摘要
目的探讨感恩心理护理干预在气管切开患者的应用方法与效果。方法选择2013年2月至2016年1月进行气管切开的呼吸衰竭患者120例,随机分为观察组与对照组,每组各60例。对照组予以常规护理干预,观察组在常规护理的基础上给予感恩心理护理干预,两组护理观察时间为4周。比较两组患者的护理感恩情况、呼吸道感染发生率及认知情况。结果护理干预前两组的护理感恩评分及认知活动各项评分,组间比较差异无统计学意义(P>0.05)。观察组与对照组在护理干预后的感恩问卷评分均明显高于干预前的评分,差异有统计学意义(P<0.05);且观察组护理干预后的感恩评分明显高于对照组(P<0.05)。观察组气管切开呼吸道感染发生率(3.3%)显著低于对照组(16.7%)(P<0.05)。护理干预后,两组患者的躯体功能、睡眠、饮食、精神与认知活动评分明显高于护理前,差异有统计学意义(P<0.05);且观察组的躯体功能、睡眠、饮食、精神与认知活动评分明显高于对照组(P<0.05)。结论感恩心理护理干预能更好地提高气管切开患者的感恩水平,有助于减少呼吸道感染的发生率,提高患者的生活质量。
Objective To explore the Effect of grateful psychological nursing intervention on the patients with tracheotomy. Methods 90 cases of 120 patients with tracheotomy because of respiratory failure in our hospital were collected and randomly divided into the observation group and the control group,60 cases for each group. The control group was given routine nursing,and the observation group was given grateful psychological nursing intervention based on the nursing care of the control group. The nursing intervention lasted 4 weeks. Then the nursing gratitude situation,the incidence of respiratory infections and cognitive status of the two groups were compared. Results There was no significant differences of nursing gratitude and cognitive scores between the two groups before intervention（P〉0.05）. After intervention,the nursing gratitude and cognitive scores were higher in both the two groups than that before nursing intervention. Meanwhile the indexes mentioned above in the observation group were better than that in the control group,all the differences above were statistically significant（P〈0.05）. Meanwhile,the incidence of respiratory infections of the observation group（3.3%）was lower than that in the control group（16.7%）,and the difference was statistically significant（P〈0.05）. After intervention,the scores of body function,sleep,diet,mental and cognitive activities were higher in the both two groups than that before nursing intervention. Meanwhile the indexes mentioned above in the observation group were better than that in the control group,all the differences above were statistically significant（P〈0.05）. Conclusion Grateful psychological nursing intervention can be better to improve the level of nursing gratitude of patients with tracheotomy,and it is more helpful to reduce the incidence of respiratory infections and improve the patients’ quality of life as well.
出处
《国际精神病学杂志》
2016年第3期569-571,共3页
Journal Of International Psychiatry
关键词
感恩心理护理干预
气管切开
生活质量
呼吸道感染
Grateful psychological nursing intervention
Tracheotomy
Quality of life
Respiratory infection
