基于知信行理念的导向性护理在脑动脉瘤栓塞术患者中的应用效果  

Application effects of guided nursing based on knowledge-attitude-practice concept in patients with cerebral aneurysm embolization

作　　者：张占花 ZHANG Zhanhua(Interventional Catheterization Room of Qingfeng First Hospital,Puyang 457300 Henan,China)

机构地区：[1]清丰第一医院介入导管室,河南濮阳457300

出　　处：《中国民康医学》2023年第18期174-177,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于知信行理念的导向性护理在脑动脉瘤栓塞术患者中的应用效果。方法:选取2019年1月至2022年1月该院收治的82例行脑动脉瘤栓塞术患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各41例。对照组实施常规护理,观察组在对照组基础上实施基于知信行理念的导向性护理,两组均连续护理7 d。比较两组疾病知识掌握率、用药依从性、护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、17项汉密尔顿抑郁量表(HAMD-17)]评分、生命质量[健康状况调查简表(SF-36)]评分和护理满意度。结果:观察组疾病知识掌握率为95.12%(39/41),高于对照组的68.29%(28/41),差异有统计学意义(P<0.05);观察组用药依从率为95.12%(39/41),高于对照组的73.17%(30/41),差异有统计学意义(P<0.05);观察组HAMA、HAMD-17评分均低于对照组,生理职能、生理功能、躯体疼痛、精神健康、精力、一般健康状况、情感职能、社会功能等SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为92.68%(38/41),高于对照组的65.85%(27/41),差异有统计学意义(P<0.05)。结论:基于知信行理念的导向性护理应用于脑动脉瘤栓塞术患者可提高对疾病的认知、用药依从性、生命质量和护理满意度,缓解负性情绪,效果优于常规护理。Objective:To observe application effects of guided nursing based on knowledge-attitude-practice concept in patients with cerebral aneurysm embolization.Methods:A prospective study was conducted on 82 patients with cerebral aneurysm embolization admitted to the hospital from January 2019 to January 2022.They were divided into observation group and control group according to the random number table method,41 cases in each.The control group was given routine nursing,while the observation group was given the guided nursing based on the knowledge-attitude-practice concept on the basis of that of the control group.Both groups were treated continuously for 7 d.The disease knowledge mastery rate,the medication compliance rate,the negative emotion scores before and after the nursing[Hamilton anxiety scale(HAMA),17-item Hamilton depression scale(HAMD-17)],the quality of life[36-item short form health survey(SF-36)]score,and the nursing satisfaction were compared between the two groups Results:The disease knowledge mastery rate in the observation group was 95.12%(39/41),which was higher than 68.29%(28/41)in the control group,and the difference was statistically significant(P<0.05).The medication compliance rate of the observation group was 95.12%(39/41),which was higher than 73.17%(30/41)of the control group,and the difference was statistically significant(P<0.05).The HAMA and HAMD-17 scores of the observation group were lower than those of the control group,the scores of SF-36 dimensions such as physiological role,physiological function,physical pain,mental health,vitality,general health status,emotional function and social function were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 92.68%(38/41),which was higher than 65.85%(27/41)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The guided nursing based on the knowledge-attitude-practice concept in the patients with cere

关 键 词：知信行理念 导向性护理 脑动脉瘤栓塞术 负性情绪 用药依从性 生命质量 疾病认知 

分 类 号：R473.6[医药卫生—护理学]