慢性骨髓炎患者基于Swanson关怀理论的护理方案的构建及实施  

Construction and implementation of a nursing care plan for patients with chronic osteomyelitis based on Swanson′s theory of caring

作　　者：许文 郭珈宜 陈睿 李海婷 吴松梅 王茜 李翠 郭亚丽 Xu Wen;Guo Jiayi;Chen Rui;Li Haiting;Wu Songmei;Wang Qian;Li Cui;Guo Yali(Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Zhengzhou 450003,China)

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院)骨关节病二科,河南郑州450008

出　　处：《护理学杂志》2025年第4期66-71,共6页Journal of Nursing Science

基　　金：河南省中医药文化与管理研究项目(TCM2024031);河南省医学科技攻关计划联合共建项目(RKX202402031)。

摘　　要：目的探讨基于Swanson关怀理论的护理方案在慢性骨髓炎患者中的应用效果,为提升患者积极心理状态及人文护理体验提供参考。方法采取便利抽样法,于2023年5-11月选取74例慢性骨髓炎患者作为研究对象,根据不同病区分为对照组和干预组各37例。对照组采用常规心理护理,干预组采用基于Swanson关怀理论的护理方案。采用心理积极状况量表、自我护理能力量表、患者关怀感知量表、心理弹性简表评价干预效果。结果干预后,干预组心理积极状况、自我护理能力、关怀感知评分和心理弹性水平显著高于对照组(均P<0.05)。结论基于Swanson关怀理论的护理方案,可以增强慢性骨髓炎患者积极心理状态和心理弹性水平,提高自我照护能力,提升患者人文关怀感知度。Objective To explore the application effect of nursing plan based on Swanson′s care theory in patients with chronic osteomyelitis,and provide reference for improving patients′positive psychological state and humanistic nursing experience.Methods Convenience sampling was used to select 74 patients with chronic osteomyelitis as the research subjects from May to November 2023.They were divided into a control group and an intervention group,with 37 patients in each group according to different disease wards.The control group received routine psychological care,while the intervention group received a nursing plan based on Swanson′s care theory.The Well-Being inWounds Inventory(WOWI),Exercise of Self-Care Agency(ESCA)Scale,Client Perception of Caring Scale(CPCS)and 14-item Resilience-Scale(RS-14)were used to evaluate the intervention effect.Results After intervention,the intervention group showed significantly higher levels of WOWI,self-care ability,perceived care score,and psychological resilience compared to the control group(all P<0.05).Conclusion A nursing plan based on Swanson′s care theory can enhance the positive psychological state and resilience level of patients with chronic osteomyelitis,improve self-care ability,and enhance patients′perception of humanistic care.

关 键 词：慢性骨髓炎 Swanson关怀理论 人文关怀感知度 心理积极状况 自我护理能力 负性情绪 心理弹性 

分 类 号：R471[医药卫生—护理学] R681.2[医药卫生—临床医学]