Watson关怀护理对大面积犬咬伤手术治疗患者康复进程、心理状态、伤残接受度、感染发生率的影响  

The effects of Watson nursing on the recovery process,psychological state,disability acceptance and infection rate of patients with extensive dog bite surgery

作　　者：牛卓亚 雏华伟 郁海燕[2] NIU Zhuo-ya(Zhoukou Specialized Hospital,Zhoukou 466000,Henan,China)

机构地区：[1]周口市专科病医院护士站 [2]周口市中心医院甲状腺科,河南周口466000

出　　处：《牡丹江医学院学报》2024年第5期85-89,共5页Journal of Mudanjiang Medical University

基　　金：河南省医学科技攻关联合共建项目(LHGJ20217301)。

摘　　要：目的探讨Watson关怀护理对大面积犬咬伤手术治疗患者康复进程、心理状态、伤残接受度、感染发生率的影响。方法选取周口市专科病医院2019年1月至2023年6月收治的大面积犬咬伤患者80例,按照入院先后顺序分为常规组、Watson关怀组,各40例。两组均进行延迟缝合术治疗,常规组给予常规的护理干预,Watson关怀组在常规组基础上给予Watson人文关怀护理。干预后,比较两组康复进程、心理状态[汉密尔顿抑郁量表(HAMD)、焦虑量表(HAMA)]、伤残接受度、医学应对方式[医学应对问卷(MCMQ)]、生活质量[生活质量测定量表简表(WHOQOL-BREF)]及感染发生情况。结果Watson关怀组换药次数少于常规组,伤口愈合时间、住院时间均短于常规组(P<0.05);干预后,Watson关怀组HAMD、HAMA评分低于常规组,MCMQ、WHOQOL-BREF评分高于常规组(P<0.05);干预后,Watson关怀组伤残总接受率为95.00%,高于常规组的77.50%(P<0.05);干预后15 d,Watson关怀组感染率为2.50%,低于常规组的15.00%(P<0.05)。结论Watson关怀护理应用于大面积犬咬伤手术治疗患者能减轻患者的不良情绪,以更加积极、正向的方式应对疾病,降低感染发生率,缩短康复时间,提高伤残接受度,改善生活质量。Objective To investigate the effects of Watson nursing on the recovery process,psychological state,disability acceptance and infection rate of patients with large-area dog bite surgery.Methods A total of 80 cases of large-area dog bite patients admitted to Zhoukou Specialized Hospital from January 2019 to June 2023 were selected and divided into conventional group and Watson nursing group according to the order of admission,40 cases in each group.Both groups were treated with delayed suture,the conventional group was given conventional nursing intervention and the Watson nursing group was given Watson humanistic nursing.After intervention,the recovery process,psychological status[Hamilton depression rating scale(HAMD),Hamilton anxiety rating scale(HAMA)],disability acceptance,medical coping style[medical coping modes questionnaire(MCMQ)],quality of life[World Health Organization quality of life scale-brief form questionnaire(WHOQOL-BREF)]and infection incidence were compared between the two groups.Results The number of dressing changes in Watson nursing group was less than that in conventional group,and the wound healing time and hospitalization time were shorter(P<0.05).After intervention,the scores of HAMD and HAMA in Watson nursing group were lower than those in conventional group,and the scores of MCMQ and WHOQOL-BREF were higher than those in conventional group(P<0.05).After intervention,the total acceptance rate of disability in Watson nursing group was 95.00%,which was higher than that in conventional group(77.50%)(P<0.05).On the 15th day after intervention,the infection rate of the Watson nursing group was 2.50%,which was lower than that of the conventional group(15.00%)(P<0.05).Conclusion The application of Watson nursing in the treatment of extensive dog bite can reduce the negative emotions of patients,deal with the disease in a more positive and positive way,reduce the incidence of infection,shorten the recovery time,improve the acceptance of disability and the quality of life.

关 键 词：Watson人性照护理论 传统延迟缝合治疗 犬咬伤 伤残接受度 感染发生率 

分 类 号：R646[医药卫生—外科学]