基于时机理论的关怀护理在心脏移植患者中的应用  

Application of Care Nursing Based on Timing Theory in Heart Transplantation Patients

作　　者：张国伟 程兆云 孟树萍 陈志高 王燕平 吴娜 ZHANG Guowei;CHENG Zhaoyun;MENG Shuping;CHEN Zhigao;WANG Yanping;WU Na(Adult Cardiovascular Surgical Intensive Care Unit,Fuwai Central China Cardiovascular Hospital,Zhengzhou 450018,China)

机构地区：[1]阜外华中心血管病医院成人心血管外科重症监护室,河南郑州450018

出　　处：《河南医学研究》2025年第5期953-956,共4页Henan Medical Research

摘　　要：目的探讨基于时机理论的关怀护理在心脏移植患者中的应用效果。方法回顾性分析,采集2018年1月至2023年12月阜外华中心血管病医院17例接受常规护理管理的心脏移植患者资料,纳入对照组;采集同期17例在常规护理管理基础上接受基于时机理论的关怀护理的同病患者资料,纳入观察组,两组完成3个月护理。护理前、护理3个月时负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估]、健康行为[采用健康促进生活片方式量表-Ⅱ(HPLP-Ⅱ)评估]、睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)评估]。结果护理3个月时,两组SAS、SDS评分均较护理前降低,且与对照组比较,观察组评分SAS、SDS评分更低(P<0.05);两组HPLP-Ⅱ各维度评分均较护理前提高,且与对照组比较,观察组HPLP-Ⅱ各维度评分更高(P<0.05);两组PSQI评分均较护理前降低,且与对照组比较,观察组评分更低(P<0.05)。结论基于时机理论的关怀护理可以缓解心脏移植患者负性情绪,促进健康相关行为的养成,恢复睡眠质量。Objective To explore the application effect of care nursing based on timing theory in heart transplant patients.Methods A retrospective analysis was conducted to collect data from 17 heart transplant patients who underwent routine nursing management at the Fuwai Central China Cardiovascular Hospital from January 2018 to December 2023,and they were included in the control group.Data from 17 patients with the same disease who implemented care based on timing theory on the basis of routine nursing management during the same period were collected,and included in the observation group.Both groups completed 3 months of nursing care.Information was accessed and the main outcome data was recorded,including:negative emotions before nursing and at 3 months of nursing[assessed using the self rating anxiety scale(SAS)and self rating depression scale(SDS)],healthy behaviors[assessed using the health promotion lifestyle scale-Ⅱ(HPLP-Ⅱ)],and sleep quality[assessed using the Pittsburgh sleep quality index(PSQI)].Results At 3 months of nursing,the SAS and SDS scores of both groups decreased compared to before nursing,and the observation group had lower SAS and SDS scores compared to the control group(P<0.05).The scores of each dimension of HPLP-Ⅱin both groups improved compared to before nursing,and compared with the control group,the observation group had higher scores of each dimension of HPLP-Ⅱ(P<0.05).The PSQI scores of both groups decreased compared to before nursing,and the observation group had lower scores compared to the control group(P<0.05).Conclusion Care based on timing theory can alleviate negative emotions in heart transplant patients,promote the development of health-related behaviors,and restore sleep quality.

关 键 词：心脏移植 时机理论 关怀护理 负性情绪 健康行为 

分 类 号：R473.5[医药卫生—护理学]