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Watson关怀理论的鼓励式干预在呼吸衰竭患者中的应用

Effect of encouraging intervention based on Watson care theory in patients with respiratory failure
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摘要 目的探讨Watson关怀理论指导下鼓励式干预对呼吸衰竭患者的影响。方法选取2019年1月至2022年1月无锡市第二人民医院呼吸内科收治100例呼吸衰竭患者为研究对象,采取随机数表法分为干预组与对照组,各50例。对照组予以常规护理干预,干预组予以Watson关怀理论指导下鼓励式干预。对比两组干预前、干预后疾病负担及希望水平、住院相关指标及生活质量。结果干预前两组患者自我感受负担量表(SPBS)评分、Herth希望指数(HHI)评分、圣乔治呼吸问卷(SGRQ)评分比较差异无统计学意义(P>0.05),干预后,干预组SPBS评分、SGRQ评分低于对照组,HHI评分高于对照组(P<0.05);干预组机械通气时间、住院时间、急性生理与慢性健康评分(APACHE)Ⅱ评分等指标低于对照组(P<0.05)。结论 Watson关怀理论指导下鼓励式干预能降低呼吸衰竭患者的疾病负担,提高其希望水平,缩减住院时间,提高生活质量。 Objective To explore the influence of encouraging intervention under the guidance of Watson care theory on patients with respiratory failure.Methods A total of 100 patients with respiratory failure admitted to the hospital from January 2019 to January 2022 were selected as the study objects,and were divided into intervention group and control group by random number table method,with 50 cases in each group.The control group was given routine nursing intervention,and the intervention group was given encouraging intervention under the guidance of Watson caring theory.The disease burden and hope level,hospitalization related indexes and quality of life of the two groups were compared before and after intervention.Results Before intervention,there were no significant differences in the scores of Self-perceived Burden scale(SPBS),Herth Hope Index(HHI)and St.George's Respiratory Questionnaire(SGRQ)between the two groups(P>0.05).After the intervention,the SPBS score and SGRQ score of the intervention group were lower than those of the control group,and the HHI score was higher than that of the control group(P<0.05).The indexes of mechanical ventilation time,hospital stay,Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱin the intervention group were lower than those in the control group(P<0.05).Conclusions Encouraging intervention guided by the Watson care theory can reduce the burden of disease in patients with respiratory failure,improve their level of hope,reduce hospital stay,and improve their quality of life.
作者 薛翠 朱微微 Xue Cui;Zhu Weiwei(Respiratory Medicine,Wuxi Second People's Hospital,Wuxi 214000,China)
出处 《国际护理学杂志》 2024年第4期604-608,共5页 international journal of nursing
基金 江苏省卫生健康委科研面上项目(H2019045)。
关键词 Watson关怀理论 鼓励式干预 呼吸衰竭 希望水平 Watson care theory Encouraging intervention Respiratory failure Hope level
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