共情技术联合希望理论应用于全子宫切除术后护理的效果

Empathy and hope theory in postoperative nursing for patients undergoing total hysterectomy

目的探讨共情技术联合希望理论对全子宫切除患者行术后护理对心理情绪、生存质量及并发症的影响。方法选择2016年5月至2018年5月在本院行全子宫切除术的患者116例,按随机数字表法分为两组,各58例。对照组给予常规护理,观察组给予共情技术联合希望理论护理模式,护理至患者出院。结果观察组下床活动时间、住院时间分别为(8.2±1.3)h、(6.2±0.5)d,显著低于对照组(12.7±2.5)h、(11.6±2.8)d,差异均有统计学意义(均P<0.05);干预前,两组患者HAMD、HAMA评分比较,差异均无统计学意义(均P>0.05);干预后,观察组HAMD、HAMA评分分别为(5.7±1.1)分、(5.4±1.6)分,均低于对照组(11.5±1.8)分、(10.5±2.4)分,差异均有统计学意义(均P<0.05);干预前,两组患者GQOLI-74量表的各维度(躯体功能、心理功能、物质生活、社会功能)和总评分比较,差异均无统计学意义(均P>0.05);干预后,两组患者各维度和总评分均显著升高,且观察组升高更显著,差异均有统计学意义(均P<0.05);观察组并发症发生率3.45%,显著低于对照组17.24%,差异有统计学意义(P<0.05);观察组满意度为96.55%,显著高于对照组81.03%,差异有统计学意义(P<0.05)。结论共情技术联合希望理论护理模式可以促进患者的恢复,改善患者的焦虑、抑郁情绪,改善生活质量,使患者的并发症减少,且护理满意度较高,在临床上可推荐开展。

Objective To explore the effect of empathy technique combined with hope theory on psychological emotion, quality of life, and complications of patients after hysterectomy. Methods 116 patients who underwent hysterectomy in our hospital from May, 2016 to May, 2018 were randomly divided into an observation group and a control group. The control group were given routine nursing, and the observation group were given empathy technology combined with hope theory nursing until the patients were discharged. Results The ambulation time and hospitalization time were significantly shorter in the observation group than in the control group [(8.2±1.3) h vs.(12.7±2.5) h and (6.2±0.5) d vs.(11.6±2.8) d;both P < 0.05]. There were no statistical differences in HAMD and HAMA scores between the two groups before the intervention (both P > 0.05). After the intervention, the HAMD and HAMA scores were (5.7±1.1) and (5.4±1.6) in the observation group, and were (11.5±1.8) and (10.5±2.4) in the control group (both P < 0.05). There were no statistical differences in the dimensions (physical function, psychological function, material life, and social function) and total score of GQOLI-74 between the two groups before the intervention, and were higher in the observation group than in the control group after the intervention (all P < 0.05). After nursing, the dimensions and total scores of the two groups increased significantly, and the observation group increased more significantly (P < 0.05). The incidence of complications was significantly lower and the satisfaction was higher in the observation group than in the control group (3.45% vs. 17.24% and 96.55% vs. 81.03%;both P < 0.05). Conclusion Empathy technology combined with hope theory nursing mode can promote the patients’ recovery, anxiety, depression, and quality of life, and reduce the complications, and nursing satisfaction is high, so it worth being clinically generalized.