摘要
目的研究同伴教育模式在泌尿系肿瘤患者护理中应用及效果,探索提高临床护理质量的方法,探讨这一模式在临床护理中的人文意义。方法选择自2021年3月至12月期间在某三甲医院泌尿外科接受手术治疗的泌尿系肿瘤患者84例,随机分为对照组及实验组,分别有42例,对照组研究对象入选后采用常规干预模式,实验组研究对象将同伴教育方案融入常规护理模式中,分别采用焦虑自评量表、抑郁自评量表评估患者焦虑、抑郁状态,并评估患者护理满意度。结果干预后实验组焦虑评分较干预前及对照组干预后均有显著性下降(P<0.05),干预后实验组抑郁评分较干预前及对照组干预后均有显著性下降(P<0.05),对照组非常满意、基本满意、不满意分别有12、29、1例,实验组分别有19、23、0例,两组比较差异具有显著统计学意义(P<0.05)。结论采用具有人文关怀意义的同伴教育,可有效缓解患者术前焦虑、抑郁等不良精神心理状态,减轻术前应激,为护理质量提供一个新途径。
Objective:To study the application and effect of peer education mode in the nursing of patients with urinary tumor,and explore the ways to improve the quality of clinical care and the humanistic significance of this mode in clinical nursing.Methods:84 patients with urological tumors who received surgical treatment in urology department of a third-class hospital from March 2021 to December 2021 were randomly divided into the control group and the experimental group,with 42 patients in each group.The subjects in control group adopted routine intervention mode.The subjects in experimental group integrated the peer education program into the routine nursing mode.SAS and SDS scales were used to evaluate patients'state of anxiety and depression,and the degree of nursing satisfaction.Results:The scores of SAS and SDS in the experimental group were significantly lower than that of the experimental group before intervention and the control group after intervention(P<0.05).The number of very satisfied,moderately satisfied and dissatisfied cases in the control group was 12,29 and 1 respectively,and in the experimental group was 19,23 and 0 respectively.The difference was statistically significant(P<0.05).Conclusion:Adopting peer education with humanistic care significance can effectively alleviate patients'preoperative anxiety,depression and other adverse mental state,reduce preoperative stress,and provide a new way for nursing quality.
作者
王莉
黄月娥
赵格格
高媚
张慧
刘文聘
张敏
赵乐
张连栋
WANG Li;HUANG Yue'e;ZHAO Gege;GAO Mei;ZHANG Hui;LIU Wenpin;ZHANG Min;ZHAO Le;ZHANG Liandong(Department of Urology,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China)
出处
《中国医学伦理学》
2023年第5期518-522,共5页
Chinese Medical Ethics
