摘要
目的探讨医共体护理对老年肺栓塞患者消极心理、自我管理能力及生活状况的影响。方法便利选取2021年6月—2023年2月江苏省苏北人民医院接诊的86例老年肺栓塞患者为研究对象,采用随机数表法分为两组,各43例。对照组采取常规护理干预,观察组采取医共体护理模式干预。对比两组患者护理前后消极心理状态改善情况、自我管理能力和生活质量改善情况,以及护理满意度。结果护理后,观察组汉密尔顿焦虑量表评分、汉密尔顿抑郁量表评分低于对照组,差异有统计学意义(P<0.05)。观察组慢性病自我管理行为量表中自我效能评分(52.26±2.35)分和自我管理行为评分(65.74±3.46)分均高于对照组,差异有统计学意义(P<0.05);观察组健康状况调查问卷评分(92.91±4.07)分高于对照组的(87.45±4.13)分,差异有统计学意义(t=6.175,P<0.05);观察组临床护理满意度为97.67%高于对照组的81.40%,差异有统计学意义(χ^(2)=4.468,P<0.05)。结论对老年肺栓塞患者采取医共体护理干预,可有效改善患者消极心理,显著提高自我管理能力及生活质量,患者满意度高,促进患者恢复。
Objective To investigate the effect of medical community care on negative psychology,self-management skills and living conditions of elderly patients with pulmonary embolism.Methods A total of 86 elderly patients with pulmonary embolism admitted to Subei People′s Hospital of Jiangsu Province from June 2021 to February 2023 were conveniently selected as the study objects and divided into two groups with 43 cases in each group by random number table method.The control group received routine nursing intervention,and the observation group received medical community nursing intervention.The improvement of negative mental state,self-management ability and quality of life,as well as nursing satisfaction before and after nursing were compared between the two groups.Results After nursing,the score of Hamilton anxiety Scale and Hamilton Depression Scale in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The scores of self-efficacy(52.26±2.35)points and self-management behavior(65.74±3.46)points in the Chronic Disease Self-management Behavior Scale in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The Health Status Questionnaire Score of the observation group(92.91±4.07)points was higher than that of the control group(87.45±4.13)points,and the difference was statistically significant(t=6.175,P<0.05).Clinical nursing satisfaction in the observation group was 97.67%,which was higher than that in the control group(81.40%),and the difference was statistically significant(χ^(2)=4.468,P<0.05).Conclusion Medical community nursing intervention for elderly patients with pulmonary tethers can effectively improve patients′negative psychology,significantly improve self management ability and quality of life,and patients′satisfaction was high and recovery was promoted.
作者
赵敏
王庆
刘秀
ZHAO Min;WANG Qing;LIU Xiu(Department of Respiratory and Critical Care,Jiangsu Subei People′s Hospital,Yangzhou,Jiangsu Province,225001 China)
出处
《中外医疗》
2023年第23期150-154,共5页
China & Foreign Medical Treatment
关键词
医共体护理
老年肺栓塞
消极心理
自我管理能力
生活质量
Medical community care
Pulmonary embolism in the elderly
Negative psychology
Self-management skills
Quality of life
