摘要
目的探讨基于King达标理论护理在纤维支气管镜肺泡灌洗患者中的应用效果。方法选取2019年6月至2020年6月本院收治的86例纤维支气管肺泡灌洗患者作为研究对象,按照随机数字表法分为对照组与观察组,每组43例。对照组实施常规护理,观察组实施基于King达标理论对患者实施护理指导,比较两组干预前后不良情绪及自我效能评分、灌洗知识知晓情况、治疗依从情况、满意度情况及不良反应发生情况。结果干预前,两组自我效能评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分比较差异无统计学意义;干预后,观察组SAS评分、SDS评分均低于对照组,自我效能评分高于对照组,差异有统计学意义(P<0.05)。观察组灌洗知识知晓率、治疗依从率、患者满意率均高于对照组,且不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论基于King达标理论的护理干预能有效提升纤维支气管镜肺泡灌洗患者的自我效能,缓解其不良情绪,提升灌洗治疗依从率与疗效,进而提升护理满意度。
Objective To investigate the application of King's achievement theory in the psychological intervention of fiberoptic bronchoscopic alveolar lavage patients.Methods A total of 86 patients with fiberoptic bronchoscopic alveolar lavage admitted to our hospital from June 2019 to June 2020 were selected as the study subjects,and they were divided into control group and observation group according random number table method,with 43 cases in each group.The control group implemented routine nursing,and the observation group implemented nursing guidance for patients based on King attainment theory,and the adverse emotions and self-efficacy scores,irrigation knowledge knowledge,treatment compliance,satisfaction and adverse reactions before and after interventionwere compared between the two groups.Results Before the intervention,there were no significant differences in self-efficacy score,self-rating anxiety scale(SAS)score and self-rating depression scale score(SDS)between the two groups;after the intervention,the SAS scores and SDS scores of the observation group were lower than those in the control group,and the self-efficacy scores were higher than those of the control group,and the differences were statistically significant(P<0.05).The awareness rate of lavage knowledge,treatment compliance rate and patient satisfaction rate in the observation group were higher than those in the control group,and the incidence of adverse reactions was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention based on King's achievement theory can effectively improve the self-efficacy of patients with fiberoptic bronchoscopic alveolar lavage,reduce their bad emotions,improve the compliance rate and efficacy of lavage therapy,and improve the patient satisfaction rate of nursing.
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LIU Huan;YU Zan;ZHOU Qun(Department of Respiratory Medicine,921st Hospital,Joint Logistics Support Force,People's Liberation Army,Changsha,Hunan,410003,China)
出处
《当代医学》
2022年第28期185-188,共4页
Contemporary Medicine
关键词
KING达标理论
纤维支气管镜肺泡灌洗
自我效能
不良情绪
治疗依从率
满意率
King's achievement theory
Fiberoptic bronchoscopic alveolar lavage
Self-efficacy
Bad mood
Treatment adherence
Satisfaction rate
