基于叙事医学护理对慢性老年病患者心理应激情况及自我效能的影响

Influence of narrative-based medical nursing on psychological stress and self-efficacy in patients with chronic senile diseases

目的分析基于叙事医学护理对慢性老年病患者心理应激情况及自我效能的影响。方法以2020年1月-2020年10月本院收治的慢性老年病患者120例为研究对象,采用随机数字表法分为对照组(60例)和观察组(60例)。对照组采用常规护理进行干预,观察组在对照组的基础上采用基于叙事医学护理进行干预,两组均干预3个月。比较两组干预前和干预3个月后心理应激情况、自我效能及生活质量,统计两组干预3个月后护理满意度。结果与干预前比较,干预3个月后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分降低,观察组低于对照组(P<0.05)。与干预前比较,干预3个月后,两组主观幸福度、角色功能、症状管理、沟通功能、情绪控制、躯体功能、认知功能、情绪功能评分均升高,观察组高于对照组(P<0.05)。与干预前比较,干预3个月后,两组社会功能评分升高,但组间比较差异无统计学意义(P>0.05)。干预3个月后,观察组总满意率为93.33%,显著高于对照组(78.33%,P<0.05)。结论基于叙事医学护理对慢性老年病患者进行护理干预,可有效缓解患者心理应激,提高自我效能感和生活质量,具有较好的干预效果,患者满意度更高。

Objective To analyze the influence of narrative-based medical nursing on psychological stress and self-efficacy in patients with chronic senile diseases.Methods 120 patients with chronic senile diseases admitted to our hospital from January 2020 to October 2020 were chosen as research objects,they were divided into control group(60 cases)and observation group(60 cases)by random number table method.The control group was intervened by routine nursing,while the observation group was intervened by narrative-based medical nursing on the basis of the control group.Both groups intervened for 3 months.The psychological stress,self-efficacy and quality of life between two groups before and after intervention for 3 months were compared,and the nursing satisfaction degree between the two groups after intervention for 3 months was analyzed.Results Compared with data before intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups decreased after intervention for 3 months,and the scores in the observation group were lower than those in the control group(P<0.05).Compared with those data before intervention,the scores of subjective well-being,role function,symptom management,communication function,emotional control,physical function,cognitive function and emotional function in the two groups increased after intervention for 3 months,which was higher in the observation group than in the control group(P<0.05).Compared with before intervention,the score of social function in the two groups increased after intervention for 3 months,but there was no significant difference between the two groups(P>0.05).After intervention for 3 months,the total safety satisfaction of the observation group was 93.33%,which was significantly higher than that of the control group(78.33%,P<0.05).Conclusion Narrativebased medical nursing for patients with chronic senile diseases could effectively relieve psychological stress of patients,improve self-efficacy and quality of life,and have better intervention effect and higher satisfaction of patients.