摘要
目的 分析、探讨罗伊-纽曼系统心理护理对人工肝血浆置换肝衰竭患者疾病进展恐惧心理的干预效果。方法 选择2019年1月-2021年1月于赣州市第五人民医院行人工肝血浆置换术的60例肝衰竭患者作为研究对象,利用随机数字表法分为观察组、对照组,各组均30例。对照组采用常规内科共情护理干预,观察组在对照组的基础上采用罗伊-纽曼系统进行心理护理干预。对比2组患者疾病进展恐惧得分、心理弹性评分、遵医行为率、患者自我管理能力。结果 干预前,2组患者的疾病进展恐惧得分各指标比较差异无统计学意义(P>0.05);干预后,观察组的生理健康和社会家庭以及进展恐惧总分均明显低于对照组,差异有统计学意义(P<0.05)。干预前,2组的心理弹性评分比较差异无统计学意义(P>0.05);干预后,观察组的心理弹性各指标得分均高于对照组,差异有统计学意义(P<0.05)。观察组的遵医行为率高于对照组,差异有统计学意义(P<0.05)。观察组患者自我管理能力各项指标得分均高于对照组,差异有统计学意义(P<0.05)。结论 罗伊-纽曼系统心理护理能显著减少人工肝血浆置换肝衰竭患者疾病进展恐惧心理,提升自我管理能力和遵医行为,提高心理适应能力,临床应用效果理想。
Objective To analyze and explore the effect of Roy Newman systematic psychological nursing on the fear of disease progression in patients with Liver failure after artificial liver plasma exchange.Methods A total of 60 patients with artificial liver plasma replacement liver failure who came to our hospital for treatment from January 2019 to January 2021 were selected as objects,divided observation,control group randomly,30 cases in each.Control group given routine internal medicine empathy nursing intervention;the observation group was given Roy-Newman systematic psychological nursing intervention on the basis of the control group.The scores of fear of disease progression,psychological elasticity,compliance rate,self-management ability were compared between the two groups.Results Before intervention,no significant difference in the scores of disease progression fear(P>0.05);After intervention,the total scores of physical health,social family and progress fear were lower in observation group(P<0.05).Before intervention,no significant difference between two groups(P>0.05).The scores of psychological elasticity indexes were higher in observation group(P<0.05).The compliance rate was higher in observation group(P<0.05).The scores of all indicators of self-management ability in the observation group were higher than those in the control group,with significant difference(P<0.05).ConclusionRoy-Newman system psychological intervention can significantly reduce the fear of disease progression in patients with liver failure after artificial liver plasma exchange,improve the quality of life and self-management ability.The clinical application effect is ideal.
作者
邹园园
曾基秀
吴丽芳
许金美
黄慧
罗颖敏
Zou Yuanyuan;Zeng Jixiu;Wu Lifang;Xu Jinmei;Huang Hui;Luo Yingmin(The Fifth People's Hospital of Ganzhot City,Ganzhou,Jiangxi 341000)
出处
《基层医学论坛》
2023年第21期1-3,23,共4页
The Medical Forum
基金
江西省卫生健康委普通科技计划(202212312)。
关键词
肝衰竭
人工肝血浆置换
疾病进展恐惧
罗伊-纽曼系统
心理干预
Liver failure
Artificial liver plasma exchange
The fear of disease progression
Roy-Newman system
Psychological intervention
