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国际护理学杂志
吉林省医学期刊社
国际护理学杂志

吉林省医学期刊社

刘万车

月刊

1673-4351

gjhlxzz@126.com

0431-88920584

130061

吉林省长春市建政路971号

国际护理学杂志/Journal International Journal of NursingCSTPCD
查看更多>>中华人民共和国卫生部主管，中华医学会、吉林省医学期刊社主办。本刊是国家级杂志，目前已经入选“中国科技核心期刊”、“RCCSE中国核心学术期刊”、“中国北方优秀期刊”。本刊主要以国内外从事临床护理工作及从事护理临床教学研究者为对象，重点报道我国基础与临床护理的最新研究成果、临床护理经验，以及新技术、新方法在临床的应用与发展，介绍国际护理领域的最新发展动态。主要栏目有：综述、论著、护理研究、护理管理、临床护理、健康教育、护理教育、社区护理、文摘等。
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    无痛联合体位管理在初产妇分娩中的效果

    郑婧婉孟祥芹沈玲玲倪鹏...
    662-666页
    查看更多>>摘要：目的 探究无痛联合体位管理在分娩初产妇中的临床应用效果。 方法 选取苏州市立医院本部产房在2022年1～10月收治的120例初产妇作为观察对象。根据就诊时间不同将其分为参照组(2022年1～5月)和干预组(2022年6～10月)。参照组60例采取无痛分娩护理干预，干预组60例在此基础上联合给予体位管理分娩护理干预，对两组产妇产程、母婴结局、护理服务质量满意度等情况进行对比分析。 结果 干预组初产妇在第一产程、第二产程、第三产程、总产程等短于参照组，差异有统计学意义(P<0。05)。干预组初产妇在会阴撕裂、产后出血、胎儿窘迫、新生儿窒息等母婴不良结局发生率低于参照组(P<0。05)。干预组在助产士言语态度、技能操作水平、分娩减痛指导、主动巡视与关心等护理服务质量满意总得分高于参照组(P<0。05)。 结论 对初产妇实施无痛联合体位管理分娩护理，有助于缩短产妇总产程，降低母婴不良结局发生率，提高护理服务质量满意度。 Objective To explore the clinical effect of painless joint position management of labor in primipara。 Methods A total of 120 primiparas admitted to the maternity ward of the hospital from January 2022 to October 2022 were selected as the objects of observation。The patients were divided into the reference group (from January 2022 to May 2022) and the intervention group (from June 2022 to October 2022) according to the time of visit。In the reference group， 60 patients received nursing intervention for painless delivery， 60 cases in the intervention group were given combined position management delivery nursing intervention on this basis， the labor process， maternal and infant outcome， nursing service quality satisfaction of the two groups were compared and analyzed。 Results The first stage of labor， the second stage of labor， the third stage of labor and the total stage of labor in the intervention group were shorter than those in the reference group， and the differences were statistically significant(P<0。05)。 The incidence of maternal and infant adverse outcomes in the intervention group was lower than that in the reference group， such as perineal tear， postpartum hemorrhage， fetal distress and neonatal asphyxia(P<0。05)。 The total score of the intervention group was higher than that of the reference group in the midwives' speech attitude， skill operation level， labor pain relief guidance， active visit and care(P<0。05)。 Conclusions The implementation of painless combination management of labor nursing for primiparums is helpful to shorten the total labor process of primiparums， reduce the incidence of adverse outcomes of maternal and infant， and improve the satisfaction of nursing service quality。

    初产妇无痛分娩体位管理产程母婴结局护理满意度

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    集束护理联合康复训练在预防宫颈癌患者术后尿潴留中的应用

    朱凌馨周娟柯丽霞江清花...
    666-670页
    查看更多>>摘要：目的 观察集束护理联合康复训练预防宫颈癌患者术后尿潴留的应用效果。 方法 选取2019年8月至2021年8月期间厦门大学附属第一医院妇科收治的宫颈癌患者159例，按照随机数字表法分为观察组79例和对照组80例。两组患者均由同一医师团队于全麻下行腹腔镜下广泛性子宫切除术＋盆腔淋巴结清扫术。对照组给予常规护理联合康复训练。观察组给予集束护理联合康复训练。比较两组患者围术期指标(下床活动时间、首次自行排尿时间以及留置尿管时间、住院时间、首次进食时间)、一次性拔除导尿管成功率、尿潴留发生率、尿动力学指标(膀胱顺应性、膀胱逼尿肌收缩压及尿道闭合压)、盆底肌功能及生活质量评分。 结果 观察组患者下床活动时间、首次自行排尿时间以及留置尿管时间、住院时间、首次进食时间均明显短于对照组，差异有统计学意义(P<0。05)。观察组一次性拔除尿管成功率高于对照组，术后尿潴留发生率低于对照组(P<0。05)。治疗前，两组患者尿道闭合压、膀胱逼尿肌收缩压、膀胱顺应性、盆底障碍影响简易问卷-7(PFIQ-7)评分、盆底肌功能障碍调查表-20(PFDI-20)评分及生活质量评分比较差异无统计学意义(P>0。05)。治疗后2 w，观察组患者尿道闭合压、膀胱逼尿肌收缩压及膀胱顺应性均高于对照组，术后1个月、术后6个月、术后1年观察组PFIQ-7评分及PFDI-20评分均低于对照组(均P<0。05)。经过治疗，观察组患者生活质量评分中生理、环境、心理评分均高于对照组，差异有统计学意义(均P<0。05)。 结论 集束护理联合康复训练可以有效预防宫颈癌患者术后尿潴留，改善患者生活质量。 Objective To observe the effect of cluster nursing combined with rehabilitation training on preventing postoperative urinary retention in patients with cervical cancer。 Methods A total of 159 patients with cervical cancer admitted to the hospital from August 2019 to August 2021 were selected。 There were 79 patients in the observation group and 80 patients in the control group according to random number table method。Both groups underwent extensive laparoscopic hysterectomy and pelvic lymph node dissection under general anesthesia by the same physician team。The control group was given routine nursing combined with rehabilitation training。 The observation group was given cluster nursing combined with rehabilitation training。Perioperative indexes (time of getting out of bed， time of first spontaneous urination， time of catheter indwelling， time of hospital stay， time of first feeding)， success rate of one-time catheter removal， incidence of urinary retention， urodynamic indexes (bladder compliance， bladder detrusor systolic pressure and urethral closure pressure)， pelvic floor muscle function and quality of life scores of the two groups were compared。 Results The time of getting out of bed， the time of first spontaneous urination， the time of catheter indentation， the time of hospitalization and the time of first feeding in observation group were significantly shorter than those in control group， and the differences were statistically significant(P<0。05)。 The success rate of one-time catheter removal in observation group was higher than that in control group， and the incidence of postoperative urinary retention in observation group was lower than that in control group (P<0。05)。 Before treatment， there were no statistically significant differences in urethral closure pressure， detrusor systolic pressure， bladder compliance， Pelvic Floor Inventory Questonnaire-7(PFIQ-7) score， Pelvic Floor Distress Inventory-20(PFDI-20) score and quality of life score between 2 groups(P>0。05)。 Two weeks after treatment， urethral closure pressure， detrusor systolic pressure and bladder compliance of observation group were higher than those of control group， and PFIQ-7 score and PFDI-20 score of observation group were lower than those of control group at 1 month， 6 months and 1 year after surgery(P<0。05)。 After treatment， the scores of physiological， environmental and psychological quality of life in observation group were higher than those in control group， and the differences were statistically significant (P<0。05)。 Conclusions Cluster nursing combined with rehabilitation training can effectively prevent postoperative urinary retention in patients with cervical cancer and improve their quality of life。

    集束护理康复训练宫颈癌尿潴留

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    环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能和角色转换的影响

    任红宣静姚雅鸿倪鹏...
    671-676页
    查看更多>>摘要：目的 探讨环境干预结合伴侣参与式护理对初产妇母乳喂养自我效能和角色转换的影响。 方法 选取2020年6月至2022年6月在复旦大学附属妇产科医院分娩的148例初产妇，按随机数表法分为观察组和对照组，各组74例，其中对照组接受常规护理，观察组接受环境干预结合伴侣参与式护理。比较两组入院第1天、出院前的母乳喂养知识问卷得分、母乳喂养自我效能简式量表(BSES-SF)得分，产后3个月时的伴侣母乳喂养支持量表(PBIS)得分、母亲角色适应调查问卷得分及母乳喂养情况。 结果 出院前，观察组母乳喂养知识问卷各维度得分及总分分别为(8。34±0。95)分、(5。96±0。83)分、(14。30±2。49)分均高于对照组的(7。61±1。15)分、(5。24±1。20)分、(12。85±3。46)分，差异有统计学意义(P<0。05)；观察组BSES-SF得分为(53。72±6。74)分高于对照组的(51。33±4。27)分，差异有统计学意义(P<0。05)；产后3个月时，观察组PBIS各维度得分及总分分别为(17。36±2。18)分、(36。45±5。77)分、(39。81±4。75)分、(93。62±17。62)分均高于对照组的(15。65±2。30)分、(33。21±3。95)分、(36。39±3。94)分、(85。25±13。83)分，差异有统计学意义(P<0。05)；观察组母亲角色转变适应良好、中等、差占比分别为47。30%、43。24%、9。46%优于对照组的31。08%、48。65%、20。27%，差异有统计学意义(P<0。05)；观察组母乳喂养率91。89%高于对照组的79。93%，差异有统计学意义(P<0。05)。 结论 环境干预结合伴侣参与式护理能有效提高初产妇母乳喂养认知、伴侣母乳喂养支持程度及母乳喂养自我效能水平，对促进其母亲角色转变有积极意义，有助于改善母乳喂养情况。 Objective To explore the effects of environmental intervention combined with partner participatory nursing on self-efficacy and role conversion of breast-feeding in primipara。 Methods A total of 148 primiparas who gave birth in this hospital from June 2020 to June 2022 were selected and divided into observation group and control group according to random number table method， with 74 cases in each group。The control group received routine care， and the observation group received environmental intervention combined with partner participation care。The scores of the breastfeeding knowledge questionnaire and the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF) were compared between the two groups on the first day after admission and before discharge。The Partner Breastfeeding Influence Scale (PBIS)， Mother's role adjustment questionnaire and breastfeeding at 3 months after delivery were compared。 Results Before discharge， the observation group of breastfeeding knowledge questionnaire each dimension score and total score (8。34±0。95)points， (5。96±0。83)points， (14。30±2。49)points were higher than in the control group (7。61±1。15)points， (5。24±1。20)points， (12。85±3。46) points， and the differences were statistically significant (P<0。05)。 The BSES-SF score of observation group (53。72±6。74)points was higher than that of control group (51。33±4。27)points， and the difference was statistically significant (P<0。05)。 At three months postpartum， observation group of PBIS each dimension score and total score， respectively (17。36±2。18)points， (36。45±5。77) points， (39。81±4。75)points、(93。62±17。62)points were higher than in the control group(15。65±2。30) points， (33。21±3。95) points， (36。39±3。94)points， (85。25±13。83)points， and the differences were statistically significant (P<0。05)。 The percentages of good， medium and poor mother role change adjustment in the observation group were 47。30%， 43。24% and 9。46%， respectively， which were better than those in the control group (31。08%， 48。65% and 20。27%)， and the difference was statistically significant(P<0。05)。 The breastfeeding rate of observation group(91。89%) was higher than that of control group (79。93%)， and the difference was statistically significant (P < 0。05)。 Conclusions The combination of environmental intervention and partner participatory nursing can effectively improve the cognition of breastfeeding of first-time mothers， the degree of partner's breastfeeding support and the level of breastfeeding self-efficacy， which has a positive significance in promoting the transformation of maternal role and contributing to the improvement of breastfeeding situation。

    环境干预伴侣参与式护理初产妇母乳喂养自我效能角色转变

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    以时机理论为框架持续性护理对产妇产后自我效能感及母亲角色适应能力的影响

    毕琳王溪婷
    676-679页
    查看更多>>摘要：目的 探索以时机理论为框架持续性护理对产妇产后自我效能感及母亲角色适应能力的影响。 方法 选取2018年1月至2019年12月大连市妇幼保健院收治的1250例产妇作为研究对象，分组方法采用区组随机化法，分组后每组具有相同数量的样本，即参照组与试验组各625例。对参照组产妇行常规护理干预，试验组产妇在此基础上同时并行以时机理论为框架的持续性护理进行干预，对比两组产妇产后心理变化、自我效能感及母亲角色适应能力。 结果 干预后，两组产妇的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均有所下降，但试验组产妇评分显著低于参照组(P<0。05)；两组产妇的GSES量表评分均有所提升，但试验组产妇评分显著高于参照组(P<0。05)；两组产妇的母亲角色适应能力问卷调查表评分均有所提升，但试验组产妇评分显著高于参照组(P<0。05)。 结论 针对产妇采用时机理论为框架的持续性护理模式，能够有效提升产妇的自我效能感，促进其对于母亲角色的转换，并防止相应的心理问题发生。

    时机理论持续性护理产后自我效能感母亲角色适应能力

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    分阶段健康教育联合图示工具的呼吸道管理在慢性鼻窦炎患者术后康复的应用

    黄艳王溪婷
    680-684页
    查看更多>>摘要：目的 研究围术期分阶段健康教育联合图示工具的呼吸道管理对慢性鼻窦炎(CRS)患者术后康复的影响。 方法 选择上海复旦大学附属华山医院2018年5月至2020年9月诊治的91例CRS患者，均在该院接受鼻内镜手术，随机数表法分为研究组(46例)和对照组(45例)。其中对照组给予常规健康教育，研究组给予围术期分阶段健康教育路径联合基于图示工具的呼吸道管理。比较两组患者手术结局、自我管理能力、术后疼痛程度、康复情况和嗅觉功能。 结果 术前两组患者自我管理能力各项维度评分比较差异无统计学意义(P>0。05)，术后两组患者各项维度评分均显著上升，且研究组上升幅度高于对照组(P<0。05)；手术当日两组患者疼痛评分比较差异无统计学意义(P>0。05)，术后各时间点研究组评分均显著低于对照组(P<0。05)；两组患者术后并发症发生率比较差异无统计学意义(P>0。05)，但研究组术后首次下床时间以及住院时间均显著低于对照组(P<0。05)；术前两组患者鼻部症状、鼻窦炎症状、情感障碍和睡眠障碍评分比较差异均无统计学意义(P>0。05)，术后研究组上述项目评分均显著低于对照组(P<0。05)；术前以及术后1个月两组患者嗅觉功能评分比较差异无统计学意义(P>0。05)，术后3个月、6个月研究组患者嗅觉功能评分均显著高于对照组(均P<0。05)。 结论 围术期分阶段健康教育联合基于图示工具的呼吸道管理应用于CRS行鼻内镜手术患者围术期护理中，可改善患者心理状态，缓解术后疼痛，改善手术结局，促进嗅觉功能恢复，进而利于整体术后康复。

    分阶段健康教育图示工具呼吸道管理慢性鼻窦炎鼻内镜手术术后康复

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    顺产产妇疼痛评分与产后抑郁的相关性及产后抑郁风险模型构建

    徐姗王爱美李华牛铁兵...
    685-691页
    查看更多>>摘要：目的 探讨顺产产妇疼痛评分与产后抑郁的相关性，并构建产后抑郁风险预测模型。 方法 选取2019年10月至2020年10月在济南市中心医院分娩的顺产产妇1 000例，根据爱丁堡产后抑郁量表(Edinburgh postnatal depression scale，EPDS)进行产后抑郁评分，并将产妇分为抑郁组和正常组。比较两组产妇的顺产疼痛评分、年龄、职业、教育程度、家庭平均月收入、分娩孕周、喂养方式、丈夫对胎儿的期望、夫妻关系、居住关系、睡眠质量、焦虑抑郁病史、新生儿不良结局、性格、孕期负性情绪等一般资料情况，采用Pearson相关性分析顺产疼痛评分与产后抑郁的相关性，多因素Logistic回归分析顺产产妇产后抑郁的风险因素，构建预测模型并绘制ROC曲线以分析其对顺产产妇产后抑郁的预测价值。采用R软件构建顺产产妇产后抑郁风险的列线图模型。 结果 EPDS评分显示，产后抑郁产妇为100例，占比10。00%。两组产妇VAS评分、年龄、教育程度、家庭平均月收入、分娩孕周、喂养方式、夫妻关系、睡眠质量、焦虑抑郁病史、新生儿不良结局、性格、孕期负性情绪、职业比较，差异有统计学意义(P<0。05)。VAS评分与顺产产妇产后抑郁呈正相关(P<0。05)。非条件Logistic回归分析显示，VAS评分、年龄、教育程度、分娩孕周、喂养方式、夫妻关系、睡眠质量、焦虑抑郁病史、新生儿不良结局、性格、职业等均为顺产产妇产后抑郁的独立影响因素(P<0。05)。模型1(VAS评分＋年龄＋教育程度＋分娩孕周＋喂养方式＋夫妻关系＋睡眠质量＋焦虑抑郁病史＋新生儿不良结局＋性格)预测顺产产妇产后抑郁的ROC曲线下面积为91。3%(95CI：73。3%～97。6%)，模型2(年龄＋教育程度＋分娩孕周＋喂养方式＋夫妻关系＋睡眠质量＋焦虑抑郁病史＋新生儿不良结局＋性格)预测顺产产妇产后抑郁的ROC曲线下面积为78。6%(95CI：64。2%～88。2%)。 结论 顺产疼痛评分与产后抑郁呈正相关，并且顺产疼痛评分参与构建的预测模型对顺产产妇产后抑郁具有较高的预测价值。 Objective To explore the correlation between pain scores and postpartum depression of parturients with natural labor， and to construct a risk prediction model for postpartum depression。 Methods A total of 1 000 parturients who gave birth in the hospital from October 2019 to October 2020 were selected。According to the Edinburgh Postnatal Depression Scale (EPDS)， the postpartum depression score was performed， and the parturients were included in the depression group and the normal group。The pain score， age， occupation， education level， average monthly family income， gestational week of delivery， feeding method， husband's expectation of the fetus， husband and wife relationship， residential relationship， sleep quality， history of anxiety and depression， adverse neonatal outcomes， personality， negative emotions during pregnancy were compared。Pearson correlation analysis was used to analyze the correlation between vaginal pain score and postpartum depression。 Multivariate Logistic regression was used to analyze the risk factors of postpartum depression in vaginal parturients。 The predictive model was constructed and ROC curve was drawn to analyze its predictive value for postpartum depression in vaginal parturients。The R software was used to construct a nomogram model of the risk of postpartum depression of parturients with natural labor。 Results EPDS score showed that there were 100 cases of postpartum depression， accounting for 10。00%。There were statistically significant differences in Visual Analogue Scale(VAS) score， age， education level， average monthly family income， gestational weeks， feeding patterns， marital relationship， sleep quality， history of anxiety and depression， adverse neonatal outcomes， personality， negative emotions during pregnancy and occupation between the two groups (P<0。05)。 The VAS score was positively correlated with postpartum depression of the parturients with natural labor (P<0。05)。 Unconditional Logistic regression analysis showed that VAS score， age， education level， gestational week of delivery， feeding method， husband and wife relationship， sleep quality， history of anxiety and depression， adverse neonatal outcomes， personality， profession were independent influencing factors of postpartum depression of parturients with natural labor (P<0。05)。 Model 1 (VAS score + age + education level + gestational week of delivery + feeding method + husband and wife relationship + sleep quality+ history of anxiety and depression + adverse neonatal outcomes+ personality) predicts the area under the ROC curve of postpartum depression of parturients with natural labor was 91。3% (95CI: 73。3%~97。6%)。 Model 2 (age + education level + gestational week of delivery + feeding method + husband and wife relationship + sleep quality+ history of anxiety and depression + adverse neonatal outcomes+ personality) predicts the area under the ROC curve of postpartum depression of parturients with natural labor was 78。6% (95CI: 64。2%~88。2%)。 Conclusions There is a positive correlation between the postpartum depression score and the postpartum depression， and the predictive model constructed by the postpartum pain score has a high predictive value for the postpartum depression of parturients with natural labor。

    顺产疼痛评分产后抑郁相关性预测模型

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    以问题管理模式为指导的健康教育对结直肠癌造口患者术后自护能力、疾病知识及生活质量的影响

    韩玉环张荆晓王晓娇周梦雨...
    691-695页
    查看更多>>摘要：目的 探讨以问题管理模式为指导的健康教育对结直肠癌造口患者术后自护能力、疾病知识及生活质量的影响。 方法 选取2019年5月至2022年5月在徐州市第一人民医院接受肠造口治疗的102例结直肠癌患者作为研究对象，根据教育方式不同分为58例观察组(以问题管理模式为指导的健康教育)和44例对照组(常规健康教育)。使用自我护理能力实施量表(ESCA)评估两组自护能力、使用疾病知识调查问卷评估两组疾病知识知晓度、使用生活质量综合评定问卷(GQOLI-74)评估两组生活质量以及分析两组并发症发生率。 结果 两组护理后ESCA评分中各项评分均上升，且观察组高于对照组，差异有统计学意义(P<0。05)；观察组护理后疾病知识知晓率(91。38%)高于对照组(65。91%)，差异有统计学意义(P<0。05)；两组护理后GQOLI-74各项评分均较护理前上升，且观察组高于对照组，差异有统计学意义(P<0。05)；观察组护理后并发症总发生率(5。17%)低于对照组(22。73%)，差异有统计学意义(P<0。05)。 结论 对结直肠癌造口患者实施以问题管理模式为指导的健康教育模式，能提高其术后的自护能力和对疾病知识的认知度，对患者的生活质量以及预后有着积极的作用和影响。 Objective To explore the effects of health education guided by problem management model on self-care ability， disease knowledge and quality of life of patients with colorectal cancer after operation。 Methods A total of 102 patients with colorectal cancer who received enterostomy treatment in the hospital from May 2019 to May 2022 were selected as the study objects。 According to different education methods， they were divided into observation group (using health education guided by problem management mode， 58 cases) and control group (using conventional health education， 44 cases)。 Self-care ability of the two groups was assessed using the Exercise of Self-care Agency (ESCA)， disease knowledge awareness of the two groups was assessed using the disease knowledge questionnaire， quality of life of the two groups was assessed using the Generic Quality of Life Inventory-74(GQOLI-74)， and the incidence of complications was analyzed。 Results All the scores of ESCA after nursing were increased in both groups， and the ESCA score in observation group was higher than that in control group， and the difference was statistically significant(P<0。05)。 The awareness rate of disease knowledge after nursing in observation group (91。38%) was higher than that in control group (65。91%)， and the difference was statistically significant(P<0。05)。 Compared with before nursing， scores of GQOLI-74 increased in both groups after nursing， and GQOLI-74 score in observation group was higher than that in control group， and the difference was statistically significant(P<0。05)。 The total incidence of post-nursing complications in observation group (5。17%) was lower than that in control group (22。73%)， and the difference was statistically significant (P<0。05)。 Conclusions The implementation of health education model guided by problem management model for patients with colostomy of colorectal cancer can improve their self-care ability and awareness of disease knowledge after surgery， and has a positive effect on the quality of life and prognosis of patients。

    问题管理模式健康教育结直肠癌造口自护能力疾病知识生活质量

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    Teach-back法健康教育在胸外科术后疼痛控制中的应用

    鲍秦琴杨阳杨艳马雯婧...
    696-700页
    查看更多>>摘要：目的 分析Teach-back法健康教育在胸外科术后疼痛控制中的应用及影响。 方法 以南京医科大学附属脑科医院胸科院区2021年9月至2022年9月收治的胸外科手术患者160例为研究对象，并根据入院顺序将其分为对照组与观察组，每组80例。对照组实行常规健康教育，观察组实行Teach-back法健康教育。通过在院观察及跟踪回访，于患者术后与术后30 d时，使用该院自拟的健康知识调查问卷与自我护理能力量表(Exercise of Self-Care Agency Scale，ESCA)，分别评价两组患者的健康认知与自护能力水平，另于两组患者术后1 d、术后15 d以及术后30 d时，使用数字评分法(Numerical Rating Scale，NRS)量表评价两组患者不同时间段的疼痛水平。 结果 术后1 d，两组健康知识调查问卷评分与ESCA量表评分比较差异无统计学意义(均P>0。05)。术后30 d时，观察组健康知识调查问卷指标评分与ESCA量表指标评分高于对照组，差异均有统计学意义(均P<0。05)。两组NRS量表评分组间、时间点及交互作用差异均有统计学意义(均P<0。05)。术后，两组NRS量表评分比较差异无统计学意义(P>0。05)，术后15 d与30 d时，观察组NRS量表评分均低于对照组，差异均有统计学意义(均P<0。05)。 结论 Teach-back法健康教育能够增强胸外科手术患者的认知水平，提高自护能力，有效强化疼痛控制效果，显著缓解术后疼痛。

    Teach-back法健康教育胸外科认知自护能力疼痛控制

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    利益相关者理论指导下一体化服务对ICU后综合征患者心理状态及应对方式的影响

    梅丽曼张梅丽项海青倪鹏...
    700-704页
    查看更多>>摘要：目的 观察利益相关者理论指导下一体化服务对重症监护室(ICU)后综合征(PICS)患者心理状态及应对方式的影响。 方法 选取2020年6月至2021年6月合肥市第二人民医院收治的95例ICU后综合征患者按照随机数字表法分为对照组47例和研究组48例，对照组使用常规护理干预，研究组使用利益相关者理论指导下一体化服务干预，两组患者均干预1 w，比较干预前后两组患者意识模糊程度〔意识模糊量表(NEECHAM)〕、谵妄程度〔重症监护谵妄筛查量表(ICDSC)〕、躁动程度〔Richmond躁动-镇静等级标准(RASS)〕、自我负担感〔自我感受负担量表(SPBS)〕、心理压力程度〔ICU环境压力源量表(ICUESS)〕、应对方式〔医学应对问卷(MCMQ)〕。 结果 干预1 w后，两组患者NEECHAM和MCMQ中PC评分较干预前显著升高，且研究组显著高于对照组(P<0。05)；ICDSC、RASS、SPBS、ICUESS和MCMQ中NC评分显著低于干预前，且研究组显著低于对照组(P<0。05)。 结论 利益相关者理论指导下一体化服务干预可有效缓解ICU后综合征患者意识模糊、谵妄、狂躁症状，减轻其自我负担感和心理压力，对改善应对方式有积极意义。

    利益相关者理论一体化服务重症监护室后综合征心理状态应对方式

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    积极心理学视角下护理干预对妊娠高血压产妇负性情绪及妊娠结局的影响

    赵珂朱小红刘丹丹王溪婷...
    705-708页
    查看更多>>摘要：目的 探究积极心理学视角下护理干预对妊娠高血压产妇负性情绪及妊娠结局的影响。 方法 选取2019年6月至2021年6月期间郑州大学第一附属医院收治的90例妊娠高血压患者，按随机数字表法将其分为对照组与观察组各45例。对照组采用常规护理干预，观察组采用积极心理学视角下护理干预，比较两组患者爱丁堡产后抑郁量表(EPDS)、焦虑自评量表(SAS)评分、孤独感自评量表(UCLA)、妊娠压力量表(PPS)、两组产妇妊娠结局、生活质量〔健康调查简明量表(SF-36)〕评分。 结果 观察组干预后抑郁、焦虑、孤独负性情绪均显著低于对照组抑郁、焦虑、孤独负性情绪(P<0。05)；干预后，两组父母角色、母子健康、身体外形与身体活动及总分均显著降低(P<0。05)，且观察组显著低于对照组(P<0。05)；观察组患者剖宫产率、产后出血率、胎盘早剥率、新生儿病死率、子痫、新生儿Apger评分<8分均显著低于对照组(P<0。05)；观察组患者干预后生理机能(PF)、生理职能(RF)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)得分均显著高于对照组患者(P<0。05)。 结论 积极心理学视角下护理干预可改善妊高征产妇的负性情绪与妊娠结局，同时可提高患者生活质量，值得临床推广与应用。

    妊娠高血压积极心理学视角下护理负性情绪妊娠结局

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