首页|基于叙事护理的干预模式在人工肛患者中的应用效果及对自我管理水平和心理的影响研究

基于叙事护理的干预模式在人工肛患者中的应用效果及对自我管理水平和心理的影响研究

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目的:探讨基于叙事护理的干预模式在人工肛患者中的应用效果及对自我管理水平和心理的影响.方法:选取2022 年 1 月—2023 年 1 月广州市第一人民医院收治的 60 例人工肛患者为研究对象,将其用信封法分为对照组与观察组,每组各 30 例.对照组采用常规护理干预,观察组联合基于叙事护理的干预模式,两组均完成 3 个月干预,比较两组自我管理水平、心理波动、依从性及满意度情况.结果:两组干预后自我管理水平得到提高,观察组药物管理、心理管理、症状管理、社会适应性及饮食管理得分均高于对照组,差异有统计学意义(P<0.05);两组干预后患者焦虑抑郁心理缓解,观察组焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05);观察组干预 3 个月后依从性和满意度高于对照组,差异有统计学意义(P<0.05).结论:基于叙事护理的干预模式用于人工肛患者中,能提高患者自我管理水平,减轻患者心理波动,可获得较高的依从性和满意度,值得推广应用.
The Application Effect of Narrative Nursing Intervention Model in Patients with Artificial Anus and Its Impact on Self-management Level and Psychology
Objective:To explore the application effect of narrative nursing intervention model in patients with artificial anus and its impact on self-management level and psychology.Method:Sixty patients with artificial anus from January 2022 to January 2023 were selected as the subjects and were divided into two groups using envelope method,with 30 cases in each group.The control group received routine care,while the observation group received a narrative based intervention model.Both groups completed a 3-month intervention,and their self-management level,psychological fluctuations,compliance,and satisfaction were compared.Result:After intervention,the self-management level of the two groups was improved.The scores of drug management,psychological,symptom management,social adaptability,and dietary management in the observation group were higher than those in the control group(P<0.05).After the intervention,the anxiety and depression of patients were relieved.The SAS and SDS scores of the observation group were lower than those of the control group(P<0.05).After 3 months of intervention,the compliance and satisfaction of the observation group were higher than those of the control group(P<0.05).Conclusion:The intervention model based on narrative nursing can improve the self-management level of patients with artificial anus,reduce psychological fluctuations,and achieve high compliance and satisfaction.It is worth promoting and applying.

Narrative nursingIntervention modeArtificial anusSelf management levePsychological fluctuationsComplianceSatisfaction

郑琳、梁艳玲、谢洁凤

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广州市第一人民医院 广东 广州 510000

叙事护理 干预模式 人工肛 自我管理水平 心理波动 依从性 满意度

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(21)