朝华,刘义兰,邢育珍,等.人文关怀模式在眼科病房的实践[J].护理学杂志,2016,31(12):65-67.
[16]毛丽,张晓霞,方蘅雯.眼科手术患者术前焦虑的发生情况及相关因素影响分析[J].实用临床医药杂志,2016,20(12):136-138.
[17]陈素莲,蔡明丽.健康教育结合护理管理在眼科护理中的应用[J].世界最新医学信息文摘,2016,16(45):234,236.
[18]张书平,史静华,郭丽霞,等.眼科护理质量评价指标体系的构建[J].护理研究,2016,30(13):1586-1591.
[19]刘淑贤.眼科日间手术服务模式的创建与护理管理[J].华西医学,2016,31(4):626-628.
[20]刘婷婷.健康教育在眼科患者中的实施与应用[J/OL].现代医学与健康研究电子杂志,2017,1(2):18-19.
[2]王侠,晁媛媛.全面全程护理干预对改善眼科手术患者应激反应的效果[J].临床医学研究与实践,2018,3(13):160-161.
[3]黄泽华.心理护理和健康教育对老年眼科手术患者的影响分析[J].中国继续医学教育,2018,10(10):192-194.
[4]王佳莹,黄新欣,刘立平,等.眼科手术患者的围手术期护理干预价值评估[J].中国医药科学,2018,8(3):125-127.
[5]王敏.影响眼科护理质量的因素分析与对策[J].世界最新医学信息文摘,2018,18(8):153,158.
[6]潘朝娟.心理护理在眼科护理中的应用价值分析[J].当代护士(下旬刊),2018,25(7):97-98.
[7]薛朝华,刘义兰,鲁才红.眼科住院患者关怀护理体验的质性研究[J].护理学杂志,2017,32(12):79-82.
[8]海旭虹,赵伟,陈蕾.健康教育在眼科护理中的应用分析[J].当代医学,2017,23(17):183-185.
[9]胡嫦娥,童海霞.护理安全在眼科护理管理中的应用探讨[J].首都食品与医药,2018,25(9):91.
[10]刘茹茹,王爱孙,黄小琼,等.影响眼科门诊护患沟通常见因素及护理对策[J].医院管理论坛,2017,34(1):17-20.
[11]叶月娥,叶嫦嫦,游肖露,等.眼科门诊治疗室开展健康教育的措施和效果[J].中医药管理杂志,2016,24(22):123-124.
[12]陆月萍.健康教育在眼科护理管理中的作用[J].中医药管理杂志,2016,24(16):110-111.
[13]金晓丹,张燕,章灵芝,等.眼科护理风险与管理[J].医院管理论坛,2016,33(8):13-16.
[14]刘苈莹,李燕飞,祝菊蕊.眼科日间手术护理服务模式的实践效果探讨[J].临床医学研究与实践,2016,1(11):165,168.
[15]薛朝华,刘义兰,邢育珍,等.人文关怀模式在眼科病房的实践[J].护理学杂志,2016,31(12):65-67.
[16]毛丽,张晓霞,方蘅雯.眼科手术患者术前焦虑的发生情况及相关因素影响分析[J].实用临床医药杂志,2016,20(12):136-138.
[17]陈素莲,蔡明丽.健康教育结合护理管理在眼科护理中的应用[J].世界最新医学信息文摘,2016,16(45):234,236.
[18]张书平,史静华,郭丽霞,等.眼科护理质量评价指标体系的构建[J].护理研究,2016,30(13):1586-1591.
[19]刘淑贤.眼科日间手术服务模式的创建与护理管理[J].华西医学,2016,31(4):626-628.
[20]刘婷婷.健康教育在眼科患者中的实施与应用[J/OL].现代医学与健康研究电子杂志,2017,1(2):18-19.