首页|基于信息不对称理论的共同决策护理在糖尿病外周动脉疾病经皮腔内血管成形术患者中的应用效果

基于信息不对称理论的共同决策护理在糖尿病外周动脉疾病经皮腔内血管成形术患者中的应用效果

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目的:观察基于信息不对称理论的共同决策护理在糖尿病外周动脉疾病经皮腔内血管成形术(PTA)患者中的应用效果.方法:回顾性分析2021年12月至2023年3月该院收治的86例糖尿病外周动脉疾病PTA患者的临床资料,按照护理方法不同将其分为对照组和观察组各43例.对照组实施常规护理,观察组在对照组基础上实施基于信息不对称理论的共同决策护理.比较两组依从性评分,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我感受负担[自我感受负担量表(SPBS)]评分,护理满意度[纽卡斯尔护理满意度量表(NSNS)]评分,以及并发症发生率.结果:观察组药物使用、每日病情自查及复查、饮食与运动等依从性评分均高于对照组,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);护理后,两组身体因素、情感因素、经济因素等SPBS各维度评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组NSNS评分高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.98%(3/43),低于对照组的23.26%(10/43),差异有统计学意义(P<0.05).结论:基于信息不对称理论的共同决策护理应用于糖尿病外周动脉疾病PTA患者可提高依从性评分和护理满意度评分,降低负性情绪、自我感受负担评分和并发症发生率,效果优于单纯常规护理.
Application effects of joint decision-making nursing based on information asymmetry theory in patients with diabetic peripheral arterial disease undergoing percutaneous transluminal angioplasty
Objective:To observe application effects of joint decision-making nursing based on information asymmetry theory in patients with diabetic peripheral arterial disease undergoing percutaneous transluminal angioplasty (PTA). Methods:The clinical data of 86 patients with diabetic peripheral arterial disease undergoing PTA admitted to this hospital from December 2021 to March 2023 were retrospectively analyzed. According to different nursing methods,they were divided into control group and observation group,43 cases in each group. The control group was given routine nursing,while the observation group was given the joint decision-making nursing based on information asymmetry theory on the basis of that of the control group. The compliance score,the negative emotions[self-rating anxiety scale (SAS),self-rating depression scale (SDS)]scores,the self-perceived burden[self-perceived burden scale (SPBS)]score,the nursing satisfaction[Newcastle satisfaction with nursing scale (NSNS)]score before and after the nursing,and the complication rate were compared between the two groups. Results:The compliance scores of drug use,daily self-examination and reexamination,diet and exercise in the observation group were higher than those in the control group,and the differences were 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). After the nursing,the scores of dimensions of SPBS such as physical factors,emotional factors and economic factors 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 NSNS score of the observation group was higher than that of the control group,and the difference was statistically significant (P<0.05). Further,the incidence of complications in the observation group was 6.98% (3/43),which was lower than 23.26% (10/43) in the control group,and the difference was statistically significant (P<0.05). Conclusions:The joint decision-making nursing based on information asymmetry theory in the patients with diabetic peripheral arterial disease undergoing PTA can improve the compliance scores and the nursing satisfaction score,and reduce the negative emotions,the self-perceived burden scores and the complication rate. Moreover,it is superior to simple routine nursing.

Diabetic peripheral arterial diseasePercutaneous transluminal angioplastyInformation asymmetry theoryJoint decision-making nursingComplianceNegative emotionSelf-perceived burden

马焕玲、赵文利、李海云

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河南省人民医院中心导管室,河南 郑州 450000

糖尿病外周动脉疾病 经皮腔内血管成形术 信息不对称理论 共同决策护理 依从性 负性情绪 自我感受负担

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(23)