首页|基于需求导向理念的换药护理对门诊伤口换药患者的影响

基于需求导向理念的换药护理对门诊伤口换药患者的影响

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目的:探讨基于需求导向理念的换药护理对门诊伤口换药患者疼痛程度、情志状况及护患关系的影响。方法:选取 2022 年 5 月—2023 年 4 月高淳人民医院门诊换药室接收的 63 例伤口换药患者作为研究对象。按双色球法随机分为观察组(n=32)与对照组(n=31)。对照组实施常规换药护理,观察组实施基于需求导向理念的换药护理。评估两组护理前后疼痛程度、负性情绪、舒适度、护患信任度和服务满意度。结果:护理后,观察组疼痛数字评分法(NRS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0。05)。护理后,观察组Koleaba舒适状况量表(GCQ)中生理、心理和环境评分均高于对照组,差异有统计学意义(P<0。05)。护理后,观察组冈谷惠子护患关系信任度量表各维度评分均高于对照组,差异有统计学意义(P<0。05)。观察组护理总满意度为 96。88%,显著高于对照组的77。42%,差异有统计学意义(P<0。05)。结论:基于需求导向理念的换药护理应用到门诊伤口换药患者中,可减轻患者换药时疼痛程度和负性情绪,提升患者换药舒适度,提升护理满意度。
Impact of Dressing Change Nursing Based on Demand-oriented Concept on Outpatient Wound Dressing Change Patients
Objective:To explore the effect of dressing change nursing based on demand-oriented concept on pain degree and emotional status and nurse-patient relationship.Method:A total of 63 patients with wound dressing changes received in the Dressing Room of the Outpatient Department of Gaochun People's Hospital from May 2022 to April 2023 were selected as the study objects.They were randomly divided into observation group(n=32)and control group(n=31)according to two-color sphere method.The control group received routine dressing change nursing,and the observation group received dressing change nursing based on demand-oriented concept.Pain degree,negative emotion,comfort level,nurse-patient trust and service satisfaction were evaluated before and after nursing.Result:After nursing,the pain numerical scale(NRS)score,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the physiological,psychological and environmental scores of Koleaba general comfort questionnaire(GCQ)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of Keiko Okaya's nurse-patient relationship trust scale in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total satisfaction of nursing in the observation group was 96.88%,which was significantly higher than 77.42%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of dressing change nursing based on demand-oriented concept to patients with outpatient wound dressing change can reduce the pain degree and negative emotions of patients during dressing change,improve the comfort level of patients during dressing change,and enhance nursing satisfaction.

Demand-oriented conceptWound dressingOutpatientPain levelEmotional state

沈香兰、葛云娣

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南京市高淳人民医院 江苏 南京 211300

需求导向理念 伤口换药 门诊 疼痛程度 情志状况

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(8)
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