基于Watson理论构建脑血管介入术前教育模式与应用研究  

Study on the model and application of pre-cerebrovascular intervention education for cerebrovascular intervention based on Watson theory

作　　者：熊敏 龚思媛 廖春莲[1] 秦燕[1] XIONG Min;GONG Siyuan;LIAO Chunlian;QIN Yan(Department of Neurology,The Second Affiliated Hospital Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院神经内科,重庆400010

出　　处：《现代医药卫生》2025年第4期904-907,共4页Journal of Modern Medicine & Health

基　　金：重庆医科大学附属第二医院护理骨干科研资助计划项目(2021-16)。

摘　　要：目的评价基于Watson理论构建的脑血管介入术前教育模式对缓解脑血管介入术前患者焦虑情绪的效果。方法采用随机数字表法,将符合纳入排除标准的该院2021年5月至2022年5月神经内科行脑血管介入治疗的患者分为试验组42例,对照组42例。对照组予常规术前宣教,试验组在常规术前宣教基础上,应用基于Watson理论制订的脑血管介入术前教育模式实施术前宣教,2组分别于术前宣教前和术前1 h用阿姆斯特丹术前焦虑和信息量表(APAIS)评估患者焦虑程度,出院时评估2组患者满意率。结果干预前,试验组APAIS评分[(22.69±2.52)分]和对照组APAIS评分[(22.76±2.18)分]相比,差异无统计学意义(P>0.05);干预后,试验组APAIS评分[(10.55±1.15)分]明显低于对照组[(16.02±1.83)分],差异有统计学意义(P<0.05)。干预后,试验组患者出院时总满意率[92.9%(39/42)]明显高于对照组[64.3%(27/42)],差异有统计学意义(P<0.05)。结论基于Watson理论构建脑血管介入术前教育模式对缓解脑血管介入术前患者焦虑情绪效果显著,且可提高患者出院满意率,可作为临床优化护理的参考方案。Objective To evaluate the effect of pre-cerebrovascular intervention education model based on Watson theory on relieving anxiety of patients before cerebrovascular intervention.Methods Random number table method was used to randomly divide the patients who met the inclusion and exclusion criteria and underwent cerebrovascular interventional therapy in the Department of Neurology of the hospital from May 2021 to May 2022 into the experimental group(42 cases)and the control group(42 cases).The control group was given routine preoperative education,and the experimental group was given preoperative education based on the Watson theory in addition to the routine preoperative education.Amsterdam Preoperative Anxiety and Information Scale(APAIS)was used to evaluate the anxiety level of patients in the 2 groups before and 1 h before the preoperative education,respectively,and the satisfaction rate of patients in the 2 groups was assessed at discharge.Results Before intervention,the difference between the APAIS score of the experimental group[(22.69±2.52)points]and the control group[(22.76±2.18)points]was not statistically significant(P>0.05);after the intervention,the APAIS score of the experimental group[(10.55±1.15)points]was significantly lower than that of the control group[(16.02±1.83)points],and the difference was statistically significant(P<0.05).After the intervention,the total satisfaction rate[92.9%(39/42)]of patients in the experimental group at discharge was significantly higher than that of the control group[64.3%(27/42)],and the difference was statistically significant(P<0.05).Conclusion The establishment of pre-cerebrovascular intervention education model based on the Watson theory has a significant effect on alleviating the anxiety of patients before cerebrovascular intervention,and it can improve patients′satisfaction of discharge,which can be used as a reference scheme for clinical optimization of nursing.

关 键 词：Watson理论 术前教育 焦虑 介入治疗 脑血管疾病 

分 类 号：R473[医药卫生—护理学]