摘要
目的:探讨沟通-倾听-共情-支持多维护理模式对白内障手术老年患者负面情绪及自护能力的影响。方法:选取2021年6月至2025年2月于开封市中心医院眼科接受白内障超声乳化手术的328例老年患者为研究对象,按随机数字表法分为对照组与观察组,各164例。对照组患者接受常规护理方案,观察组患者在对照组的基础上接受沟通-倾听-共情-支持多维护理模式。比较两组患者手术前后负面情绪、干预前后自护能力、入院后1 d及术后3个月生活质量,以及护理满意度。结果:术后7 d、3个月,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,观察组患者各项自护能力测定量表(ESCA)评分均高于对照组,差异有统计学意义(P<0.05);术后3个月,观察组患者各项低视力者生活质量量表(LVQOL)评分均高于对照组,差异有统计学意义(P<0.05);观察组患者护理总满意率高于对照组,差异有统计学意义(P<0.05)。结论:沟通-倾听-共情-支持多维护理模式能有效改善白内障手术老年患者的负面情绪,有效提升老年患者自护能力及低视力患者的生活质量,且患者护理满意度更高。
Objective To explore the effect of the communication-listening-empathy-support multi-dimensional nursing model on negative emotions and self-care ability of elderly patients undergoing cataract surgery.Methods A total of 328 elderly patients who underwent phacoemulsification for cataract at the department of ophthalmology of Kaifeng Central Hospital from June 2021 to February 2025 were selected as the research subjects and randomly divided into a control group and an observation group,with 164 cases in each group.Patients in the control group received routine nursing care,while those in the observation group received the communicationlistening-empathy-support multi-dimensional nursing model in addition to the routine care.The negative emotions before and after surgery,self-care ability before and after intervention,quality of life on the first day of hospitalization and three months after surgery,and nursing satisfaction were compared between two groups.Results Seven days and three months after surgery,the scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups were lower than those before surgery,and the scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).After the intervention,the scores of the exercise of self-care agency scale(ESCA)in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Three months after surgery,the scores of the low vision quality of life questionnaire(LVQOL)in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The total satisfaction rate of nursing in the observation group was higher than that in the control group,with a statistically significant difference(P<0.05).Conclusion The communication-listening-empathy-support multi-dimensional nursing model can effectively improve the negative emotions of elderly patients undergoing cataract surgery,enhance their self-care ability,improve the quality of life of low vision patients,and increase patient satisfaction with nursing care.
作者
周慧芳
齐坤英
吴博
ZHOU Huifang;QI Kunying;WU Bo(Department of Ophthalmology,Kaifeng Central Hospital(Kaifeng Eye Hospital),Kaifeng Key Laboratory of Cataract and Myopia/Kaifeng Engineering Research Center of Precision Diagnosis and Treatment of Lens Diseases,Henan Kaifeng 475000)
出处
《深圳中西医结合杂志》
2026年第1期121-125,共5页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
河南省医学科技攻关联合共建项目(LHGJ20220928)。
关键词
白内障手术
多维护理模式
负面情绪
自护能力
生活质量
老年人
Cataract surgery
Multi-dimensional nursing model
Negative emotions
Self-care ability
Quality of life
Elderly people
