首页|共享决策指导下系统化护理干预对慢性胃溃疡患者生活质量及自理能力的影响

共享决策指导下系统化护理干预对慢性胃溃疡患者生活质量及自理能力的影响

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目的 探讨共享决策指导下的系统化护理干预在慢性胃溃疡患者中的应用价值,分析其对患者自理能力与生活质量的影响.方法 便利选取2020年1月—2023年10月黄岛区中医医院收治的86例慢性胃溃疡患者作为研究对象,采用信封法将其分为对照组和观察组,每组43例.对照组行常规护理干预,观察组采用共享决策指导下的系统化护理干预,比较两组生活质量、自理能力、心理状况及护理满意度.结果 护理后,观察组生理、社会、心理、环境各维度的生活质量评分依次为(92.28±4.14)分、(89.54±5.20)分、(93.91±5.26)分、(90.05±4.21)分,明显高于对照组的(86.06±5.90)分、(84.22±6.30)分、(85.31±6.95)分、(85.80±6.26)分,差异有统计学意义(t=5.659、4.271、6.470、3.694,P均<0.001).护理后,观察组改良Barthel指数法评分、遵医行为评分、护理满意度均高于对照组,焦虑、抑郁评分均低于对照组,差异有统计学意义(P均<0.05).结论 在慢性胃溃疡患者中,共享决策指导下系统化护理干预能够提高患者的自理能力,改善其生活质量与心理状态,提升护理服务的主观评价.
Impact of Systematic Nursing Intervention under the Guidance of Shared Decision-making on the Quality of Life and Self-care Ability of Patients with Chronic Gastric Ulcer
Objective To explore the application value of systematic nursing intervention under the guidance of shared decision-making in patients with chronic gastric ulcer,and to analyze its impact on patients'self-care ability and quality of life.Methods A total of 86 patients with chronic gastric ulcer admitted to Huangdao District Hospital of Tra-ditional Chinese Medicine from January 2020 to October 2023 were conveniently selected as the research objects,and were divided into control group and observation group by envelope method,with 43 cases in each group.The control group practiced conventional nursing intervention care,and the observation group used systematic nursing intervention under the guidance of shared decision-making to compare the quality of life,self-care ability,psychological condition and nursing satisfaction of the two groups.Results After nursing the quality of life scores of physical,social,psycho-logical and environmental dimensions of the observation group were(92.28±4.14)points,(89.54±5.20)points,(93.91±5.26)points,(90.05±4.21)points in order,which were significantly higher than those of the control group(86.06±5.90)points,(84.22±6.30)points,(85.31±6.95)points,(85.80±6.26)points,and the differences were statistically significant(t=5.659,4.271,6.470,3.694,all P＜0.001).After nursing the observation group's modified Barthel Index Method score,medical compliance behavior score,and nursing satisfaction were higher than those of the control group,and anxiety and depression scores were lower than those of the control group,and the differences were statistically signifi-cant(both P＜0.05).Conclusion In patients with chronic gastric ulcer,systematic nursing intervention under the guid-ance of shared decision-making can improve patients'self-care ability,improve their quality of life and psychological status,and enhance the subjective evaluation of nursing services.

Chronic gastric ulcerSystematic nursingShared decision-makingQuality of lifeSelf-care ability

孟丽平、崔玉芬、孟宝宝

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黄岛区中医医院脾胃病科,山东 青岛 266500

慢性胃溃疡 系统化护理 共享决策 生活质量 自理能力

2024

10.16662/j.cnki.1674-0742.2024.19.142

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子：0.909
ISSN：1674-0742
年,卷(期)：2024.43(19)
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