叙事护理在慢性伤口患者中的应用效果观察  

Observation on the application effect of narrative nursing in patients with chronic wounds

作　　者：陈和珍[1] 黄稳萍 祝君君 肖传玲 李勋钢[1] 吴旭东[1] 齐滢 CHEN Hezhen;HUANG Wenping;ZHU Junjun;XIAO Chuanling;LI Xungang;WU Xudong;QI Ying(Jiujiang First People's Hospital,Jiujiang,332000,China)

机构地区：[1]江西省九江市第一人民医院,332000

出　　处：《护理实践与研究》2022年第12期1807-1810,共4页Nursing Practice and Research

摘　　要：目的探讨叙事护理对慢性伤口患者心理状态和生活质量的影响。方法选取2019年7月—2021年7月医院收治的80例慢性伤口患者为研究对象,按照组间基本资料匹配的原则分为对照组和观察组,各40例。对照组采用常规护理,观察组在对照组基础上实施叙事护理,两组均持续干预4周。比较两组伤口愈合时间、心理状态、生活质量和护理满意度。结果观察组患者伤口愈合时间较对照组短,差异有统计学意义(P<0.05)。干预前,两组患者心理状态和生活质量评分比较差异无统计学意义(P>0.05);干预后,观察组焦虑自评量表、抑郁自评量表评分较对照组低,差异有统计学意义(P<0.05);干预后,观察组患者生活质量评分较对照组高,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论慢性伤口患者接受叙事护理,可减轻患者焦虑、抑郁情绪,促进患者伤口愈合,提高生活质量,从而提升护理满意度。Objective To explore the effects of narrative nursing on psychological status and quality of life in patients with chronic wounds was as the study subject.Methods A total of 80 patients with chronic wounds admitted to the hospital from July 2019 to July 2021 were selected as the study objects,and they were divided into a control group and an observation group according to the principle of matching the basic data between the groups,with 40 cases in each group.The control group received routine nursing,while the observation group received narrative nursing on the basis of the control group.Both groups continued to intervene for 4 weeks.The wound healing time,psychological state,quality of life and nursing satisfaction were compared between the two groups.Results The wound healing time of the observation group was shorter than that of the control group,and the difference was statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant difference in the scores of psychological state and quality of life between the two groups(P>0.05).After the intervention,the self-rating anxiety scale and self-rating depression scale scores in the observation group were lower than those in the control group,and the differences were statistically signifi cant(P<0.05).After the intervention,the quality of life score in the observation group was higher than that in the control group,and the difference was statistically signifi cant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The chronic wound patients receiving narrative nursing can reduce anxiety and depression,promote wound healing,improve quality of life,and improve nursing satisfaction.

关 键 词：慢性伤口 叙事护理 伤口愈合 心理状态 生活质量 满意度 

分 类 号：R473.75[医药卫生—护理学]