基于需要层次理论的干预方法对重症胰腺炎患者心理情绪、疾病应对方式的影响  

Effects of nursing intervention based on hierarchy of needs theory on psychological mood and disease coping style in patients with severe pancreatitis

作　　者：邢斌瑜 胡亚光 张维[1] 申存毅[1] 杨勤玲[1] 王铮[1] 谭文君[1] XING Binyu;HU Yaguang;ZHANG Wei(Department of Hepatobiliary Surgery,the First Affiliated Hospital of Xi’an Jiaotong University,Shaanxi,Xi’an 710061,China;不详)

机构地区：[1]西安交通大学第一附属医院肝胆外科,西安市710061 [2]西安交通大学第一附属医院眼科,西安市710061

出　　处：《河北医药》2023年第8期1225-1228,共4页Hebei Medical Journal

基　　金：陕西省科技厅一般青年科技计划项目(编号:2019JQ-953)。

摘　　要：目的探究基于需要层次理论的干预方法对重症胰腺炎患者心理情绪、疾病应对方式的影响。方法选取2020年8月至2021年8月收治的重症胰腺炎患者120例,完全随机法分为对照组和观察组,每组60例。对照组给予常规护理干预,观察组给予基于需要层次理论的干预方法,观察2组疾病应对方式、SAS、SDS、生命质量、GQOLI-74、PSQI、GSES、VAS评分及护理满意率。结果观察组屈服、回避低于对照组,面对高于对照组,差异有统计学意义(P<0.05)。观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组生命质量评分高于对照组,差异有统计学意义(P<0.05)。观察组GQOLI-74、PSQI评分高于对照组,差异有统计学意义(P<0.05)。观察组GSES高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组护理满意率高于对照组,差异有统计学意义(P<0.05)。结论基于需要层次理论的干预方法对重症胰腺炎患者进行干预,可有效改善患者疾病应对方式、生命质量、生活质量、自我效能及睡眠质量,降低其抑郁、焦虑情绪,提升护理满意度。Objective To explore the effects of nursing intervention based on hierarchy of needs theory on psychological mood and disease coping style in patients with severe pancreatitis(SP).Methods From August 2020 to August 2021,120 SP patients admitted to the hospital were completely randomized assigned to receive either conventional nursing intervention(n=60)or nursing intervention based on hierarchy of needs theory(n=60).The key observation was disease coping style,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),living quality,Generic Quality of Life Inventory-74 Scale(GQOLI-74),Pittsburgh Quality Sleep Index(PSQI),General Self-Efficacy Scale(GSES),visual analogue scale(VAS),nursing satisfactory rate.Results Compared with the control group,the scores of yield and avoid in the observation group were significantly lower,while the score of confront was significantly higher(P<0.05).The scores of SAS,SDS,living quality,GQOLI-74,PSQI and GSES in the observation group were significantly higher,and VAS were significantly lower in the observation group than in the control group(all P<0.05).The nursing satisfactory rate was significantly higher in the observation group than in the control group(P<0.05).Conclusion For SP patients,the nursing intervention based on hierarchy of needs theory can effectively improve disease coping style,living quality,quality of life,self-efficacy and sleep quality,reduce depression and anxiety,and improve nursing satisfaction.

关 键 词：基于需要层次理论的干预方法 重症胰腺炎 心理情绪 疾病应对方式 

分 类 号：R473.5[医药卫生—护理学]