目的:分析团体心理辅导在炎症性肠病患者中的应用效果。方法:选取2022年9月至2023年1月江苏省某三甲医院消化内科炎症性肠病患者,采用随机数字表法分为对照组和干预组,各18例,干预组在对照组干预措施的基础上增加以心理剧为主体的团体...目的:分析团体心理辅导在炎症性肠病患者中的应用效果。方法:选取2022年9月至2023年1月江苏省某三甲医院消化内科炎症性肠病患者,采用随机数字表法分为对照组和干预组,各18例,干预组在对照组干预措施的基础上增加以心理剧为主体的团体心理辅导,对照组接受消化内科常规护理干预并在出院后建立微信群进行健康宣教,干预时长均为8周。比较两组干预前后自我概念量表评分、心理弹性量表评分、焦虑自评量表评分及睡眠状况自评量表评分的差异;对干预组18名患者参与团体心理辅导的感受分享采用Colaizzi 7步分析法分析、归纳、提炼资料。结果:干预前,两组自我概念量表评分、心理弹性量表评分、焦虑自评量表评分及睡眠状况自评量表评分比较,差异无统计学意义(P > 0.05);干预后,干预组自我概念量表评分、心理弹性量表评分均高于对照组(P > 0.05),焦虑自评量表评分、睡眠状况自评量表评分均低于对照组(P > 0.05);提炼出重塑自我、角色扩展、自我实现3个主题。结论:团体心理辅导可以提升炎症性肠病患者的自我概念,改善心理状态。Objective: This paper aims to analyze the application effect of group psychological counseling in patients with inflammatory bowel disease. Method: Patients with inflammatory bowel disease in the gastroenterology department of a tertiary hospital in Jiangsu Province from September 2022 to January 2023 were selected and randomly divided into a control group and an intervention group using a random number table method, with 18 cases in each group. The intervention group received group psychological counseling with psychodrama as the main body on the basis of the intervention measures in the control group. The control group received routine nursing intervention in the gastroenterology department and established a WeChat group for health education after discharge. The intervention duration was 8 weeks for both groups. the differences in self-concept scale scores, CD-RISC scores, SAS scores, and SRSS scores between the two groups before and after intervention were compared;The experience sharing of 18 patients in the intervention group participating in group psychological counseling was analyzed, summarized, and extracted using the Colaizzi 7-step analysis method. Results: Before the intervention, there was no statistically significant difference between the two groups in terms of self-concept scale scores, CD-RISC scores, SAS scores, and SRSS scores (P > 0.05);After intervention, the self-concept scale scores and CD-RISC scores of the intervention group were higher than those of the control group (P > 0.05), while the SAS scores and SRSS scores were lower than those of the control group (P > 0.05);Three themes were extracted: reshaping oneself, expanding roles, and achieving oneself. Conclusion: Group psychological counseling can enhance the self-concept of patients with inflammatory bowel disease and improve their psychological state.展开更多
目的:探讨医联体背景下专科护理联盟的建立对炎症性肠病患者管理的效果。方法:分析医联体区域内消化专科护理发展现状,以医联体区域为界限,构建以市护理学会为主导、三甲医院为核心、社区医院为基础的多层次专科护理联盟体系。重点从消...目的:探讨医联体背景下专科护理联盟的建立对炎症性肠病患者管理的效果。方法:分析医联体区域内消化专科护理发展现状,以医联体区域为界限,构建以市护理学会为主导、三甲医院为核心、社区医院为基础的多层次专科护理联盟体系。重点从消化专科护理人员岗位管理、护理临床专科帮扶、护理质量控制几个方面开展同质化专科护理联盟建设,采用护士长的管理能力、护理人员的专科护理能力作为评价指标,对专科护理联盟构建的效果进行评价。结果:构建了以市护理学会为主导的、1家三甲医院为核心的、2家基层医院为基础的专科护理联盟体系,经过一年的专科护理联盟建设,初步同质化了区域专科护理管理,提升了专科护理能力及专科护理内涵。结论:构建区域专科护理联盟体系,将三甲医院的优质护理资源下沉,促进了区域护理服务的同质化发展,推动了专科护理内涵的提升,最终实现了区域护理水平的整体提升。Objective: To explore the effect of the establishment of specialized nursing alliance on the management of patients with inflammatory bowel disease under the background of medical treatment combination. Methods: To analyze the current situation of the development of digestive specialized nursing in the medical treatment combination region and to construct a multi-level specialized nursing alliance co-construction program with municipal nursing association as the leading, Grade A tertiary hospitals as the core and community hospital as the basis based on the medical treatment combination region. The homogenized specialized nursing alliance co-construction program was focused on the post-management of digestive specialized nursing staff, nursing clinical specialized assistance and nursing quality control. The management ability of head nurses and the specialized nursing ability of nursing staff were used as evaluation indicators to evaluate the effect of specialized nursing alliance co-construction program. Results: A specialized nursing alliance co-construction program led by the Municipal Nursing Association, with one Grade A tertiary hospital as the core and two primary hospitals as the basis, was constructed. After one year of specialized nursing alliance co-construction program, the regional specialized nursing management was initially homogenized, and the specialized nursing ability and connotation were improved. Conclusions: The construction of regional specialized nursing alliance co-construction program can sink the high-quality nursing resources of Grade A tertiary hospitals, promote the homogeneous development of regional nursing services, promote the improvement of the connotation of specialized nursing, and finally realize the overall improvement of regional nursing level.展开更多
文摘目的:分析团体心理辅导在炎症性肠病患者中的应用效果。方法:选取2022年9月至2023年1月江苏省某三甲医院消化内科炎症性肠病患者,采用随机数字表法分为对照组和干预组,各18例,干预组在对照组干预措施的基础上增加以心理剧为主体的团体心理辅导,对照组接受消化内科常规护理干预并在出院后建立微信群进行健康宣教,干预时长均为8周。比较两组干预前后自我概念量表评分、心理弹性量表评分、焦虑自评量表评分及睡眠状况自评量表评分的差异;对干预组18名患者参与团体心理辅导的感受分享采用Colaizzi 7步分析法分析、归纳、提炼资料。结果:干预前,两组自我概念量表评分、心理弹性量表评分、焦虑自评量表评分及睡眠状况自评量表评分比较,差异无统计学意义(P > 0.05);干预后,干预组自我概念量表评分、心理弹性量表评分均高于对照组(P > 0.05),焦虑自评量表评分、睡眠状况自评量表评分均低于对照组(P > 0.05);提炼出重塑自我、角色扩展、自我实现3个主题。结论:团体心理辅导可以提升炎症性肠病患者的自我概念,改善心理状态。Objective: This paper aims to analyze the application effect of group psychological counseling in patients with inflammatory bowel disease. Method: Patients with inflammatory bowel disease in the gastroenterology department of a tertiary hospital in Jiangsu Province from September 2022 to January 2023 were selected and randomly divided into a control group and an intervention group using a random number table method, with 18 cases in each group. The intervention group received group psychological counseling with psychodrama as the main body on the basis of the intervention measures in the control group. The control group received routine nursing intervention in the gastroenterology department and established a WeChat group for health education after discharge. The intervention duration was 8 weeks for both groups. the differences in self-concept scale scores, CD-RISC scores, SAS scores, and SRSS scores between the two groups before and after intervention were compared;The experience sharing of 18 patients in the intervention group participating in group psychological counseling was analyzed, summarized, and extracted using the Colaizzi 7-step analysis method. Results: Before the intervention, there was no statistically significant difference between the two groups in terms of self-concept scale scores, CD-RISC scores, SAS scores, and SRSS scores (P > 0.05);After intervention, the self-concept scale scores and CD-RISC scores of the intervention group were higher than those of the control group (P > 0.05), while the SAS scores and SRSS scores were lower than those of the control group (P > 0.05);Three themes were extracted: reshaping oneself, expanding roles, and achieving oneself. Conclusion: Group psychological counseling can enhance the self-concept of patients with inflammatory bowel disease and improve their psychological state.
文摘目的:探讨医联体背景下专科护理联盟的建立对炎症性肠病患者管理的效果。方法:分析医联体区域内消化专科护理发展现状,以医联体区域为界限,构建以市护理学会为主导、三甲医院为核心、社区医院为基础的多层次专科护理联盟体系。重点从消化专科护理人员岗位管理、护理临床专科帮扶、护理质量控制几个方面开展同质化专科护理联盟建设,采用护士长的管理能力、护理人员的专科护理能力作为评价指标,对专科护理联盟构建的效果进行评价。结果:构建了以市护理学会为主导的、1家三甲医院为核心的、2家基层医院为基础的专科护理联盟体系,经过一年的专科护理联盟建设,初步同质化了区域专科护理管理,提升了专科护理能力及专科护理内涵。结论:构建区域专科护理联盟体系,将三甲医院的优质护理资源下沉,促进了区域护理服务的同质化发展,推动了专科护理内涵的提升,最终实现了区域护理水平的整体提升。Objective: To explore the effect of the establishment of specialized nursing alliance on the management of patients with inflammatory bowel disease under the background of medical treatment combination. Methods: To analyze the current situation of the development of digestive specialized nursing in the medical treatment combination region and to construct a multi-level specialized nursing alliance co-construction program with municipal nursing association as the leading, Grade A tertiary hospitals as the core and community hospital as the basis based on the medical treatment combination region. The homogenized specialized nursing alliance co-construction program was focused on the post-management of digestive specialized nursing staff, nursing clinical specialized assistance and nursing quality control. The management ability of head nurses and the specialized nursing ability of nursing staff were used as evaluation indicators to evaluate the effect of specialized nursing alliance co-construction program. Results: A specialized nursing alliance co-construction program led by the Municipal Nursing Association, with one Grade A tertiary hospital as the core and two primary hospitals as the basis, was constructed. After one year of specialized nursing alliance co-construction program, the regional specialized nursing management was initially homogenized, and the specialized nursing ability and connotation were improved. Conclusions: The construction of regional specialized nursing alliance co-construction program can sink the high-quality nursing resources of Grade A tertiary hospitals, promote the homogeneous development of regional nursing services, promote the improvement of the connotation of specialized nursing, and finally realize the overall improvement of regional nursing level.
