基于Watson人性照护理论的护理模式在终末期心力衰竭患者中的应用  

Effectiveness of a nursing model based on Watson humanistic care theory in patients with end-stage heart failure

作　　者：何华琴[1] 陈秋林 朱明丽[2] He Huaqin;Chen Qiulin;Zhu Mingli(Department of Geriatrics,Chengbei District,Hangzhou First People's Hospital,Hangzhou 310003,China;Nursing Department,Chengbei District,Hangzhou First People's Hospital,Hangzhou 310003,China)

机构地区：[1]杭州市第一人民医院城北院区老年医学科,杭州310003 [2]杭州市第一人民医院城北院区护理部,杭州310003

出　　处：《中华现代护理杂志》2024年第11期1512-1515,共4页Chinese Journal of Modern Nursing

基　　金：2023年浙江省医药卫生科技计划项目(2023KY999)。

摘　　要：目的探讨基于Watson人性照护理论的护理模式在终末期心力衰竭(ESHF)患者中的应用效果。方法采用便利抽样法,选取2017年1月—2020年1月在杭州市第一人民医院城北院区进行治疗的ESHF患者为研究对象,随机将其分为观察组(n=135)和对照组(n=123)。对照组采用常规护理模式,观察组在此基础上应用基于Watson人性照护理论的护理模式。采用心力衰竭自我护理指数(SCHFI)、心力衰竭相关知识测试问卷(HFKT)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评估干预效果。结果干预后,观察组患者的HFKT、SCHFI评分高于对照组;SAS、SDS评分低于对照组,差异有统计学意义(P<0.01)。结论基于Watson人性照护理论的护理模式能够提高ESHF患者的知识掌握情况和自我护理能力,降低患者焦虑、抑郁。Objective To explore the effect of a nursing model based on Watson humanistic care theory in patients with end-stage heart failure(ESHF).Methods From January 2017 to January 2020,convenience sampling was used to select ESHF patients who underwent treatment in the Chengbei District of Hangzhou First People's Hospital as the study subject.Patients were randomly divided into an observation group(n=135)and a control group(n=123).The control group received routine nursing model,while the observation group received nursing model based on Watson humanistic care theory.The intervention effect was evaluated using the Self-Care of Heart Failure Index(SCHFI),Heart Failure Knowledge Test(HFKT),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS).Results After intervention,the HFKT and SCHFI scores of the observation group were higher than those of the control group,and the SAS and SDS scores were lower than those of the control group,and the differences were statistically significant(P<0.01).Conclusions The nursing model based on Watson humanistic care theory can improve the knowledge and self-care ability of ESHF patients,and relieve their anxiety and depression.

关 键 词：Watson人性照护理论 终末期心力衰竭 自我护理 焦虑 抑郁 

分 类 号：R473.5[医药卫生—护理学]