摘要
目的探讨舒适护理模式在手足显微外科断指再植术患者中的应用效果。方法对89例断指再植术且应用舒适护理的患者进行回顾性分析，分析患者舒适度的影响因素，并采用自行设计的舒适度调查表以及抑郁自评量表（SDS）、焦虑自评量表（SAS）对患者护理满意度及护理前后焦虑、抑郁状况进行调查及比较。结果不同断指再植术后体位、环境、再植指血运及是否受止痛与禁烟指导、受饮食指导、功能锻炼及心理因素患者的护理舒适度不同，差异均有统计学意义（X2分别为3．25，4．03，2．25，4．28，3．08，3．75，3．01；P〈0．05）；经多因素Logistic回归分析，体位、再植指血运、环境、止痛与禁烟指导、心理护理、饮食指导、功能锻炼为患者护理舒适度的影响因素（X2分别为22．202，5．720，5．234，6．189，7．911，9．019，6．218；P〈0．05）；患者护理后SAS、SDS评分分别为（45．38±6．37），（47．16±5．16）分，均低于护理前的（55．82±6．29），（53．83±7．26）分，差异均有统计学意义（t分别为3．735，3．261；P〈0．05）；护理前患者对护理服务总满意度为89．89％，护理后总满意度上升为98．88％，差异有统计学意义（X2=2．946，P〈0．05）。结论舒适护理模式能有效减轻断指再植患者心理压力，提高患者对护理工作的满意度，可以提高临床护理效果。
Objective To investigate application effect of comfort nursing in patients with plantation of severed fingers. Methods Retrospective analysis was used to investigate influencing factors of comfort for 89 patients with replantation of severed fingers who had received comfort nursing. Self-designed questionnaire, self- rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to compare patients＇ satisfaction, anxiety and depression before and after comfort care. Results Patients with different gesture, environment, blood circulation of replanted figures, relieving pain and smoking, diet guidance, functional exercise and psychological factors had different degree of comfort （ ~~ = 3.25,4. 03,2.25,4. 28,3. 08,3.75,3.01, respectively; P 〈 0.05 ）. Multivariate logistic regression analysis showed that patients＇ comfort was mainly influenced by gesture, blood circulation of replanted figures, environment, relieving pain and smoking, psychological factors, diet guidance and functional exercise （ X2 = 22. 202,5. 720,5. 234,6. 189,7.911,9.019, 6.218, respectively; P 〈 0.05）. SAS and SDS scores were （45.38 ± 6.37） and（47.16 ± 5.16）after comfort nursing, lower than （55.82 ± 6.29） and （53.83 ± 7.26） before comfort nursing, and the differences were statistically significant （ t = 3. 735, 3. 261, respectively ; P 〈 0.05）. Patients＇ satisfaction was 89.89% before and improved to 98.88% after, and the difference was statistically significant （ X2 = 2. 946, P 〈 0.05 ）. Conclusions Comfort nursing mode can effectively relieve patients＇ psychological pressure, improve patients＇ degree of satisfaction with nursing, so as to improve the effect of clinical nursing.
出处
《中华现代护理杂志》
2013年第1期49-52,共4页
Chinese Journal of Modern Nursing
关键词
焦虑
抑郁
舒适护理
断指再植术
影响因素
满意度
Anxiety
Depression
Comfort nursing
Replantation of severed fingers
Influencing factor
Satisfaction
