摘要
目的观察个性化叙事护理在慢性阻塞性肺疾病患者中的应用分析。方法选取粤北人民医院2021年5~7月开展个性化叙事护理后收治的慢性阻塞性肺疾病患者40例作为研究组,并选取2021年1~4月实施常规护理的患者40例作为对照组。比较两组患者在护理前、后对疾病的应对方式,自我护理能力与健康行为能力,步行6min距离及血气指标,并比较患者在护理后对治护的依从性优良率、对护理的总满意率及住院天数情况。结果护理后“面对、乐观、情感宣泄、依靠自我”条目评分明显升高,研究组高于对照组,而“逃避、宿命、姑息、寻求支持”条目评分降低,研究组低于对照组(P<0.05)。护理后两组患者自我护理能力、健康行为能力较护理前提升,研究组高于对照组(P<0.05)。治护后两组患者的步行6min距离、血气指标水平较治护前上升,研究组较对照组更高且更平稳(P<0.05)。研究组患者在护理后对治护的依从性优良率及对护理的总满意率更高,住院天数更短(P<0.05)。结论在慢性阻塞性肺疾病患者中,应用个性化叙事护理,可明显改变患者对疾病的应对方式,提升自我护理及健康行为能力,改善步行6min距离与血气指标,获得较高的对治护的依从性优良率、对护理的总满意率,缩短住院天数,效果理想。
Objective To observe and analyze the application of personalized narrative nursing in patients with chronic obstructive pulmonary disease.Methods From May 2021 to July 2021,40 patients with chronic obstructive pulmonary disease admitted to North Guangdong People’s Hospital under personalized narrative nursing were treated as the study group,and 40 patients under routine nursing(January 2021 to April 2021)were selected as the control group.The coping style,self-care ability and healthy behavior ability,6-minute walking distance and blood gas indexes of the two groups before and after nursing were compared,and the excellent rate of treatment and nursing compliance,the total satisfaction rate of nursing and the length of hospital stay were compared.Results After nursing,the scores of“face,optimism,emotional catharsis and self-reliance”increased significantly.The scores of“escape,destiny,palliative and seeking support”in the study group were higher than those in the control group,while the scores of escape,fate,palliative and seeking support in the study group were lower than those in the control group(P<0.05).After nursing,the self-care ability and healthy behavior ability of the two groups were improved compared with those before nursing,and the study group was higher than that of the control group(P<0.05).After treatment and nursing,the 6-min walking distance and blood gas index level of the two groups increased compared with those before treatment and nursing,and the study group was higher and more stable than those of the control group(P<0.05).The patients in the study group had higher excellent rate of treatment and nursing compliance,higher overall satisfaction rate with nursing,and shorter hospital stay(P<0.05).Conclusion In patients with chronic obstructive pulmonary disease,the application of personalized narrative nursing can significantly change the patients’response to the disease,improve their self-care and healthy behavior ability,improve the 6-min walking distance and blood gas index,obtai
作者
谢俊玲
李梅
黄慧
滕秋园
孙玉婧
雷燕萍
XIE Junling;LI Mei;HUANG Hui;TENG Qiuyuan;SUN Yujing;LEI Yanping(Department of Respiratory Medicine,North Guangdong People’s Hospital,Shaoguan,Guangdong,512026)
出处
《智慧健康》
2022年第23期70-74,共5页
Smart Healthcare
关键词
个性化
叙事护理
慢性阻塞性肺疾病
应对方式
依从性
满意率
Personalization
Narrative nursing
Chronic obstructive pulmonary disease
Coping style
Compliance
Satisfaction rate
