基于马斯洛需要层次论的护理干预在白内障手术患者中的应用效果  

Application effect of nursing intervention based on Maslow′s hierarchy of needs theory in cataract surgery patients

作　　者：钟丹 欧阳敏 刘玉萍 ZHONG Dan;OUYANG Min;LIU Yuping(Department of Otolaryngology,the Second People's Hospital of Yichun,Jiangxi Province,Yichun 336000,China;Department of General Affairs,the Second People's Hospital of Yichun,Jiangxi Province,Yichun 336000,China)

机构地区：[1]江西省宜春市第二人民医院眼耳鼻喉科,江西宜春336000 [2]江西省宜春市第二人民医院总务科,江西宜春336000

出　　处：《中国当代医药》2023年第33期193-196,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220218355)。

摘　　要：目的探讨基于马斯洛需要层次论的护理应用于白内障手术患者中的作用。方法选取宜春市第二人民医院2022年1月至2023年1月收治的94例白内障患者作为研究对象,按照随机数字表法分为对照组(47例)和观察组(47例)。对照组采取围手术期常规护理,观察组采取基于马斯洛需要层次论的护理,患者入院后即开始护理,两组均持续护理4 d。比较两组患者心理状态、自我感受负担、生活质量以及满意度。结果观察组护理后状态-特质焦虑问卷(STAI)中焦虑分量表(S-AI)、特质焦虑分量表(T-AI)评分均低于对照组,差异有统计学意义(P<0.05);观察组护理后自我感受负担量表(SPBS)中身体负担、经济负担、情感负担评分均低于对照组,差异有统计学意义(P<0.05);观察组护理后中文版低视力者生活质量量表(CLVQOL)中读和精细动作、远视力以及调节能力等维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度中护理方式、沟通态度、心理疏导以及护理效果评分均高于对照组,差异有统计学意义(P<0.05)。结论基于马斯洛需要层次论的护理干预可改善白内障手术患者心理健康状态,减轻其自我感受负担,促进患者生活质量提升,患者对护理服务更加满意。Objective To explore the role of nursing application based on Maslow's hierarchy of needs theory in cataract surgery patients.Methods A total of 94 cataract patients admitted to The Second People's Hospital of Yichun from January 2022 to January 2023 were divided into groups using the random number table method.The control group consisted of 47 patients who received routine perioperative care,while the observation group consisted of 47 patients who received care based on Maslow's hierarchy of needs.Both groups received continuous care for 4 days.The psychological status,self perceived burden,quality of life,and satisfaction of two groups of patients were compared.Results The anxiety subscale(S-AI)and trait anxiety subscale(T-AI)scores in the state trait anxiety questionnaire(STAI)after nursing in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The physical burden,economic burden and emotional burden scores on the self perceived burden scale(SPBS)in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The Chinese version of the quality of life scale for low vision individuals(CLVQOL)in the observation group after nursing showed higher scores in reading,fine motor skills,distant vision and regulatory ability than the control group,with statistically significant differences(P<0.05).The nursing satisfaction scores in the observation group were higher than those in the control group in terms of nursing style,communication attitude,psychological counseling and nursing effectiveness,with statistically significant differences(P<0.05).Conclusion Nursing interventions based on Maslow's hierarchy of needs theory can improve the psychological health status of cataract surgery patients,reduce their burden of self perception,promote the improvement of patients'quality of life,and make patients more satisfied with nursing services.

关 键 词：白内障 马斯洛需要层次论 护理干预 心理健康状态 自我感受负担 生活质量 护理满意度 

分 类 号：R473[医药卫生—护理学]