摘要
目的探究Jean Watson关怀理论下的鼓励式干预对老年人慢性疼痛(chronic pain,CP)患者疼痛程度、生活质量和情绪状态的影响。方法选取2021年1月至2023年8月郑州第九人民医院的106名老年CP患者作为研究对象,采用随机数字表法将其分为观察组和对照组,各53人。观察组接受基于Watson关怀理论的鼓励式干预,而对照组则接受常规干预。持续干预3个月,对两组患者的疼痛程度(McGill疼痛问卷)、生活质量(老年生活质量评定表)和情绪状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]及护理满意度进行评估对比。结果3个月后,观察组疼痛评分指数、现在疼痛强度、疼痛描述词总数及总分都低于对照组,差异有统计学意义(P<0.05)。观察组身体健康、心理健康、环境适应、社会适应及总评分都高于对照组(P<0.05)。观察组HAMA、HAMD评分都低于对照组(P<0.05)。观察组对护理服务、护理态度、信息沟通的护理满意度高于对照组(P<0.05)。结论基于Watson关怀理论的鼓励式干预能有效改善老年CP患者的疼痛程度,提升其生活质量,改善情绪状态及提高护理满意度。
Objective To investigate the effects of encouragement-based intervention based on Jean Watson′s Theory of Human Caring on pain levels,quality of life,and emotional status in elderly patients with chronic pain(CP).Methods A total of 106 elderly patients with CP from Zhengzhou Ninth People′s Hospital between January 2021 and August 2023 were selected as study subjects.They were divided into an observation group and a control group,each comprising 53 individuals,using a random number table method.The observation group received encouragement intervention based on Watson′s Theory of Caring,while the control group received conventional intervention.The interventions lasted for three months,during which the pain level(McGill Pain Questionnaire),quality of life(Quality of Life Scale for the Elderly),emotional state[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],and nursing satisfaction were assessed and compared between the two groups.Results After three months,the observation group showed significantly lower pain rating index,present pain intensity,total number of pain descriptors,and total scores than the control group(P<0.05).The observation group also scored higher in physical health,psychological health,environmental adaptation,social adaptation,and overall score than the control group(P<0.05).The HAMA and HAMD scores were lower in the observation group compared to the control group(P<0.05).The observation group expressed higher nursing satisfaction regarding nursing services,attitude,and information communication(P<0.05).Conclusion Encouragement intervention based on Watson′s Theory of Caring can effectively improve pain levels,enhance quality of life,improve emotional states,and increase nursing satisfaction among elderly CP patients.
作者
梁倩
马翔
梁惠
Liang Qian;Ma Xiang;Liang Hui(The Ninth People′s Hospital of Zhengzhou City,Henan Province,China 450052)
出处
《辽宁医学杂志》
2025年第4期62-66,共5页
Medical Journal of Liaoning
