叙事护理应用于重症监护病房服毒患者的效果分析  

Effect of narrative nursing on patients committing suicide by poison taking in intensive care unit

作　　者：毛丽 刘珊珊 赵亚缇 MAO Li(Intensive care unit,the first affiliated hospital of Zhengzhou University,Zhengzhou,Henan,450052,China)

机构地区：[1]郑州大学第一附属医院急诊ICU,河南郑州450052

出　　处：《齐齐哈尔医学院学报》2021年第2期151-154,共4页Journal of Qiqihar Medical University

摘　　要：目的探讨叙事护理在重症监护病房(ICU)服毒自杀患者中的应用效果。方法选取2017年1月—2019年10月本院ICU收治的85例服毒自杀患者作为研究对象,采用随机数表法分为实验组(42例)和对照组(43例)两组。对照组予以常规护理;实验组在常规护理基础上予以叙事护理,均干预3个月。采用汉密尔顿抑郁量表评分(HAMD)、汉密尔顿焦虑量表(HAMA)及社会影响量表(SIS)评估两组患者入院时和出院3个月时的心理变化。结果出院3个月时,两组患者HAMD评分均较干预前降低,且试验组低于对照组,差异均有统计学意义(P<0.05)。两组患者HAMA评分亦均较干预前降低,差异有统计学意义(P<0.05)。但两组患者HAMA评分比较,差异无统计学意义(P>0.05)。出院3个月时,实验组社会排斥维度,社会隔离维度,内在羞耻三个维度评分及总分低于干预前,且三个维度评分均低于对照组,差异均有统计学意义(均P<0.05)。结论叙事护理用于重症监护病房服毒自杀患者可以有效改善患者的抑郁状态,改善患者病耻感。Objective To investigate the application effect of narrative nursing on patients committing suicide by poison taking in intensive care unit(ICU).Methods 85 cases of patients committing suicide by poison taking those admitted to ICU of our hospitalfrom January 2018 to December 2019 were selected as the research object.They were randomly divided into experimental group(42 cases)and control group(43 cases).The control group was treated with routine nursing and the experimental group was treated with narrative nursing on the basis of routine nursing.The intervention lasted for 3 months in both two groups.The Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),and Social Impact Scale(SIS)were used to assess the change of mental stateat the time before intervention and on the third month after discharge.Results On the third month after discharge,the scores of HAMD in both two groups were lower than those before intervention(P<0.05),and those in the experimental group was lower that those in the control group(P<0.05).The scores of HAMA in both two groups were lower than before intervention on the third month after discharge(P<0.05),however,the differences were not significantly between two groups(P<0.05).On the third month after discharge,the scores ofthree dimensions social exdusion,internal shame,social isolation and total score in the experimental groupwere lower than those before intervention(P<0.05),and thescores of the three dimensions in the experimental group was lower that those in the control group(P<0.05).Conclusions Narrative nursing could alleviate depression and stigma of patients committing suicide by poison taking in intensive care unit.

关 键 词：叙事护理 服毒 重症监护室 效果 

分 类 号：R459.7[医药卫生—急诊医学]