循证护理对胸腔镜检查患者自我效能及心理状况的影响  

Effect of evidence-based nursing on self-efficacy and psychological status in thoracoscopic patients

作　　者：吴军勇[1] 黎月秋[1] 邓碧坚[1] 

机构地区：[1]广东医学院附属医院呼吸内科,广东湛江524001

出　　处：《广东医学院学报》2011年第3期260-262,共3页Journal of Guangdong Medical College

基　　金：湛江市科技攻关项目(No.2009C3109003)

摘　　要：目的观察循证护理对胸腔镜检查患者自我效能及心理状况的影响。方法 66例胸腔镜检查患者随机分为实验组和对照组,每组33例;对照组按常规护理,实验组除常规护理外加用循证护理。采用自我效能自评量表(GSES)、抑郁自评量表(SDS)及焦虑自评量表(SAS)调查两组患者护理前后各指标的评分变化。结果实验组患者的自我效能评分明显增高,SAS和SDS评分明显降低(P<0.01),对照组则无明显改变。实验组不良反应发生率也明显低于对照组(27.3%vs6.1%,P<0.05)。结论胸腔镜检查患者应用循证护理可提高其自我效能,改善心理应激、焦虑和抑郁。Objoctive To observe the effect of evidence-based nursing （EBN） on self-efficacy and psychological status in thoracoscopic patients. Mothods Sixty-six patients underwent thoracoscopy were randomly divided into 2 groups. Control group received traditional nursing, while therapy group accepted traditional nursing and EBN. All patients were evaluated by general self-efficacy scale （GSES）, self-rating depression scale （SDS） and self-rating anxiety scale （SAS） before and after intervention. Rosults Self-efficacy scores increased, but SAS and SDS scores decreased after intervention in therapy group （P〈0.05）. However, there were no significant differences in control group. The incidence of adverse reaction in therapy group was lower than that in control group （27.3% vs 6.1%, F〈0.05）. Conclusion EBN can improve the self-efficacy, psychological stress, anxiety and depression in thoracoscopic patients.

关 键 词：循证护理 胸腔镜检查 抑郁 焦虑 

分 类 号：R473.56[医药卫生—护理学]