摘要
目的 研究专业医护人员模式下的一体化管理模式对急性胰腺炎(AP)患者负性情绪及自我效能的影响。方法 选取河南省人民医院2021年3月至2021年7月收治的56例AP患者作为对照组,2021年8月至2021年12月收治的57例AP患者作为研究组,两组均给予常规治疗方案,对照组采用传统护理模式,研究组在此基础上采用专业医护人员模式下的一体化管理模式。比较两组负性情绪评分[汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、健康行为能力量表(SRAHP)评分、自我效能感量表(GSES)评分、病情恢复指标、并发症发生率及再住院率。结果 干预后,研究组HAMA、HAMD评分较对照组降低,差异有统计学意义(P <0.05);与干预前比较,两组SRAHP、GSES评分均升高,且研究组升高程度大于对照组,差异有统计学意义(P <0.05);与对照组比较,研究组住院时间、高热消失时间、肠鸣音恢复时间、腹部胀痛缓解时间均缩短,差异有统计学意义(P <0.05);研究组并发症发生率(5.26%)低于对照组(17.86%),差异有统计学意义(P <0.05)。结论 专业医护人员模式下的一体化管理模式能缓解患者负性情绪,促使其养成良好健康行为习惯,提高其自我效能,加快AP患者康复,预防并发症发生。
Objective To study the influence of the integrated management model of professional medical staff on the negative emotions and self-efficacy of patients with acute pancreatitis(AP).Methods A total of 56 AP patients admitted from March 2021 to July 2021 in Henan Provincial People's Hospital were selected as the control group,and 57 AP patients admitted from August 2021 to December 2021 were selected as the study group.Both groups were given routine treatment.The control group adopted traditional nursing mode,and the study group adopted the integrated management mode under the professional medical staff mode on this basis.The negative emotion scores[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],self-rated abilities for health practices scale(SRAHP),general self-efficacy scale(GSES),recovery index,complication rate and rehospitalization rate were compared between the two groups.Results After intervention,HAMA and HAMD scores in the study group were significantly lower than those in the control group(P<0.05);Compared with pre-intervention,SRAHP and GSES scores in the two groups increased,and the increase in the study group was greater than that in the control group,with a statistically significant difference(P<0.05);Compared with the control group,the time of hospitalization,the time of disappearance of high fever,the time of recovery of bowel sounds,and the time of relief of abdominal distension and pain in the study group were shortened,with statistical significance(P<0.05);The incidence of complications in the study group(5.26%)was lower than that in the control group(17.86%),with a statistically significant difference(P<0.05).Conclusion The integrated management model of professional medical staff can alleviate the negative emotions of patients,promote them to develop good healthy habits,improve their self-efficacy,speed up the rehabilitation of AP patients,and prevent complications.
作者
王琳娜
宋红霞
马欢
田秋杰
李瑞
WANG Linna;SONG Hongxia;MA Huan;TIAN Qiujie;LI Rui(Department of Hepatobiliary and Pancreatic Surgery,Henan Provincial People's Hospital,People's Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)
出处
《临床研究》
2022年第12期147-150,共4页
Clinical Research
关键词
急性胰腺炎
医护一体化
自我效能
情绪
acute pancreatitis
integration of medical staff
self-efficacy
emotion
