预见性护理干预对普外科患者自我效能感的影响分析
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摘要
目的探讨预见性护理干预对普外科患者自我效能感的影响。方法选取2015-12至2017-03广东省深圳市罗湖区人民医院普外科收治的患者136例,按照护理方法的不同分为对照组(n=68)和观察组(n=68);对照组给予普通护理干预,观察组在普通护理基础上采取预见性护理干预。结果 (1)自我效能感评分比较:护理后,两组的自我认知、环境挑战认知和控制感认知评分均显著高于护理前(P<0.05),且护理后观察组的各项评分均显著高于对照组(t=-7.387,P<0.001;t=-8.241,P<0.001;t=-8.287,P<0.001)。(2)认知程度评分比较:护理后,两组的手术治疗知识、对手术态度、对手术环境、对术后恢复信心评分高于护理前(P<0.05),且护理后观察组的各项评分均显著高于对照组(t=-10.058,P<0.001;t=-4.999,P<0.001;t=-7.822,P<0.001;t=-10.115,P<0.001)。结论采取预见性护理干预,能明显提升普外科患者的自我效能感和对人文关怀认知程度,增加了其治愈信心,提高了护理人员的护理水平。
Objective The objective of this study was to explore the effect of predictive nursing intervention on self-efficacy of patients in general surgery department. Methods A total sample of 136 patients treated in the general surgery department of Luohu District People's Hospital of Shenzhen, Guangdong between December 2015 and March 2017 were divided into the control group(n=68) and an obeservation group(n=68) according to the different nursing methods used. The control group was given conventional nursing intervention, and the observation group predictive nursing intervention. Results(1) Comparison of self-efficacy scores: after nursing, the scores of self-cognition, environmental challenge cognition and sense of control were significantly higher than those before nursing in the two groups(P<0.05), and the scores of the observation group after nursing were significantly higher than those of the control group(t=-7.387,P<0.001;t=-8.241,P<0.001;t=-8.287,P<0.001).(2) Cognitive scores comparison: after nursing, the scores of surgical treatment knowledge, attitude to surgery, surgical environment and confidence in postoperative recovery were higher than those before nursing in two groups(P<0.05), and the scores of the observation group after nursing were significantly higher than those of the control group(t=-10.058,P<0.001;t=-4.999,P<0.001;t=-7.822,P<0.001;t=-10.115,P<0.001). Conclusions Adopting predictive nursing intervention can improve the self-efficacy of the department of general surgery patients and the cognition degree of humanistic care, increase the confidence of the patients and improve the nursing level of care.
Objective The objective of this study was to explore the effect of predictive nursing intervention on self-efficacy of patients in general surgery department. Methods A total sample of 136 patients treated in the general surgery department of Luohu District People's Hospital of Shenzhen, Guangdong between December 2015 and March 2017 were divided into the control group(n=68) and an obeservation group(n=68) according to the different nursing methods used. The control group was given conventional nursing intervention, and the observation group predictive nursing intervention. Results(1) Comparison of self-efficacy scores: after nursing, the scores of self-cognition, environmental challenge cognition and sense of control were significantly higher than those before nursing in the two groups(P<0.05), and the scores of the observation group after nursing were significantly higher than those of the control group(t=-7.387,P<0.001;t=-8.241,P<0.001;t=-8.287,P<0.001).(2) Cognitive scores comparison: after nursing, the scores of surgical treatment knowledge, attitude to surgery, surgical environment and confidence in postoperative recovery were higher than those before nursing in two groups(P<0.05), and the scores of the observation group after nursing were significantly higher than those of the control group(t=-10.058,P<0.001;t=-4.999,P<0.001;t=-7.822,P<0.001;t=-10.115,P<0.001). Conclusions Adopting predictive nursing intervention can improve the self-efficacy of the department of general surgery patients and the cognition degree of humanistic care, increase the confidence of the patients and improve the nursing level of care.
引文
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[20]霍红.人文关怀与现代护理模式对改善普外科患者术后疼痛的临床价值分析[J].环球中医药,2013(z1):193-194.
[21]荀细辉,刘晓波.优质护理服务模式对调动护理人员主观能动性的影响[J].临床医学工程,2012,19(8):1390-1391,1394.DOI:10.3969/j.issn.1674-4659.2012.08.1390.
[22]赵素敏.综合护理干预对改善普外科患者情绪状态及生活质量效果评价[J].护士进修杂志,2013,28(3):233-235.DOI:10.3969/j.issn.1002-6975.2013.03.020.
[2]房芳.舒适护理模式在普外科患者中的应用[J].中国实用医药,2015,10(35):264-265.DOI:10.14163/j.cnki.11-5547/r.2015.35.195.
[3]林葆春.预见性护理干预对外科手术患者的影响[J].新中医,2015,47(4):283-284.DOI:10.13457/j.cnki.jncm.2015.04.134.
[4]赵琇利.预见性护理对普外科患者的自我效能感的应用效果[J].实用医技杂志,2016,23(10):1141-1142.
[5]郭黄丽,梁立新,邓云丽.心理护理干预对普外科患者焦虑及自我效能的影响[J].右江医学,2015,43(5):600-602.DOI:10.3969/j.issn.1003-1383.2015.05.019.
[6]何雪玲.预见性护理干预对普外科患者自我效能感的影响[J].中外医疗,2013,32(8):12-13.DOI:10.3969/j.issn.1674-0742.2013.08.008.
[7]孟庆芳,张存芝.预见性护理对慢性病患者自我效能感和医学应对方式的影响[J].中华现代护理杂志,2015(29):3540-3542.DOI:10.3760/cma.j.issn.1674-2907.2015.29.019.
[8]宋娟娟,袁跃斌,李玉.护理干预对老年普外科手术患者症状及自我效能的影响[J].现代医药卫生,2017,33(11):1719-1720.DOI:10.3969/j.issn.1009-5519.2017.11.050.
[9]Haugland T,Wahl A K,Hofoss D,et al.Association between general self-efficacy,social support,cancer-related stress and physical health-related quality of life:a path model study in patients with neuroendocrine tumors[J].Health Qual Life Outcomes,2016,14(1):11.DOI:10.1186/s12955-016-0413-y.
[10]王玉玲,何彩娣.护理干预对普外科手术老年患者自我效能及心理状态的影响研究[J].检验医学与临床,2014,11(17):2454-2456.DOI:10.3969/j.issn.1672-9455.2014.17.051.
[11]潘取蓉.预见性护理干预对普外科患者自我效能感的影响观察[J].大家健康旬刊,2016,10(8):259.DOI:10.3969/j.issn.1009-6019.2016.08.345.
[12]吴红梅.护理干预对老年普外手术患者症状及自我效能影响的研究[J].医学信息,2014(31):34.DOI:10.3969/j.issn.1006-1959.2014.31.044.
[13]Boehmer S,Luszczynska A,Schwarzer R.Coping and quality of life after tumor surgery:personal and social resources promote different domains of quality of life[J].Anxiety Stress Coping,2007,20(1):61-75.DOI:10.1080/10615800701195439.
[14]Robb C,Lee A,Jacobsen P,et al.Health and personal resources in older patients with cancer undergoing chemotherapy[J].J Geriatr Oncol,2013,4(2):166-173.DOI:10.1016/j.jgo.2012.12.002.
[15]张艳艳.护理干预对普外科老年手术患者症状改善程度及自我效能的影响[J].包头医学院学报,2017,33(2):84-85.DOI:10.3969/j.issn.1006-740X.2017.02.042.
[16]陈义秀.综合护理干预对普外手术患者症状和自我效能的影响[J].中国医药指南,2015,13(25):205-206.
[17]吴杰清.护理干预对老年普外手术患者症状及自我效能影响的研究[J].中国医药导报,2013,10(2):135-136.DOI:10.3969/j.issn.1673-7210.2013.02.054.
[18]范灿辉.普外科患者常见心理问题的影响因素[J].健康必读(下旬刊),2011(4):232-233.
[19]赵映霞.探析普外科消化道出血患者护理潜在的危险因素[J].中国社区医师,2015(35):154-155.DOI:10.3969/j.issn.1007-614x.2015.35.95.
[20]霍红.人文关怀与现代护理模式对改善普外科患者术后疼痛的临床价值分析[J].环球中医药,2013(z1):193-194.
[21]荀细辉,刘晓波.优质护理服务模式对调动护理人员主观能动性的影响[J].临床医学工程,2012,19(8):1390-1391,1394.DOI:10.3969/j.issn.1674-4659.2012.08.1390.
[22]赵素敏.综合护理干预对改善普外科患者情绪状态及生活质量效果评价[J].护士进修杂志,2013,28(3):233-235.DOI:10.3969/j.issn.1002-6975.2013.03.020.