共情护理对胸壁结核手术患者病耻感、知觉心理压力与自我效能感的影响  

The influence of empathy nursing on the sense of shame,perceived psychological pressure and self-efficacy of patients undergoing thoracic tuberculosis surgery

作　　者：何雁 孟芡 何营 HE Yan;MENG Qian;HE Ying(Department of Thoracic and Cardiac Surgery,Heze Caoxian People's Hospital,Heze 274400,China;Hospital Service Center,Heze Caoxian People's Hospital,Heze 274400,China)

机构地区：[1]菏泽市曹县人民医院胸心外科,山东菏泽274400 [2]菏泽市曹县人民医院医院服务中心,山东菏泽274400

出　　处：《心理月刊》2023年第3期156-158,共3页

摘　　要：目的探讨共情护理对胸壁结核手术患者病耻感、知觉心理压力与自我效能感的影响。方法选取2020年9月~2022年8月期间本院收治的94例胸壁结核手术患者作为研究对象,按照随机数字表法将其分为对照组(47例)与研究组(47例)。对照组接受常规护理,研究组在此基础上联合共情护理。对两组干预前与干预8周后的贬低-歧视感知量表(PDD)、中文版知觉心理压力量表(CPSS)、一般自我效能感量表(GSES)评分,以及护理满意度进行比较。正态计量资料采用t检验,计数资料采用x^(2)检验。结果干预前两组PDD评分比较,差异无统计学意义(P>0.05);干预8周后研究组PDD评分显著低于对照组(P<0.05)。干预前两组CPSS评分比较,差异无统计学意义(P>0.05);干预8周后研究组CPSS评分显著低于对照组(P<0.05)。干预前两组GSES评分比较,差异无统计学意义(P>0.05);干预8周后研究组GSES评分显著高于对照组(P<0.05)。研究组护理总满意度显著高于对照组(P<0.05)。结论共情护理可以有效缓解胸壁结核手术患者的病耻感与知觉心理压力,强化其自我效能感,具有较高的护理满意度。Objective To explore the effects of empathic nursing on stigma,perceived psychological stress and self-efficacy of patients undergoing chest wall tuberculosis surgery.Methods A total of 94 patients with chest wall tuberculosis treated in our hospital from September 2020 to August 2022 were selected as research objects and divided into control group(47 cases)and study group(47 cases)according to random number table method.The control group received routine care,and the study group received empathic care on this basis.The perceived devaluation-discrimination scale(PDD),Chinese version of perceived psychological stress scale(CPSS),general self-efficacy scale(GSES)scores and nursing satisfaction were compared between the two groups before intervention and 8 weeks after intervention.The t test was used for normal measurement data and x^(2) test was used for counting data.Results Before intervention,there was no significant difference in PDD scores between the two groups(P>0.05).After 8 weeks of intervention,the PDD score of the study group was significantly lower than that of the control group(P<0.05).There was no significant difference in CPSS score between the two groups before intervention(P>0.05).The CPSS score of the study group was significantly lower than that of the control group after 8 weeks of intervention(P<0.05).There was no significant difference in GSES scores between the two groups before intervention(P>0.05).After 8 weeks of intervention,the GSES score of the study group was significantly higher than that of the control group(P<0.05).The total nursing satisfaction of the study group was significantly higher than that of the control group(P<0.05).Conclusion Empathic nursing can effectively relieve the stigma and perceived psychological pressure of patients undergoing chest wall tuberculosis surgery,strengthen their sense of self-efficacy,and have higher nursing satisfaction.

关 键 词：共情护理 胸壁结核手术 病耻感 知觉心理压力 自我效能感 

分 类 号：R473.5[医药卫生—护理学]