基于保护动机理论的延续性护理在风湿性疼痛患者药物治疗期间的效果
Effect of Continuous Nursing Based on Protection Motivation Theory During Drug Treatment in Patients with Rheumatic Pain
罗瑛 1庞玉洁 1姬燕梅 1李哲 1张珍利1
作者信息
- 1. 南阳市中医院肾病呼吸科,河南 南阳 473000
- 折叠
摘要
目的:研究基于保护动机理论(PMT)的延续性护理干预在风湿性疼痛患者中的应用效果.方法:选取我院2019年7月—2021年6月收治的风湿性疼痛患者96例作为研究对象,按入院顺序分为常规组(48例)、研究组(48例).常规组接受常规护理模式及出院指导,研究组在前者基础上采用基于PMT的延续性护理干预.比较两组自我管理能力[成年人健康自我管理能力测定量表(AHSMSRS)]、疼痛程度[数字模拟法(NRS)]、睡眠质量[匹兹堡睡眠质量评价量表(PSQI)]、情绪变化[抑郁自评量表(SDS)、焦虑自评量表(SAS)]及生活质量[简明健康状况量表(SF-36)]评分.结果:出院后1个月、3个月,研究组AHSMSRS、PSQI、SF-36评分高于常规组,NRS、SDS、SAS评分低于常规组(P<0.05).结论:基于PMT的延续性护理可提高风湿性疼痛患者自我管理能力,调整患者情绪状态,减轻其疼痛感,从而改善患者睡眠质量,提升生活质量.
Abstract
Objective:To study the application effect of continuous nursing intervention based on protection motivation theory(PMT)in patients with rheumatic pain.Methods:A total of 96 patients with rheumatic pain admitted to our hospital from July 2019 to June 2021 were selected as the research objects.According to the order of admission,they were divided into routine group(48 patients)and study group(48 patients).The routine group received routine nursing mode and discharge guidance,and the study group adopted PMT-based continuous nursing intervention on the basis of the former.The scores of self-management ability[adult health self-management ability scale(AHSMSRS)],pain degree[numerical rating scale(NRS)],sleep quality[Pittsburgh sleep quality assessment scale(PSQI)],emotional changes[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]and quality of life[the MOS item short fromhealth survey(SF-36)]were compared between the two groups.Results:At 1 month and 3 months after discharge,the scores of AHSMSRS,PSQI and SF-36 in the study group were higher than those in the conventional group,and the scores of NRS,SDS and SAS were lower than those in the conventional group(P<0.05).Conclusion:Continuous nursing based on PMT can improve the self-management ability of patients with rheumatic pain,adjust the emotional state of patients,reduce their pain,so as to improve the sleep quality and the quality of life of patients.
关键词
保护动机理论/风湿性疼痛/延续性护理/生活质量Key words
Protection motivation theory/Rheumatic pain/Continuous nursing/Quality of life引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目和软科学研究计划(LHGJ20217701)
出版年
2024