首页|路径式配合护理结合AIDET沟通护理模式对内镜下肠息肉切除术患者心理状态、疼痛程度的影响

路径式配合护理结合AIDET沟通护理模式对内镜下肠息肉切除术患者心理状态、疼痛程度的影响

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目的 探讨路径式配合护理结合问候—介绍—过程—解释—感谢沟通护理模式(AIDET)沟通护理模式在内镜下肠息肉切除术患者中的应用价值.方法 选取 2022 年1 月—2023 年 6月贵州省凤冈县人民医院收治的 68 例内镜下肠息肉切除术患者为研究对象,按随机数字表法将其分对照组和观察组,各 34 例.对照组采用常规护理,观察组采用路径式配合护理结合AIDET沟通护理模式.两组均持续护理1周.对比两组的心理状态、疼痛程度、生理应激、舒适度及并发症发生率.结果 护理后,观察组焦虑自评量表评分、抑郁自评量表评分均低于对照组,Kolcaba简化舒适状况量表评分高于对照组,组间差异有统计学意义(P<0.05).术后 72 h,观察组疼痛视觉模拟评分量表评分低于对照组,差异有统计学意义(P<0.05).观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 路径式配合护理结合AIDET沟通护理模式可以减轻内镜下肠息肉切除术患者的不良情绪、术后疼痛,增强舒适度,降低并发症发生率.
The Impact of Path Based Collaborative Nursing Combined with AIDET Communication Nursing Model on the Psychological Status and Pain Level of Patients Undergoing Endoscopic Resection of Intestinal Polyps
Objective To explore the application value of path based collaborative nursing combined with Acknowledge,Introduce,Duration,Explanation,Thank(AIDET)comm-unication nursing model in patients undergoing endoscopic resection of intestinal polyps.Methods 68 patients who underwent endoscopic polypectomy at Fenggang County People's Hospital in Guizhou Province from January 2022 to June 2023 were selected as the research objects and randomly divided into a control group and an observation group,with 34 cases in each group.The control group received routine care,while the observation group adopted a combination of path based collaborative nursing and AIDET communication nursing model.Both groups received continuous care for 1 week.Compare the psychological status,degree of pain,physiological stress,comfort,and incidence of complications between two groups.Results After nursing,the observation group had lower scores on the Self Rating Anxiety Scale and Self Rating Depression Scale compared to the control group,while the Kolcaba Simplified Comfort Scale had higher scores than the control group,with statistically significant differences between the groups(P<0.05).72 hours after surgery,the pain Visual Analogue Scale score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of path based collaborative nursing and AIDET communication nursing model can alleviate adverse emotions and postoperative pain in patients undergoing endoscopic resection of intestinal polyps,enhance comfort,and reduce the incidence of complications.

Endoscopic resection of intestinal polypsPath based collaborative nursingAIDET communication nursing modelPsychological statePain level

王敏

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贵州省凤冈县人民医院门诊部,贵州遵义 564200

内镜下肠息肉切除术 路径式配合护理 AIDET沟通护理模式 心理状态 疼痛程度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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