摘要
目的探讨治疗性沟通对急诊输液患者输液安全性,疾病不确定性,应对方式以及焦虑抑郁的影响。方法选择2019年7-12月于南京医科大学第一附属医院江苏省人民医院急诊输液患者126例,采用随机数字表法将其分为对照组和研究组,每组63例。对照组患者接受常规护理,研究组患者在此基础上接受治疗性沟通护理干预。观察2组患者干预期间输液不良事件发生率,采用疾病不确定性量表(MUIS)、医学应对方式问卷(MCMQ)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评估2组患者干预前后疾病不确定性、应对方式以及焦虑抑郁情况。结果最终收集109例患者完整调查问卷,回收率为86.51%(109/126),其中研究组55例,对照组54例。研究组患者输液不良事件发生率为16.36%(9/55),低于对照组的29.63%(16/54),差异有统计学意义(χ^(2)值为5.057,P<0.05)。2组患者干预前MUIS、MCMQ、SAS、SDS评分比较差异无统计学意义(P>0.05)。干预后,研究组患者MUIS评分中的不确定性、不可预测性、信息缺乏、复杂性维度得分分别为(17.76±2.49)、(12.03±2.51)、(11.82±2.12)、(11.74±2.24)分,低于对照组的(24.72±2.94)、(16.31±2.27)、(16.13±2.51)、(15.39±2.31)分,差异有统计学意义(t值为-13.346~-8.375,P<0.05);研究组患者MCMQ中面对得分(19.13±2.62)分,高于对照组的(13.79±1.96)分,回避和屈服得分分别为(8.71±1.34)、(9.81±1.17)分,低于对照组的(14.57±1.93)、(15.12±1.86)分,差异有统计学意义(t值为12.031、-18.441、-17.875,P<0.05);研究组患者的SAS和SDS得分分别为(29.43±3.62)、(27.67±3.11)分,低于对照组的(37.44±5.31)、(40.12±4.92)分,差异有统计学意义(t值为-9.216、-15.821,P<0.05)。结论治疗性沟通可减少急诊输液的风险,降低患者对疾病的不确定性,改善患者对疾病的应对措施,缓解患者的焦虑和抑郁,提高急诊输液患者的护理质量。
Objective To explore the effect of therapeutic communication on infusion safety,disease uncertainty,coping styles,anxiety and depression in patients with emergency infusion.Methods A total of 126 patients treated with infusion patients in emergency department in Jiangsu Provincial People's Hospital,the First Affiliated Hospital of Nanjing Medical University from July 2019 to December 2019 were selected and divided into two groups by random digits table method with 63 cases in each group.Patients in the control group received routine nursing,and patients in the intervention group received therapeutic communication nursing intervention on this basis.The incidence of adverse events of infusion during the intervention of the two groups of patients was observed.The disease uncertainty,coping styles,anxiety and depression were evaluated by Mishel's Uncertainty in Illness Scale(MUIS),Medical Coping Mode Questionnaire(MCMQ),Self-rating Anxiety Scale(SAS)and Self-rating Depressive Scale(SDS)before and after intervention.Results The final collection of 109 patients with complete questionnaire,the recovery rate was 86.51%(109/126),including 55 cases in the intervention group,54 cases in the control group.The incidence of adverse events of infusion was 16.36%(9/55)in the intervention group and 29.63%(16/54)in the control group,and there was significant difference(χ^(2) value was 5.057,P<0.05).There was no significant difference in the score of MUIS,MCMQ,SAS,SDS before the intervention between the two groups(P>0.05).After the intervention,the uncertainty,unpredictability,lack of information and complexity dimension of the intervention group patients'MUIS scores were respectively(17.76±2.49),(12.03±2.51),(11.82±2.12),(11.74±2.24),which were lower than those in the control group(24.72±2.94),(16.31±2.27),(16.13±2.51),(15.39±2.31),the differences were significant(t values were-13.346--8.375,P<0.05).The confront score of the intervention group patients'MCMQ was(19.13±2.62)higher than that in the control group(13.79±1.96),the avoidance and yield scores were respectively(8.71±1.34),(9.81±1.17),which were lower than those in the control group(14.57±1.93),(15.12±1.86),the differences were significant(t values were 12.031,-18.441,-17.875,P<0.05).The scores of SAS and SDS in the intervention group were(29.43±3.62),(27.67±3.11)respectively,which were lower than those in the control group(37.44±5.31),(40.12±4.92),the differences were significant(t values were-9.216,-15.821,P<0.05).Conclusions Therapeutic communication can reduce the risk of emergency infusion,reduce the uncertainty of patients to the disease,improve patients'countermeasures to the disease,relieve patients'anxiety and depression,and improve the nursing quality of emergency infusion patients.
作者
葛玲玲
郝卫文
李娟
曹云
缪艳霞
Ge Lingling;Hao Weiwen;Li Juan;Cao Yun;Miao Yanxia(Emergency Infusion Observation Room,Jiangsu Provincial People's Hospital,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《中国实用护理杂志》
2021年第13期996-1002,共7页
Chinese Journal of Practical Nursing
关键词
护理
急诊
输液
治疗性沟通
Nursing care
Emergency
Transfusion
Therapeutic communication
