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结构式心理护理在膝关节置换术患者中的应用效果

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目的:观察结构式心理护理在膝关节置换术(TKA)患者中的应用效果.方法:选取 2021 年 1 月至 2022 年 1 月该院收治的 108 例拟行TKA患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 54 例.对照组给予常规护理,观察组在对照组基础上给予结构式心理护理.比较两组锻炼依从性评分,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、疾病不确定感[疾病不确定感量表(MUIS-A)]评分和生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,以及护理满意度.结果:观察组护理锻炼依从性评分高于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组MUIS-A评分均低于护理前,且观察组低于对照组,两组GQOLI-74 评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为96.30%(52/54),高于对照组的81.48%(44/54),差异有统计学意义(P<0.05).结论:在常规护理基础上给予结构式心理护理可提高TKA患者的锻炼依从性评分、生命质量评分和护理满意度,以及降低负性情绪评分和疾病不确定感评分的效果优于单纯常规护理效果.
Application effects of structural psychological nursing in patients undergoing knee arthroplasty
Objective:To observe application effects of structural psychological nursing in patients with total knee arthroplasty(TKA).Methods:A prospective study was conducted on 108 patients undergoing TKA in this hospital from January 2021 to January 2022.They were divided into control group and observation group according to the random number table method,54 cases in each group.The control group was given routine nursing,while the observation group was given the structural psychological nursing on the basis of that of the control group.The exercise compliance score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores,the disease uncertainty[Mishel uncertainty in illness scale-adult(MUIS-A)]score,the quality of life[general quality of life inventory-74(GQOLI-74)]score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:The score of nursing exercise compliance in the observation group was higher than the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The MUIS-A scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;the GQOLI-74 scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 96.30%(52/54),which was higher than 81.48%(44/54)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The structural psychological nursing on the basis of the routine nursing can improve the exercise compliance scores,the quality of life scores and the nursing satisfaction of the TKA patients,and reduce the negative emotion scores and the disease uncertainty scores.Moreover,it is superior to single routine nursing.

Structural psychological nursingKnee arthroplastyNegative emotionUncertainty in illnessComplianceNursing satisfaction

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河南科技大学附属许昌市中心医院骨外科三病区,河南 许昌 461000

结构式心理护理 膝关节置换术 负性情绪 疾病不确定感 依从性 护理满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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