纽曼系统护理模式对肺大泡切除术合并肺栓塞患者负面情绪和生活质量的作用

Effects of neuman system model on negative mood and quality of life in patients with bullectomy and pulmonary embolism

目的:探讨纽曼系统模式在肺大泡切除术合并肺栓塞患者中对负面情绪和生活质量的影响。方法:选取2013年9月至2017年7月在我院进行肺大泡切除术合并肺栓塞的患者156例,根据随机数字表法分为观察组和对照组,每组78例。两组患者均在电视辅助胸腔镜手术(VATS)下完成切除手术并且由同一组护理人员进行监护与护理。对照组采用常规临床护理,观察组在对照组的基础上采用纽曼系统模式护理。对两组患者护理后的抑郁情绪、焦虑情绪、凝血指标、生活质量以及护理满意度进行对比与分析。结果:观察组患者重度焦虑和抑郁的比例分别为6.41%、2.56%,显著低于对照组的15.38%、12.82%(P<0.05)。观察组患者血小板计数(PLT)水平接近正常水平,显著高于对照组,D-二聚体(D-D)和血纤维蛋白原(FIB)显著低于对照组(P<0.05),此外,与对照组比较,观察组的血浆凝血酶原时间(PT)和活化部分凝血活酶时间(APTT)则显著延长(P<0.05)。经过护理后观察组患者的生活质量显著高于对照组(P<0.05),患者的满意度显著高于对照组(P<0.05)。结论:纽曼系统模式在肺大泡切除术合并肺栓塞患者的治疗中能有效改善患者的负面情绪和凝血功能,并能提高患者生活质量。

Objective： To investigate the effects of the neuman system model on negative emotions and quality of life in patients with bulllectomy and pulmonary embolism. Methods： from September 2013 to July 2017, 156 cases of bullectomy and pulmonary embolism were performed in our hospital. They were randomly divided into the observation group and the control group, with 78 cases in each group. The control group was treated with routine clinical nursing, while the observation group was treated with neuman system model in addition to the control group. The depression, anxiety and other negative emotions of the two groups of patients after nursing treatment were compared and analyzed. The coagulation indexes of two groups of patients after treatment were compared and analyzed. The analysis on the life quality and nursing satisfaction of two groups of patients after nursing were compared. Results： The anxiety degree and depression degree of the observation group were 6.41% and 2.56%, which were significantly lower than 15.38% and 12.82% in the control group （ P 〈 0.05 ）. The lood platelet （PLT） level in the observation group was close to normal level, which was significantly higher than the control group. Regarding D-dimer （D-D） and Fibrinogen （FIB）, the observation group was significantly lower than the control group （P 〈 0.05 ）. In addition, compared with the control group, prothrombin time （TP） and activated partial thrombop-lastin time （APTI＇） in the observation group were significantly prolonged （P 〈 0.05 ）. After nursing, the quality of life in the observation group was significantly higher than that in the control group （ P 〈 0. 05）. The nursing satisfaction comparison showed that patients satisfaction in the observation group was significantly higher than that in the control group （ P 〈 0. 05 ）. Conclusion： The neuman system model can effectively improve the negative mood and function in blood coagulation and improve the quality of life in patients with bullectomy combined with pulmonary embolism.