首页|Snyder希望理论的护理干预对结肠造口患者应对方式、希望水平及心理状态的影响

Snyder希望理论的护理干预对结肠造口患者应对方式、希望水平及心理状态的影响

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目的 分析Snyder希望理论的护理干预对结肠造口患者应对方式、希望水平及心理状态的影响。方法 选取2019 年7 月至2022 年3 月期间徐州市第一人民医院收治的直肠癌术后结肠造口患者 103 例,根据护理方式不同分为对照组50 例(常规基础护理)和实验组 53 例(Snyder希望理论护理)。对比两组应对方式、希望水平、医院焦虑抑郁量表(HADS)、心理痛苦温度计(DT)及并发症发生情况。结果 两组干预后面对评分升高,回避、屈服评分均下降;且实验组面对评分高于对照组,回避、屈服评分低于对照组,差异均有统计学意义(均P<0。05)。两组干预后I、P、T三维度评分均上升,且实验组高于对照组,差异有统计学意义(P<0。05)。两组干预后焦虑(HADS-A)、抑郁(HADS-D)及 DT 评分均下降,且实验组低于对照组,差异有统计学意义(P<0。05)。对照组并发症发生占比为20。00%(10/50),实验组并发症发生占比为5。66%(3/53),实验组并发症发生占比低于对照组,差异有统计学意义(P<0。05)。结论 应用Snyder希望理论护理干预可有效纠正结肠造口患者应对方式,改善其希望水平及心理状态,且减少并发症发生率,值得临床推广。
Effects of nursing intervention based on Snyder's hope theory on coping style,hope level and psychological state of colostomy patients
Objective To analyze the effects of nursing intervention based on Snyder's hope theory on coping style,hope level and psychological state of colostomy patients.Methods A total of 103 patients with postoperative co-lostomy for rectal cancer admitted to this hospital from July 2019 to March 2022 were selected.According to different nursing methods,50 cases were divided into control group(routine basic nursing)and 53 cases were divided into exper-imental group(Snyder's hope theoretical nursing).The coping style,hope level,Hospital Anxiety and Depression Scale(HADS),Distress Thermometer(DT)and complications were compared between the two groups.Results After in-tervention,the face scores of both groups increased,and the avoidance and yield scores decreased.The face score of the experimental group was higher than that of the control group,and the score of avoidance and yield were lower than that of the control group,and the differences were statistically significant(P<0.05).Interconnectedness(I),positive readiness and expectancy(P)and temporality and future(T)scores of both groups increased after intervention,and the score of I,P and T of experimental group was higher than the control group,and the difference was statistically sig-nificant(P<0.05).After intervention,the HADS-Anxiety(HADS-A),HADS-Depression(HADS-D)and DT scores of two groups were decreased,and the score of HADS-A,HADS-D and DT of experimental group was lower than the control group,and the difference was statistically significant(P<0.05).The proportion of complications in the control group was 20.00%(10/50),and that in the experimental group was 5.66%(3/53).The proportion of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions Nursing intervention based on Snyder's hope theory can effectively correct the coping style of co-lostomy patients,improve their hope level and psychological state,and reduce the incidence of complications,which is worthy of clinical promotion.

Snyder's hope theoryColostomyCoping modeLevel of hopePsychological state

张艳侠、张荆晓、韩玉环

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徐州市第一人民医院护理部, 徐州 221000

徐州市第一人民医院胃肠外科, 徐州 221000

Snyder希望理论 结肠造口 应对方式 希望水平 心理状态

2024

国际护理学杂志
中华医学会 吉林省医学期刊社

国际护理学杂志

影响因子:1.337
ISSN:1673-4351
年,卷(期):2024.43(1)
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