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Effects of evidence-based nursing intervention combined with personalized health education on stress psychology and self-management ability of patients with acute pancreatitis |
QUE Jing HUANG Yan LI Hua |
Department of Gastroenterology, the Affiliated 3201 Hospital of Medical College of Xi′an Jiaotong University, Shaanxi Province, Xi′an 723000, China |
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Abstract Objective To explore the effect of evidence-based nursing intervention combined with personalized health education on stress psychology and self-management ability of patients with acute pancreatitis. Methods A total of 90 patients with acute pancreatitis admitted from January 2018 to December 2019 in the Affiliated 3201 Hospital of Medical College of Xi′an Jiaotong University, were selected as the research objects. They were divided into control group and observation group by a digital random table method, with 45 cases in each group. The control group adopted routine nursing intervention, while the observation group implemented evidence-based nursing intervention combined with personalized health education on the basis of the control group. The two groups compared the self-rating anxiety scale (SAS), self-rating depression scale (SDS) and self-management ability score scale score before and after 4 weeks of intervention, patient health knowledge mastery, compliance, and nursing intervention satisfaction were analyzed. Results The SAS and SDS scores of the two groups after intervention were lower than those before the intervention, and the observation group were lower than those of the control group, and the differences were statistically significant (P < 0.05). After intervention, the scores of self-management capacity index such as restrictive behavior, management behavior, psychological activity and state management were higher than before intervention, and the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). The health knowledge mastery, compliance and nursing intervention satisfaction of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion Evidence-based nursing intervention combined with personalized health education can effectively improve the anxiety and depression of patients with acute pancreatitis and enhance their self-management ability.
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[1] 鲁玉敏.重症急性胰腺炎循证护理浅析[J].影像研究与医学应用,2017,1(15):230-231.
[2] 王阳.护理干预联合早期肠内营养支持对急性重症胰腺炎患者疗效、心理状态、免疫功能的影响[J].国际护理学杂志,2017,36(1):6-11,24,34.
[3] 戚晓霞,杨蕾,韩丽娟.循证护理在重症急性胰腺炎护理中的应用效果观察[J].临床研究,2016,24(2):153-154.
[4] Cai XM. Clinical effects of involvement of a psychologist in nursing care of patients with severe acute pancreatitis [J]. World Chin J Digestol,2015,23(17):2820.
[5] 刘贤臣,彭秀桂.焦虑自评量表SAS的因子分析[J].中国神经精神疾病杂志,1995,21(6):359-360.
[6] 刘海宁,李现文,韩布新.汉化自我管理能力量表在我国老年人群中的信效度检验[J].中国老年学杂志,2016,36(8):1941-1944.
[7] 王文绢,董晶.糖尿病高危人群生活方式干预知识、态度、行为评价量表的研制[J].中华预防医学杂志,2016, 50(7):577-588.
[8] 冯志英,王建荣,张黎明,等.住院患者护理工作满意度量表的研制[J].中华护理杂志,2017,42(1):63-66.
[9] 葛红艳,蔡永红,邓进平.急性胰腺炎保守治疗应用循证护理的临床效果观察[J].国外医学卫生经济分册,2018, 1(4):235-238.
[10] 何许,葛淑芝.综合护理对重症胰腺炎维持性血液透析患者心理应激状态及生活质量的影响[J].中华现代护理杂志,2016,22(5):667-670.
[11] Enver Z. Treatment of severe acute pancreatitis and its complications [J]. World J Gastroenterol,2017,12(38):13879-13892.
[12] Kusnierz-Cabala B,Kedra B,Sierzega M. Current concepts on diagnosis and treatment of acute pancreatitis [J]. Adv Clin Chem,2017,37(1):47-81.
[13] 张晓明.循证护理在急性重症胰腺炎护理中的应用效果[J].包头医学院学报,2016,32(9):135-136.
[14] 张瀚文,任宏飞,张铭光.循证护理模式联合健康教育对急性胰腺炎患者应激心理和生活质量的影响[J].实用临床医药杂志,2016,20(4):156-157.
[15] 曹乔英,汪川东.循证护理在急性胰腺炎治疗中的应用[J].现代医药卫生,2016,32(1):118-119.
[16] 杨慧卿.心理护理干预辅助治疗急性胰腺炎患者的疗效及对血清炎性因子的影响[J].中华保健医学杂志,2018, 20(3):238-240.
[17] 邹丽芳,张金玲,翁晓丽,等.循证护理在急性胰腺炎非手术治疗中的应用价值[J].中外医学研究,2018,16(26):119-121.
[18] 陆牡丹,郑春燕,周一农,等.风险管理联合常规干预在Na2SO4·10H2O腹壁外敷治疗重症急性胰腺炎患者中的效果观察[J].中国现代医生,2019,57(20):161-164.
[19] 陈玉清.急性胰腺炎护理干预实施个体化健康教育的临床价值探讨[J].系统医学,2019,20(11):160-162.
[20] 郭远.重症急性胰腺炎患者应用循证护理干预的效果分析[J].心电图杂志:电子版,2017,6(2):134-136.
[21] 党路锦.心理干预在重症急性胰腺炎ICU护理中的应用研究[J].中国医药科学,2019,9(5):85-88.
[22] 韦惠云,韦素雨,黄莉,等.分级心理护理对急性胰腺炎患者焦虑、抑郁状态及护理满意度的影响[J].中国医药导报,2019,16(34):169-172.
[23] 张丽.循证护理干预对急性胰腺炎保守治疗患者生活质量的影响[J].当代护士:中旬刊,2019,15(10):22-24.
[24] 夏秀丹.综合护理干预对重症急性胰腺炎患者疾病不确定感及生活质量的影响[J].湖北科技学院学报:医学版,2019,15(4):315-318. |
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