摘要
目的:探讨基于Watson关怀理论的护理干预在老年代谢综合征(MS)患者中的应用效果。方法:采用便利抽样法,纳入2017年6月—2019年6月山西省人民医院全科医疗科收治的118例MS患者作为研究对象,根据纳入时间将患者分为观察组(2018年7月—2019年6月,n=54)和对照组(2017年6月—2018年6月,n=64)。对照组予以常规护理干预,观察组在此基础上予以基于Watson关怀理论的护理干预。干预前和干预6个月后,评估两组治疗依从性、实验室指标(空腹血糖、糖化血红蛋白、总胆固醇、收缩压)、疾病感知情况、主观幸福感。结果:干预前两组治疗依从性、实验室指标、疾病感知得分、主观幸福感得分差异均无统计学意义(P>0.05)。干预6个月后,观察组治疗依从性,主观幸福感,疾病感知的个人控制、治疗控制、疾病一致维度得分高于对照组,空腹血糖,糖化血红蛋白,总胆固醇,收缩压,疾病病程、感知后果、疾病周期、情绪控制维度得分低于对照组,差异均有统计学意义(P<0.05)。结论:基于Watson关怀理论的护理干预应用于老年MS患者效果良好,对其主观幸福感和疾病感知情况均产生积极影响。
Objective To explore the effect of nursing intervention based on Watson caring theory in elderly patients with metabolic syndrome(MS).Methods Convenience sampling was used to select 118 MS patients admitted to the Department of General Medicine of Shanxi Provincial People's Hospital from June 2017 to June 2019 as the research object.Patients were divided into observation group(from July 2018 to June 2019,n=54)and control group(from June 2017 to June 2018,n=64)according to inclusion time.Control group received routine nursing intervention,and observation group received nursing intervention based on Watson caring theory.We evaluated the treatment compliance,laboratory indicators(fasting blood glucose,glycosylated hemoglobin,total cholesterol,systolic blood pressure),disease perception,and subjective well-being of two groups before and 6 months after intervention.Results Before intervention,there was no statistically significant difference in treatment compliance,laboratory indicators,disease perception scores and subjective well-being scores between two groups(P>0.05).After 6 months of intervention,treatment compliance and subjective well-being score,the personal control,treatment control and illness coherence dimention of illness perception scores of observation group were higher than those of control group,and the fasting blood glucose,glycosylated hemoglobin,total cholesterol,systolic blood pressure,course of disease,consequences,timeline,psychological attribution dimension of disease perception scores of observation group were lower than those of control group,and the differences were statistically significant(P<0.05).Conclusions Nursing intervention based on Watson caring theory is effective when applied to elderly patients with MS,and has a positive impact on their subjective well-being and disease perception.
作者
潘欣
Pan Xin(Department of General Medicine,Shanxi Provincial People's Hospital,Taiyuan 030001,China)
出处
《中华现代护理杂志》
2021年第7期938-943,共6页
Chinese Journal of Modern Nursing
