摘要
目的探讨行为转变理论模式(TTM)干预对重症监护病房(ICU)清醒患者ICU环境压力感知状态评分(ICUESS)及应对方式的影响。方法选取2017年4月至2019年4月郑州大学第一附属医院ICU患者(均意识清醒)106例,按人院时间顺序分为试验组(n=53)、对照组(n=53)。对照组施行常规干预,试验组于常规干预基础上实施TTM干预,均干预3个月。比较两组干预3个月后护理满意度与干预前、干预3个月后ICUESS评分、负性情绪评分〔抑郁自评量表(SDS)、焦虑自评量表(SAS)〕、医学应对方式问卷(MCMQ)、自我护理能力测定量表(ESCA)评分。结果干预3个月后试验组ICUESS评分低于对照组,ESCA评分高于对照组,差异均有统计学意义(P<0.05);两组干预3个月后SDS、SAS评分较干预前下降,且试验组低于对照组,差异有统计学意义(P<0.05);干预3个月后试验组MCMQ量表中回避、屈服评分低于对照组,试验组面对评分高于对照组,差异均有统计学意义(P<0.05);干预3个月后试验组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论ICU清醒患者应用TTM干预可显著降低ICUESS评分,减少ICU环境中压力和负性情绪,改善应对方式,提升自我护理能力及护理满意度。
Objective To investigate the effect of behavioral Transition Theory Model(ITM)intervention on Intensive Care Units Environmental Stressor Scale(ICUESS)and coping style in ICU conscious patients.Methods A total of 106 patients with ICU(all conscious)from April 2017 to April 2019 were enrolled.The patients were divided into experimental group(n=53)and control group(n=53)according to the order of admission.The control group received routine intervention,and the experimental group performed TrM intervention on the basis of routine intervention,all intervention for 3 months.The satisfaction of intervention was compared between the two groups after 3 months of intervention.Before intervention,after 3 months of intervention,ICUESS score,negative mood score[Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)],Medical Coping Modes Questionnaire(MCMQ)and Exercise of Self-Care Agency Scale(ESCA)score were compared.Results After 3 months of intervention,the ICUESS score of the experimental group was lower than that of the control group,and the ESCA score of the experimental group was higher than that of the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,SDS and SAS scores in both groups were lower than before intervention,and the experimental group was lower than the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the avoidance and yield scores of the MCMQ scale in the experimental group were lower than those in the control group,while the face scores of the experimental group were higher than those in the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the nursing satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The application of TTM intervention in ICU awake patients can significantly reduce ICUESS score,reduce the pressure and negative emotions in the ICU environment,improve the coping style,and enhance the self-care ability and nursing satisfaction.
作者
杨丽
Yang Li(Department of Comprehensive ICU,the First Affiliated Hospital of Zhengzhou University,450000,China)
出处
《国际护理学杂志》
2021年第11期2037-2042,共6页
international journal of nursing
关键词
行为转变理论模式
ICU环境压力感知状态
应对方式
自我护理能力
Behavioral transition theory model
Pressure perception state in ICU environment
Coping style
Self-care ability
