基于智谋理论的干预模式在胰腺炎内科住院患者护理中的应用  

Application of intervention mode based on resourcefulness theory in nursing care of inpatients with pancreatitis

作　　者：张慧珍 赵玲玲 张晨曦 梁盼[2] Zhang Huizhen;Zhao Lingling;Zhang Chenxi;Liang Pan(Department of Gastroenterology,Henan Provincial People's Hospital,Key Laboratory of Nursing Medicine of Henan Province,Department of Gastroenterology,People's Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Medical Imaging,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院消化内科、河南省护理医学重点实验室、郑州大学人民医院消化内科,郑州450000 [2]郑州大学第一附属医院医学影像科,郑州450000

出　　处：《国际护理学杂志》2025年第6期988-993,共6页international journal of nursing

基　　金：河南省卫生健康委员会项目(232102310228)。

摘　　要：目的分析基于智谋理论的干预模式在胰腺炎内科住院患者护理中的应用效果。方法选取2021年6~8月河南省人民医院内科收治的急性胰腺炎患者为对照组(30例),给予常规护理;选取2021年9~11月收治的胰腺炎患者为观察组(30例),给予基于智谋理论的护理干预。比较两组患者胃肠各功能恢复用时、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、智谋水平、心理弹性[心理弹性量表(CD-RISC)评分]。结果观察组患者的体温恢复、肠鸣音恢复、腹胀缓解、腹痛缓解、肛门排便恢复用时均少于对照组,差异有统计学意义(均P<0.05),两组患者干预后,SAS、SDS评分均低于干预前,观察组患者接受干预后分值降低比对照组更明显,差异有统计学意义(P<0.05)。干预后两组患者个人智谋、社会智谋和总智谋评分均高于干预前,观察组个人智谋、社会智谋和总智谋评分均高于对照组,差异有统计学意义(P<0.05),且观察组患者CD-RISC的心理弹性各维度得分及总分均高于本组干预前及干预后对照组,差异有统计学意义(均P<0.05)。结论基于智谋理论的干预模式在胰腺炎内科住院患者护理中,能促进急性胰腺炎患者的胃肠功能恢复,改善患者的不良心理状态,并提高患者的智谋水平与心理弹性。ObjectiveTo analyze the application effect of intervention model based on the theory of resourcefulness in the nursing of hospitalized patients with pancreatitis.MethodsThirty patients with acute pancreatitis admitted to the Department of Internal Medicine of Henan Provincial People's Hospital from June to August 2021 were selected as the control group and were given routine nursing.Thirty patients with pancreatitis who were admitted from September to November 2021 were selected as the observation group and were given nursing intervention based on resourcefulness theory.The recovery time of gastrointestinal function,psychological status[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)],intelligence level,resilience[Connor-Davidson Resilience Scale(CD-RISC)]were compared between the two groups.ResultsThe time of body temperature recovery,bowel sound recovery,abdominal distension relief,abdominal pain relief and anal defecation recovery in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the SAS and SDS scores of the two groups were lower than those before intervention,and the scores of the observation group decreased more significantly than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of personal resourcefulness,social resourcefulness and total resourcefulness of the two groups were higher than those before intervention,and the scores of personal resourcefulness,social resourcefulness and total resourcefulness of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The scores of CD-RISC psychological resilience of the observation group were higher than those of the control group before and after the intervention,and the differences were statistically significant(P<0.05).ConclusionsThe intervention model based on resourcefulness theory in the nursing of hospitalized p

关 键 词：急性胰腺炎 护理 智谋理论 

分 类 号：R473.5[医药卫生—护理学]