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