激励式护理干预在内镜下食管静脉曲张套扎术患者中的应用效果  

Application effect of incentive nursing intervention in patients undergoing endoscopic variceal ligation

作　　者：金笑笑[1] 吴建江[1] 王惠琴[1] JIN Xiaoxiao;WU Jianjiang;WANG Huiqin(Endoscopy Center,the First Affiliated Hospital Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院内镜中心,新疆乌鲁木齐830054

出　　处：《中国医药导报》2022年第29期161-164,共4页China Medical Herald

基　　金：新疆维吾尔自治区重点实验室开放课题(2019D04019)。

摘　　要：目的探讨激励式护理在内镜下食管静脉曲张套扎术患者中的应用效果。方法纳入2019年10月至2020年10月新疆医科大学第一附属医院收治的106例中重度食管静脉曲张患者,所有患者均接受内镜下套扎治疗。采用随机数字表法将患者分为激励组(53例)和对照组(53例),对照组仅给予传统护理模式,激励组给予激励护理模式。比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、纽芬兰纪念大学幸福度(MUNSH)量表评分及生活质量调查表(QLQ-C30)评分。结果护理后,两组SDS、SAS评分均低于护理前,且激励组低于对照组(P<0.05)。两组MUNSH量表评分均高于护理前,且激励组高于对照组(P<0.05)。两组QLQ-C30量表的五项生存质量指标改善水平均高于护理前,且激励组高于对照组(P<0.05)。结论激励式可提升患者自我认知和幸福感,改善负性情绪,提高治疗自信心,同时改善生存质量,有进一步推广的临床价值。Objective To evaluate the application effect of incentive nursing intervention in patients who received endoscopic variceal ligation.Methods A total of 106 patients with moderate to severe esophageal varices admitted to the First Affiliated Hospital Xinjiang Medical University from October 2019 to October 2020 were included,and all patients received endoscopic variceal ligation.Patients were divided into incentive group(53 cases)and control group(53 cases)by random number table method,the control group was given traditional nursing mode,while the incentive group was given incentive nursing mode.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),Memorial University of Newfoundland happiness(MUNSH)scale,and quality of life questionnaire(QLQ-C30)were compared between the two groups.Results After nursing,the scores of SDS and SAS in the two groups were lower than those before nursing,and the incentive group was lower than the control group(P<0.05).The MUNSH scale scores of the two groups were higher than those before nursing,and the incentive group were higher than those of the control group(P<0.05).The improvement levels of the five quality of life indicators of the QLQ-C30 scale in the two groups were higher than those before nursing,and the score of the incentive group was higher than that of the control group(P<0.05).Conclusion For these patients undergoing endoscopic variceal ligation,the use of incentive intervention can enhance self-awareness and happiness,improve their negative emotions,promote the improvement of treatment confidence,and improve their quality of survival,which has further clinical value.

关 键 词：激励式护理 负性情绪 生存质量 内镜下食管静脉曲张套扎术 

分 类 号：R473[医药卫生—护理学]