摘要
目的:观察基于Watson关怀理论的医护合作型护理在心外科患者中的应用效果。方法:选取2020年1月至2021年5月该院收治的84例心外科患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各42例。对照组实施医护合作型护理,观察组在对照组基础上实施基于Watson关怀理论的医护合作型护理,比较两组护理前后心理状态[心理弹性量表(CD-RISC)]评分、生命质量[生活质量综合评定问卷(GQOLI-74)]评分及心脏不良事件发生率。结果:护理后,观察组自强、乐观、坚韧与控制等各项CD-RISC评分均高于对照组,差异有统计学意义(P<0.05);观察组躯体功能、心理功能、生活功能、社会功能等各项GQOLI-74评分均高于对照组,差异有统计学意义(P<0.05);观察组心脏不良事件发生率为4.76%,低于对照组的19.05%,差异有统计学意义(P<0.05)。结论:基于Watson关怀理论的医护合作型护理应用于心外科患者,可明显提升其心理弹性水平,改善身心状态,提高其生活质量,降低心脏不良事件发生率,其效果优于单纯医护合作型护理。
Objective: To observe application effects of Watson care theory-based doctor-nurse collaboration nursing in patients of cardiac surgery. Methods: A prospective study was conducted on 84 patients of cardiac surgery admitted to this hospital from January 2020 to May 2021.They were divided into control group and observation group according to the random number table method, 42 cases in each. The control group was given the doctor-nurse collaboration nursing, while the observation group was given the Watson care theory-based doctor-nurse collaboration nursing on the basis of that of the control group. The mental state [Connor—Davidson resilience scale(CD-RISC)] score, the quality of life [general quality of life inventory-74(GQOLI-74)] score and the incidence of adverse cardiac events were compared between the two groups before and after the nursing.Results: After the nursing, the CD-RISC scores of self-improvement, optimism, tenacity and control in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The GQOLI-74 scores of physical function, psychological function,life function and social function in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Further, the incidence of adverse cardiac events of the observation group was 4.76%, which was lower than 19.05% in the control group,and the difference was statistically significant(P<0.05) Conclusions: The Watson care theory-based doctor-nurse collaboration nursing for the patients of cardiac surgery can significantly improve their psychological resilience, improve their physical and mental states, improve their quality of life, and reduce the incidence of adverse cardiac events. Moreover, it is superior to single doctor-nurse collaboration nursing.
作者
吕妍
LYU Yan(Department of Cardiac Surgery of the 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2022年第19期164-167,共4页
Medical Journal of Chinese People’s Health
