护患情景会话辅助出院宣教对支气管哮喘急性发作患者出院准备度的护理效果评价  

Evaluation of the nursing effect of nurse patient scenario conversation assisted discharge education on the preparedness for discharge of patients with acute attack of bronchial asthma

作　　者：何芳 徐月红 廖伟 邓芳 张爱华 HE Fang;XU Yuehong;LIAO Wei;DENG Fang;ZHANG Aihua(Yingtan People's Hospital,Yingtan,335000,China)

机构地区：[1]江西省鹰潭市人民医院,335000

出　　处：《护理实践与研究》2023年第22期3421-3427,共7页Nursing Practice and Research

基　　金：江西省基层卫生适宜技术“火星推广计划”项目(编号:20188031)。

摘　　要：目的探讨护患情景会话辅助出院宣教对支气管哮喘急性发作患者出院准备度的影响。方法选取2022年1月—2023年2月医院确诊的84例支气管哮喘急性发作患者,按照组间基本特征具有可比性的原则分为观察组与对照组,每组42例。对照组采用常规护理,观察组在对照组的基础上采用护患情景会话辅助出院宣教,两组均干预至出院。比较两组患者干预前后疾病认知度、自护能力、心理状态、出院准备度、出院指导质量。结果干预前,两组患者的发病诱因、发作期急救方法、用药注意事项、紧急就医和院外病情监测评分比较,差异无统计学意义(P>0.05);干预后,观察组患者发病诱因、发作期急救方法、用药注意事项、紧急就医和院外病情监测评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者自护能力的自护技能、自我概念、健康知识水平和自我护理责任感评分差异无统计学意义(P>0.05);干预后,观察组患者自护技能、自我概念、健康知识水平和自我护理责任感评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的SDS和SAS评分差异无统计学意义(P>0.05);干预后,观察组患者SDS和SAS评分低于对照组,差异有统计学意义(P<0.05)。观察组患者的个人状态、适应能力和预期性支持得分均高于对照组,差异有统计学意义(P<0.05)。观察组患者出院前需要内容、出院前获得内容、出院前指导技巧及效果得分高于对照组,差异有统计学意义(P<0.05)。结论护患情景会话辅助出院宣教可提高支气管哮喘急性发作患者的疾病认知度、自护能力,改善心理状态,从而可提高出院准备度和出院指导质量。Objective To explore the effect of conversation assisted discharge education on the preparedness for discharge of patients with acute attack of bronchial asthma.Methods To select 84 patients with acute exacerbations of bronchial asthma diagnosed in hospitals from January 2022 to February 2023,they were divided into an observation group and a control group based on the principle of comparability of basic characteristics between groups,with 42 cases in each group.The control group received routine nursing care,while the observation group used nurse patient situational conversations to assist in discharge education on the basis of the control group.Both groups intervened until discharge to compare the disease awareness,self-care ability,psychological state,discharge readiness,and quality of discharge guidance between two groups of patients before and after intervention.Results There was no statistically significant difference in the causes of onset,emergency treatment methods during the attack,medication precautions,emergency medical attention,and external condition monitoring scores between the two groups before intervention(P>0.05).After intervention,the observation group had higher scores than the control group in terms of the causes of onset,emergency treatment methods during the attack,medication precautions,emergency medical attention,and external condition monitoring,and the differences were statistically significant(P<0.05).There was no statistically significant difference in self-care skills,self-concept,health knowledge level,and self-care responsibility scores between the two groups of patients before intervention(P>0.05).After intervention,the observation group had higher scores than the control group in terms of the self-care skills,self-concept,health knowledge level,and self-care responsibility,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two g

关 键 词：护患情景会话 出院宣教 支气管哮喘 急性发作 出院准备度 

分 类 号：R473.5[医药卫生—护理学]