基于Kolcaba舒适理论的强化管理对肝脓肿患者心理负担和舒适度的影响  

Effect of intensive management based on the Kolcaba’s comfort theory on psychological burden and comfort in patients with liver abscess

作　　者：许菁 吴正芳 杨妍 顾慧[1] XU Jing;WU Zhengfang;YANG Yan(Department of Infectious Diseases,Beijing Friendship Hospital,Capital Medical University,Beijing 101100,China)

机构地区：[1]首都医科大学附属北京友谊医院感染内科,北京市101100

出　　处：《河北医药》2024年第23期3670-3673,共4页Hebei Medical Journal

摘　　要：目的 探讨基于Kolcaba舒适理论上的强化管理对肝脓肿患者心理负担、舒适度的影响。方法 选取2018年1月至2023年3月收治的106例肝脓肿患者为研究对象,以随机数字表法分为研究组和对照组,每组53例。对照组采取常规护理,研究组在对照组基础上另给予基于Kolcaba舒适理论上的强化管理,2组均持续治疗3个月后评价效果。采用心理负担量表(PANAS量表)评估患者焦虑抑郁情绪,比较患者舒适度(Kolcaba舒适量表)及并发症发生情况、生活质量中文版生活质量量表(QLQ-C30)和自我护理能力量表(ESCA)、护理满意度。结果 护理前,2组患者舒适度评分无明显差异(P>0.05);护理后,2组舒适度评分均升高,且研究组生理、心理精神、社会文化和环境评分高于对照组(P<0.05)。护理前,2组PANAS比较差异无统计学意义(P>0.05),护理后,2组PANAS较术前降低(P<0.05),且研究组PANAS低于对照组(P<0.05)。2组并发症发生率比较差异有统计学意义(P<0.05),且研究组低于对照组(P<0.05)。护理后,2组ESCA评分、QLQ-C30均升高,研究组高于对照组(P<0.05)。研究组护理满意度高于对照组(P<0.05)。结论 基于Kolcaba舒适理论上的强化管理应用于肝脓肿患者可明显改善舒适度,缓解心理负担,降低患者的并发症发生率、提高生活质量和自我护理能力、满意度。Objective To explore the effect of intensive management based on the Kolcaba’s comfort theory on the psychological burden and comfort of patients with liver abscess.Methods A total of 106 patients with liver abscess admitted from January 2018 to March 2023 were selected as the research objects,and they were randomly divided into study group and control group by random number table method,with 53 cases in each group.Patients in the control group received routine nursing,and those in the study group received intensive management based on the Kolcaba’s comfort theory in addition to the control group.The efficacy was evaluated after a continuous treatment for 3 months in both groups.Anxiety and depression assessed by the Positive and Negative Affect Schedule(PANAS),comfort assessed by the Kolcaba General Comfort Questionnaire(GCQ),complications,quality of life assessed by the Chinese version of Quality of Life Questionnaire Core-30(QLQ-C30),self-care ability assessed by the Exercise of Self-Care Agency(ESCA)Scale and nursing satisfaction were compared.Results Before nursing,there was no significant difference in comfort scores between the two groups(P>0.05).After nursing,the comfort scores of both groups increased,and the scores of physiological,psychological,sociocultural and environmental in the study group were significantly higher than those in the control group(P<0.05).Before nursing,there was no significant difference in the PANAS score between the two groups(P>0.05).After nursing,the PANAS score in both groups was significantly lower than that before surgery(P<0.05),which was significantly lower in the study group than the control group(P<0.05).There was a significant difference in the incidence of complications between the two groups(P<0.05),and the study group was significantly lower than the control group(P<0.05).After nursing,ESCA and QLQ-C30 scores increased in both groups,and they were significantly higher in the study group than the control group(P<0.05).The nursing satisfaction of study group was s

关 键 词：肝脓肿患者 基于Kolcaba舒适理论 强化管理 舒适度 心理精神 Kolcaba舒适量表 

分 类 号：R473.6[医药卫生—护理学]