以患者需求为基础框架的护理模式在门诊外科换药护理中的可行性分析  

Feasibility Analysis of Nursing Model Based on Patient Needs in Outpatient Surgical Dressing Change Care

作　　者：孙康 纪秀凤 SUN Kang;JI Xiufeng(Jilin FAW General Hospital,Changchun 130011,China)

机构地区：[1]吉林省一汽总医院急诊医学科,吉林长春130011

出　　处：《中国医药指南》2022年第28期183-185,F0003,共4页Guide of China Medicine

摘　　要：目的 探究门诊外科换药实施以患者需求为基础框架护理模式的可行性。方法 选取我院自2019年8月至2021年8月收治的84例门诊外科换药患者,以1∶1比例分布法分为对照组与观察组,每组各42例,对照组给予常规护理方法,观察组在对照组基础上给予以患者需求为基础框架的护理方法,对比两组患者干预前后视觉模拟评分表(Visual Analogue Scale,VAS)、健康知识掌握度《门诊外科换药患者健康知识问卷》评分、自我护理能力量表(Exercise of Self-Care Agency Scale,ESCA)评分、伤口愈合情况。结果 两组患者干预前后相比VAS评分降低、健康知识掌握评分升高(P <0.05);与对照组相比,观察组上述评分改善更加显著(P <0.05)。两组患者干预前后相比自我技能、自我概念、自护知识、自我责任感评分升高(P <0.05);与对照组相比,观察组自护能力改善更加显著(P <0.05)。观察组患者伤口愈合人数明显高于对照组,乙级和丙级伤口愈合人数明显低于对照组(P <0.05)。结论 将以患者需求为基础框架护理模式应用于门诊外科换药患者中可显著降低其疼痛程度、提高健康知识掌握度、强化自护能力,促进伤口愈合,可为患者提供优质服务。Objective To explore the feasibility of implementing a framework nursing model based on patient needs. Methods Selected 84 outpatient surgical dressing replacement patients admitted to our hospital from August 2019 to August 2021, Divided into control group and observation group by 1∶1 ratio step step method, 42 cases each in each group, the control group gave the usual care method, the observation group gave care methods based on patient needs on a control basis. The visual simulation scores between the two groups(Visual Analogue Scale, VAS) score, health knowledge mastery, the Health Knowledge Questionnaire, Exercise of Self-Care Agency Scale(ESCA) score, and wound healing condition. Results Compared with the two groups before and after the intervention, the VAS score decreased and the health knowledge mastery score increased(P<0.05);compared with the control group, the above scores in the observation group were improved more significantly(P<0.05). The scores of self-skills, self-concept,self-care knowledge and self-responsibility in the two groups before and after the intervention were increased(P<0.05);compared with the control group, the self-care ability of the observation group was improved more significantly(P<0.05). The number of wound healing in the observation group was significantly higher than that in the control group, and the number of wound healing in grade B and C was significantly lower than that in the control group(P<0.05). Conclusion The framework care model to patients can significantly reduce pain, improve health knowledge, strengthen self-care ability, promote wound healing and provide quality services for patients.

关 键 词：以患者需求为基础框架护理模式 门诊外科换药 疼痛 日常生活能力 

分 类 号：R473.5[医药卫生—护理学]