摘要
目的研究上消化道出血患者应用共情护理结合问题解决模式的效果。方法方便选取2022年1月—2023年12月淮安市洪泽区人民医院收治的86例上消化道出血患者为研究对象,根据护理方法差异分为两组,各43例,对照组应用常规护理,观察组接受共情护理结合问题解决模式。比较两组心理状态、舒适度、心理弹性变化和并发症情况。结果观察组患者的焦虑评分(28.07±1.39)分、抑郁评分(31.36±1.18)分、敌对评分(10.91±0.85)分、恐怖评分(14.97±1.35)分、偏执评分(15.21±0.98)分、人际关系敏感评分(21.48±1.16)分、躯体化评分(28.57±2.15)分、精神病性评分(17.22±1.53)分、强迫评分(27.31±1.69)分,均低于对照组的(31.85±1.51)分、(40.25±2.76)分、(16.58±1.03)分、(20.68±2.13)分、(20.18±1.13)分、(24.96±2.15)分、(30.08±3.36)分、(19.56±2.08)分、(30.41±2.23)分,差异均有统计学意义(t=12.077,19.421,27.842,14.848,21.789,9.341,2.482,5.943,7.265;P均<0.05);观察组舒适度评分、心理弹性评分高于对照组,差异均有统计学意义(P均<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论共情护理联合问题解决模式可改善上消化道出血患者患者心理状态,提升患者舒适度及心理弹性,同时,降低并发症发生率。
Objective To study the effect of applying empathy nursing combined with problem-solving model in patients with upper gastrointestinal bleeding.Methods A total of 86 patients with upper gastrointestinal bleeding admitted to Hongze District People's Hospital of Huai'an City from January 2022 to December 2023 were conveniently selected as the research objects.According to the difference in nursing methods,they were divided into two groups,with 43 cases in each group.The control group received routine nursing,and the observation group received empathy nursing combined with problem-solving model.The psychological status,comfort level,changes in psychological resilience and complications of the two groups were compared.Results The anxiety score(28.07±1.39)points,depression score(31.36±1.18)points,hostility score(10.91±0.85)points,terror score(14.97±1.35)points,paranoid score(15.21±0.98)points,interpersonal sensitivity score(21.48±1.16)points,somatization score(28.57±2.15)points,psychosis score(17.22±1.53)points,and compulsion score(27.31±1.69)points of the observation group were all lower than those of the control group(31.85±1.51)points,(40.25±2.76)points,(16.58±1.03)points,(20.68±2.13)points,(20.18±1.13)points,(24.96±2.15)points,(30.08±3.36)points,(19.56±2.08)points,(30.41±2.23)points,and the differences were statistically significant(t=12.077,19.421,27.842,14.848,21.789,9.341,2.482,5.943,7.265;all P<0.05).The comfort score and psychological resilience score of the observation group were higher than those of the control group,and the differences were statistically significant(both P<0.05).The total complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Empathy nursing combined with problem-solving model can improve the psychological state of patients with upper gastrointestinal bleeding,improve patient comfort and psychological resilience,and at the same time,reduce the incidence of complications.
作者
唐杰
毕梅
杨双双
袁沐子
TANG Jie;BI Mei;YANG Shuangshuang;YUAN Muzi(Department of Gastroenterology,Hongze District People's Hospital,Huai'an,Jiangsu,223100,China)
出处
《中外医疗》
2024年第35期179-182,190,共5页
China & Foreign Medical Treatment
关键词
共情护理
问题解决模式
上消化道出血
心理状况
Empathy nursing
Problem-solving model
Upper gastrointestinal bleeding
Psychological status
作者简介
唐杰(1977-),女,本科,主管护师,研究方向为内科护理。
