目的探讨Peplau人际关系模式在淋巴瘤合并焦虑、抑郁患者心理护理中的应用。方法纳入2021年1月~2024年6月本院淋巴瘤合并焦虑、抑郁患者120例,按随机数表方式分观察、对照组,各60例。对照组给予常规干预,观察组在对照组基础上给予Pepla...目的探讨Peplau人际关系模式在淋巴瘤合并焦虑、抑郁患者心理护理中的应用。方法纳入2021年1月~2024年6月本院淋巴瘤合并焦虑、抑郁患者120例,按随机数表方式分观察、对照组,各60例。对照组给予常规干预,观察组在对照组基础上给予Peplau人际关系模式干预。评估、比较两组焦虑自评量表(Self-Rating Anxiety Scale,SAS)、欧洲癌症研究与治疗组织生活质量问卷(The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30,EORTC QLQ-C30)、抑郁自评量表(Self-Rating Depression Scale,SDS)评分。结果两组干预后比干预前,SDS、SAS评分降低,QLQ-C30各维度评分升高,且比对照组,观察组SDS、SAS评分显著低于对照组(P<0.05),QLQ-C30各维度评分更高(P<0.05)。结论淋巴瘤合并焦虑、抑郁患者采用Peplau人际关系模式行心理护理可改善患者焦虑、抑郁、生活质量。展开更多
背景目前,手术切除是早期胃肠主要治疗手段,但疾病认知不足、创伤性手术等因素影响,患者普遍存在消极悲观心理、恐惧疾病进展、严重知觉压力等问题,造成生活质量下降,治疗依从性不足,影响预后.目的探讨基于Peplau人际关系理论的健康教...背景目前,手术切除是早期胃肠主要治疗手段,但疾病认知不足、创伤性手术等因素影响,患者普遍存在消极悲观心理、恐惧疾病进展、严重知觉压力等问题,造成生活质量下降,治疗依从性不足,影响预后.目的探讨基于Peplau人际关系理论的健康教育在早期胃癌切除术患者中的应用及其对知觉压力、恐惧疾病进展及生命质量的影响.方法选择2020-01/2021-10上虞人民医院肿瘤科符合选例标准的112例早期胃癌切除术患者,按入院先后时间进行编号,将编号对应DPS软件的随机分组号分为对照组和观察组,每组样本量为56例.对照组行常规健康教育,于此基础上观察组行基于Peplau人际关系理论的健康教育.比较两组干预前后自我护理能力测定表(Exercise of Self-Care Agency Scale,ESCA)、恐惧疾病进展量表(Fear of Disease Progression Scale,FoP-Q)、知觉压力量表(Chinese Perceived Stress Scale,CPSS)、癌症患者生活质量量表(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30,EORTCQLQ-C30).结果干预后观察组ESCA评分高于对照组(P<0.05);干预后观察组FoP-Q评分低于对照组(P<0.05);干预后观察组CPSS程度低于对照组(P<0.05);干预后观察组EORTCQLQ-C30评分高于对照组(P<0.05).结论基于Peplau人际关系理论的健康教育可减轻早期胃癌切除术患者知觉压力、恐惧疾病进展,并在提高患者自护能力及生命质量方面具有明显优势.展开更多
With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relati...With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relationship theory,we explored a comprehensive hospital-home-community management model for an 80-year-old female patient following total hip arthroplasty.This nursing model was structured into four sequential phases(orientation,identification,exploitation,and resolution)and incorporated a structured multidisciplinary team,a stepwise health education system,discharge preparation services,and evidencebased postoperative care.Post-discharge management integrated traditional Chinese medicine-based pain management,intelligent rehabilitation training,and evidence-based constipation management.After six months of intervention,the patient achieved satisfactory wound healing and optimal prosthesis positioning.Significant improvements were observed in pain,constipation,sleep,anxiety,hip function,self-care ability,and self-management competence.This approach established a closed-loop management system encompassing assessment,screening,referral,liaison,home visits,multidisciplinary collaboration,and continuous follow-up.This model bridges hospital-home care gap,enhances care continuity,and improves rehabilitation outcomes,thereby providing a replicable framework for the postoperative management of elderly surgical patients.展开更多
文摘目的探讨Peplau人际关系模式在淋巴瘤合并焦虑、抑郁患者心理护理中的应用。方法纳入2021年1月~2024年6月本院淋巴瘤合并焦虑、抑郁患者120例,按随机数表方式分观察、对照组,各60例。对照组给予常规干预,观察组在对照组基础上给予Peplau人际关系模式干预。评估、比较两组焦虑自评量表(Self-Rating Anxiety Scale,SAS)、欧洲癌症研究与治疗组织生活质量问卷(The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30,EORTC QLQ-C30)、抑郁自评量表(Self-Rating Depression Scale,SDS)评分。结果两组干预后比干预前,SDS、SAS评分降低,QLQ-C30各维度评分升高,且比对照组,观察组SDS、SAS评分显著低于对照组(P<0.05),QLQ-C30各维度评分更高(P<0.05)。结论淋巴瘤合并焦虑、抑郁患者采用Peplau人际关系模式行心理护理可改善患者焦虑、抑郁、生活质量。
文摘背景目前,手术切除是早期胃肠主要治疗手段,但疾病认知不足、创伤性手术等因素影响,患者普遍存在消极悲观心理、恐惧疾病进展、严重知觉压力等问题,造成生活质量下降,治疗依从性不足,影响预后.目的探讨基于Peplau人际关系理论的健康教育在早期胃癌切除术患者中的应用及其对知觉压力、恐惧疾病进展及生命质量的影响.方法选择2020-01/2021-10上虞人民医院肿瘤科符合选例标准的112例早期胃癌切除术患者,按入院先后时间进行编号,将编号对应DPS软件的随机分组号分为对照组和观察组,每组样本量为56例.对照组行常规健康教育,于此基础上观察组行基于Peplau人际关系理论的健康教育.比较两组干预前后自我护理能力测定表(Exercise of Self-Care Agency Scale,ESCA)、恐惧疾病进展量表(Fear of Disease Progression Scale,FoP-Q)、知觉压力量表(Chinese Perceived Stress Scale,CPSS)、癌症患者生活质量量表(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30,EORTCQLQ-C30).结果干预后观察组ESCA评分高于对照组(P<0.05);干预后观察组FoP-Q评分低于对照组(P<0.05);干预后观察组CPSS程度低于对照组(P<0.05);干预后观察组EORTCQLQ-C30评分高于对照组(P<0.05).结论基于Peplau人际关系理论的健康教育可减轻早期胃癌切除术患者知觉压力、恐惧疾病进展,并在提高患者自护能力及生命质量方面具有明显优势.
文摘With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relationship theory,we explored a comprehensive hospital-home-community management model for an 80-year-old female patient following total hip arthroplasty.This nursing model was structured into four sequential phases(orientation,identification,exploitation,and resolution)and incorporated a structured multidisciplinary team,a stepwise health education system,discharge preparation services,and evidencebased postoperative care.Post-discharge management integrated traditional Chinese medicine-based pain management,intelligent rehabilitation training,and evidence-based constipation management.After six months of intervention,the patient achieved satisfactory wound healing and optimal prosthesis positioning.Significant improvements were observed in pain,constipation,sleep,anxiety,hip function,self-care ability,and self-management competence.This approach established a closed-loop management system encompassing assessment,screening,referral,liaison,home visits,multidisciplinary collaboration,and continuous follow-up.This model bridges hospital-home care gap,enhances care continuity,and improves rehabilitation outcomes,thereby providing a replicable framework for the postoperative management of elderly surgical patients.
