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家属同步认知干预在肺部小结节患者中的应用

Application of synchronous cognitive intervention for family members in patients with small pulmonary nodules
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摘要 目的探讨肺部小结节患者应用家属同步认知干预价值与优势性。方法选取2019年4月至2020年11月昆明市呈贡区人民医院收治的115例肺部小结节患者作为研究对象,按照简单随机法将其分为比对组(57例)与探析组(58例)。比对组采用常规护理方法;探析组采用家属同步认知方法。比较两组的心理状态、健康知识掌握程度与健康行为评分、日常生活质量评分与护理满意度。结果探析组的焦虑评分量表与抑郁评分量表评分低于比对组,差异均有统计学意义(P<0.05)。探析组的健康知识掌握程度与健康行为评分高于比对组,差异均有统计学意义(P<0.05)。探析组的社会功能、精力、躯体疼痛与生理职能评分高于比对组,差异均有统计学意义(P<0.05)。探析组的护理总满意度为98.28%,高于比对组的82.46%,差异有统计学意义(P<0.05)。结论家属同步认知干预不仅可改善肺部小结节患者的心理状态,还可改善其日常生活水平,提升健康知识掌握程度与健康行为,构建良好的护患关系,值得推广应用。 Objective To explore the value and advantages of synchronous cognitive intervention for family members in patients with small pulmonary nodules.Methods A total of 115 patients with small pulmonary nodules admitted to Chenggong District People′s Hospital,Kunming from April 2019 to November 2020 were selected.They were divided into the comparison group(57 cases)and the analysis group(58 cases)using simple random method.The comparison group were given conventional nursing method and the analysis group were given synchronous cognitive method for family members.The psychological status,scores of health knowledge mastery and health behavior,quality of daily life score and nursing satisfaction were compared between the two groups.Results The scores of anxiety scale and depression scale in the analysis group were lower than those in the comparison group,with statistical differences(P<0.05).The scores of health knowledge mastery and health behavior in the analysis group were higher than those in the comparison group,with statistical differences(P<0.05).The scores of social function,energy,physical pain,and physiological function in the analysis group were higher than those in the comparison group,with statistical differences(P<0.05).The nursing total satisfaction in the analysis group was 98.28%,which was higher than that in the comparison group of 82.46%,with statistical difference(P<0.05).Conclusion Synchronous cognitive intervention for family members can improve psychological state,daily life,health knowledge mastery and health behavior,and build a good nurse-patient relationship in patients with small pulmonary nodules.It is worthy of popularization and application.
作者 李艳玲 张继美 尹春艳 李慧明 LI Yan-ling;ZHANG Ji-mei;YIN Chun-yan;LI Hui-ming(The First Department of Internal Medicine,Chenggong District People′s Hospital,Kunming,Yunnan Province,Kunming 650500,China;Department of Psychiatry,Chenggong District People′s Hospital,Kunming,Yunnan Province,Kunming 650500,China)
出处 《中国当代医药》 CAS 2021年第29期221-224,共4页 China Modern Medicine
基金 云南省昆明市卫生健康委员会卫生科研课题项目(2019-03-02-004)。
关键词 肺部小结节 家属同步认知干预 心理状态 日常生活质量 健康知识掌握程度 健康行为 Small pulmonary nodules Synchronous cognitive intervention for family members Psychological state Quality of daily life Health knowledge mastery Health behavior
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