首页|基于归因理论的护理干预在经鼻高流量氧疗患者中的应用效果

基于归因理论的护理干预在经鼻高流量氧疗患者中的应用效果

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目的 探讨基于归因理论的护理干预在经鼻高流量氧疗(HFNC)患者中的应用价值,以期为临床治疗提供参考.方法 选取2021年2月-2023年5月于四川大学华西医院接受治疗的144例HFNC患者为研究对象.采用随机数字表法将患者分为观察组和对照组,每组72例.对照组患者给予常规护理干预,观察组患者在对照组基础上联合基于归因理论的护理干预.比较2组患者遵医情况及护理满意度;比较2组患者干预前后疾病感知问卷(BIPQ)、Borg疲劳量表、视觉类比呼吸困难法量表(VAS)、抑郁自评量表(SDS)及焦虑自评量表(SAS)评分.结果 观察组患者总遵从率高于对照组,差异有统计学意义(P<0.05).干预前,2组患者BIPQ中治疗控制、后果、情绪、持续时间、症状、关注、个人控制、疾病了解评分比较,差异无统计学意义(P>0.05).干预后,2组患者BIPQ中治疗控制、后果、情绪、持续时间、症状、关注、个人控制、疾病了解评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05).干预前,2组患者Borg疲劳量表及VAS评分比较,差异无统计学意义(P>0.05).干预后,2组患者Borg疲劳量表评分均低于干预前,且观察组低于对照组;VAS评分高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05).干预前,2组患者SAS、SDS评分比较,差异无统计学意义(P>0.05).干预后,2组患者SAS、SDS评分均低于干预前,且观察组低于对照组,差异均具有统计学意义(P<0.05).观察组患者护理总满意度高于对照组,差异有统计学意义(P<0.05).结论 基于归因理论的护理干预能有效强化患者的遵医行为,减轻患者的疾病感知压力,缓解患者的负面情绪,提高患者的护理满意度,值得临床推广应用.
Application of attribution theory-based nursing interventions in patients with high-flow nasal cannula oxygen therapy
Objective To explore the value of attribution theory-based nursing interventions in patients receiving high-flow nasal cannula (HFNC) oxygen therapy,providing a reference for clinical treatment.Methods A total of 144 HFNC pa-tients treated from February 2021 to May 2023 at West China Hospital,Sichuan University were selected.Using a random number table,patients were assigned to an observation group and a control group,with 72 patients each.The control group received conventional nursing interventions,while the observation group received additional attribution theory-based nursing interventions.Adherence to medical advice and degree of satisfaction with nursing were compared between the two groups.Brief Illness Perception Questionnaire (BIPQ),Borg Fatigue Scale,Visual Analog Scale (VAS),Self-Rating Depression Scale (SDS),and Self-Rating Anxiety Scale (SAS) scores were compared before and after the intervention.Results The observation group showed a significantly higher overall adherence rate compared to the control group (P<0.05).Before in-tervention,no significant differences were noted in BIPQ scores for treatment control,consequences,emotions,duration,symptoms,concerns,personal control,and disease understanding between the two groups (P>0.05).After intervention,both groups had higher BIPQ scores in these dimensions compared to before intervention,with the observation group scoring significantly higher than the control group (P<0.05).Before intervention,no significant differences were found in the Borg Fatigue Scale and VAS scores between the two groups (P>0.05).After intervention,both groups had lower Borg fatigue scale scores and higher VAS scores compared to before the intervention,with the observation group showing more signifi-cant improvement (P<0.05).Before intervention,no significant differences were observed in SAS and SDS scores between the two groups (P>0.05).After intervention,both groups had lower SAS and SDS scores compared to before interven-tion,with the observation group scoring significantly lower than the control group (P<0.05).The observation group had a significantly higher degree of satisfaction with nursing than the control group (P<0.05).Conclusion Attribution theory-based nursing interventions effectively increase patient adherence,reduce illness perception stress,alleviate negative emo-tions,and raise the degree of satisfaction with nursing,making it worthy of clinical promotion.

Attribution theoryHigh-flow nasal cannula oxygen therapyPatient adherenceIllness perception stressDegree of satisfaction with nursing

肖芹、李林、熊琴、杨婷

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四川大学华西医院呼吸与危重症医学科,成都 610041

归因理论 经鼻高流量吸氧 遵医行为 疾病感知压力 护理满意度

国家卫生健康委科研课题

2016YFC0901100

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(4)
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