摘要
目的:探究以马斯洛需求层次理论为指导的护理对腹腔镜胆囊切除术患者的影响。方法:选取2019年11月—2020年11月潍坊市中医院接受腹腔镜胆囊切除术的胆囊疾病患者82例。根据随机数表法将其分为A组(n=41)与B组(n=41)。B组给予常规护理,A组给予以马斯洛需求层次理论为指导的护理。比较两组护理前及护理1周后负性情绪、心理健康水平、疾病不确定感及护理1周后护理满意度。结果:护理1周后,两组焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均显著下降,且A组SAS及SDS评分均低于B组(P<0.05)。护理1周后,两组偏执、精神病性、恐怖、人际关系敏感、强迫症状评分比较差异均无统计学意义(P>0.05),两组偏执、精神病性、恐怖、人际关系敏感、强迫症状、焦虑、抑郁、躯体化、敌对评分均降低,且A组焦虑、抑郁、躯体化、敌对评分均低于B组(P<0.05)。护理1周后,两组不明确性、复杂性评分均下降,且A组不明确性、复杂性评分均低于B组(P<0.05)。护理1周后,A组护理总满意度(95.12%)显著高于B组(75.61%)(P<0.05)。结论:在腹腔镜胆囊切除术患者的护理中运用以马斯洛需求层次理论为指导的护理可以显著改善患者的负性情绪,降低患者的疾病不确定感,提高患者满意度,效果显著,值得推广。
Objective:To explore the effect of nursing guided by Maslow’s hierarchy of needs on patients undergoing laparoscopic cholecystectomy.Method:From November 2019 to November 2020,82 patients with gallbladder diseases who received laparoscopic cholecystectomy in Weifang Chinese Medicine Hospital were selected.They were divided into group A(n=41)and group B(n=41)according to the method of random number table.Group B was given routine nursing and group A was given nursing guided by Maslow’s hierarchy of needs.The negative emotion,mental health level,uncertainty of disease before and after 1 week of nursing,and nursing satisfaction after 1 week of nursing of the two groups were compared.Result:After 1 week of nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups decreased significantly,and the scores of SAS and SDS in group A were lower than those in group B(P<0.05).After 1 week of nursing,there were no significant differences in the scores of paranoia,psychosis,phobia,interpersonal sensitivity and obsessive-compulsive symptoms between the two groups(P>0.05),the scores of anxiety,depression and somatization,hostility,paranoia,psychosis,phobia,interpersonal sensitivity and obsessive-compulsive symptoms in the two groups decreased,and the scores of anxiety,depression and somatization,hostility in group A were lower than those in group B(P<0.05).After 1week of nursing,the scores of uncertainty and complexity in both groups decreased,and the scores of uncertainty and complexity in group A were lower than those in group B(P<0.05).After 1 week of nursing,the total nursing satisfaction of group A(95.12%)was significantly higher than that of group B(75.61%)(P<0.05).Conclusion:The application of nursing guided by Maslow’s hierarchy of needs in patients undergoing laparoscopic cholecystectomy can significantly improve the negative emotions of patients,reduce the uncertainty of patients’disease,and improve patient satisfaction.The effect is significant and worth promoting.
作者
扈文娟
万玲
徐金辉
刘桂英
HU Wenjuan;WAN Ling;XU Jinhui;LIU Guiying(Weifang Chinese Medicine Hospital,Weifang 261041,China;不详)
出处
《中外医学研究》
2023年第3期94-98,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
潍坊市健康委员会中医药科研项目(2020年(第四类)第2020-044号)。
