基于Watson关怀理论的人文关怀在老年慢性阻塞性肺疾病患者中的应用效果  

Application effects of humanistic care based on Watson’s theory of care in elderly patients with chronic obstructive pulmonary disease

作　　者：宋婵娟 赵娣 陈慧娟 SONG Chanjuan;ZHAO Di;CHEN Huijuan(Department of Respiratory and Critical Care Medicine,Xuancheng People’s Hospital,Anhui Province,Xuancheng 242000,China)

机构地区：[1]安徽省宣城市人民医院呼吸与危重症医学科,安徽宣城242000

出　　处：《中国医药导报》2022年第23期162-165,共4页China Medical Herald

基　　金：安徽省科技计划项目(1706c08532)。

摘　　要：目的探讨基于Watson关怀理论的人文关怀对老年慢性阻塞性肺疾病(COPD)患者的应用效果。方法选择2019年1月至2020年12月安徽省宣城市人民医院收治的老年COPD患者107例,按照随机数字表法将其分为试验组54例、对照组53例。对照组给予常规护理干预,试验组联合应用基于Watson关怀理论的人文关怀。干预6个月,比较两组自我感受负担、自我管理能力及生活质量。结果干预6个月,两组身体负担、情感负担、经济负担、自我感受负担评分低于干预前,且试验组低于对照组,差异有统计学意义(P<0.05)。干预6个月,两组症状管理、日常生活管理、情绪管理、自我效能管理、自我管理能力总分高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05)。干预6个月,两组呼吸症状、活动受限、疾病对生活的影响、生活质量评分低于干预前,且试验组低于对照组,差异有统计学意义(P<0.05)。结论基于Watson关怀理论的人文关怀有助于缓解老年COPD患者自我感受负担,增强自我管理能力,改善生活质量。Objective To explore the application effect of humanistic care based on Watson’s theory of care in elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 107 elderly COPD patients admitted to Xuancheng People’s Hospital of Anhui Province from January 2019 to December 2020 were selected and they were divided into the experimental group with 54 cases and the control group with 53 cases according to the random number table method.The control group was given routine nursing intervention,while the experimental group was given humanistic care based on Watson’s theory of care.After six months of intervention,the self-perceived burden,self-management ability,and quality of life were compared between the two groups.Results After six months of intervention,the scores of physical burden,emotional burden,economic burden,and self-perceived burden in the two groups were lower than those before the intervention,while those of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).After six months of intervention,the total scores of symptom management,daily life management,emotion management,self-efficacy management,and self-management ability in the two groups were higher than those before intervention,while those of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).After six months of intervention,the scores of respiratory symptoms,activity limitation,disease impact on life,and quality of life between the two groups were lower than those before intervention,while those of the experimental group were lower than those of the control group,with statistically significant differences(P<0.05).Conclusion Humanistic care based on Watson’s theory of care can help relieve the self-perceived burden of elderly COPD patients,enhance self-management ability,and improve the quality of life.

关 键 词：慢性阻塞性肺疾病 Watson关怀理论 自我感受负担 自我管理能力 生活质量 

分 类 号：R473.5[医药卫生—护理学]