摘要
目的:探讨聚焦解决模式应用在上消化道出血护理中对再出血率、负性情绪和遵医行为的影响。方法:选取2017年1月-2019年1月本院收治的100例上消化道出血患者,按照电脑随机数字表抽取法分成观察组和对照组,各50例。对照组实施常规护理干预,观察组在对照组基础上由护理人员对患者实施聚焦解决模式干预。观察比较两组患者干预后的再出血率和遵医行为评分,干预前后负性情绪[焦虑(SAS)、抑郁(SDS)]评分和自我护理能力评分。结果:干预后,观察组再出血率为6.0%,显著低于对照组的26.0%,差异有统计学意义(P<0.01)。干预后,两组患者SAS、SDS评分均低于干预前,且观察组SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者健康知识水平、自我概念、自我护理技能、自我责任感评分均明显高于干预前,且观察组各维度评分均明显高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者配合操作、卧床休息、遵医用药、遵医饮食、预防跌倒、戒烟酒、预防并发症的遵医行为评分均高于对照组,差异均有统计学意义(P<0.05)。结论:聚焦解决模式应用在上消化道出血护理中,有助提高患者的自我效能,提高遵医行为,降低再出血率,改善抑郁与焦虑负性情绪,具有重要的临床应用价值。
Objective: To explore the effect of the focused solution model on the rebleeding rate, negative emotion and compliance behavior in the nursing of upper gastrointestinal bleeding. Method: A total of 100 patients with upper gastrointestinal bleeding admitted to our hospital from January 2017 to January 2019 were selected. They were divided into observation group and control group by computer random number table extraction method, 50 cases in each group. The control group received routine nursing intervention. On the basis of the control group, nurses in the observation group carried out focused solution mode intervention on the patients. The rate of rebleeding and the score of compliance behavior, the score of negative emotion(SAS, SDS) and the score of self-care ability before and after intervention were observed and compared between the two groups. Result: After intervention, the rebleeding rate in the observation group was 6.0%, significantly lower than 26.0% in the control group, the difference was statistically significant(P<0.01). After intervention, the SAS and SDS scores of the two groups were lower than those before intervention, and the SAS and SDS scores of the observation group were lower than those of the control group, the differences were statistically significant(P<0.05). After intervention, the scores of health knowledge level, selfconcept, self-nursing skills and self-responsibility of patients in the two groups were significantly higher than those before intervention, and the scores of all dimensions in the observation group were significantly higher than those in the control group, the differences were statistically significant(P<0.05). After the intervention, the compliance scores of patients in the observation group for cooperative operation, bed rest, medicine compliance, diet compliance, fall prevention, smoking cessation, and complication prevention were all higher than those in the control group, the differences were statistically significant(P<0.05). Conclusion: Focused solution model app
作者
陈礼香
陈斌
CHEN Lixiang;CHEN Bin(Shaoguan Railway Hospital,Shaoguan 512023,China)
出处
《中国医学创新》
CAS
2020年第2期96-100,共5页
Medical Innovation of China
关键词
聚焦解决模式
上消化道出血
负性情绪
遵医行为
Focused solution model
Upper gastrointestinal bleeding
Negative emotions
Medical compliance behavior
