同理心护理对手外伤康复患者心理状态及生活质量的影响

Effects of empathic care on psychological state and quality of life in patients with hand trauma under rehabilitation

目的探讨同理心护理对手外伤康复患者心理状态及生活质量的影响。方法选取2016年1-10月收治的92例手外伤康复患者作为对照组,采用常规康复护理模式;选取2017年1-10月收治的104例手外伤康复患者作为观察组,在常规康复护理基础上给予同理心护理干预。对比两组患者护理干预前后焦虑、抑郁情绪、生活质量、康复治疗依从性及护理满意度的差异。结果观察组同理心护理干预后SAS评分为(33.14±5.20)分,SDS评分为(35.81±6.11)分,均低于对照组,差异有统计学意义(P<0.05);观察组健康调查量表(SF-36)各维度得分均高于对照组,差异有统计学意义(P<0.05);观察组康复治疗依从性评分为(1.72±0.45)分,护理满意度评分为(98.60±0.72)分,均优于对照组,差异有统计学意义(P<0.05)。结论同理心护理干预能改善手外伤患者焦虑、抑郁等不良情绪,提高生活质量、康复治疗依从性及护理满意度,并在一定程度上提高了护士的责任心、沟通技巧及解决问题的能力,值得推广应用。

Objective To explore the effects of empathic nursing on psychological state and quality of life in patients with hand trauma under rehabilitation. Methods Totally 92 patients with hand trauma admitted from January to October 2016 were selected as control group, where the routine rehabilitation nursing mode was adopted. A total of 104 patients with hand trauma under rehabilitation admitted from January to October 2017 were selected as observation group, where empathy nursing service on the basis of routine rehabilitation nursing was given. The two groups were compared in terms of anxiety, depression, quality of life, compliance of rehabilitation treatment and nursing satisfaction before and after intervention. Results After the nursing intervention, the observation group achieved (33.14±5.20) points in the Self-Rating Anxiety Scale (SAS) and (35.81±6.11) points in the Self-Rating Depression Scale (SDS), both lower than the control group with statistical differences (P<0.05);the observation group achieved higher score in all dimensions of the The Chinese version of the SF-36 Health Survey Scale (SF-36) than the control group with statistical differences (P<0.05);The observation group achieved (1.72±0.45) points in compliance of rehabilitation treatment,(98.60±0.72) points from nursing satisfaction, both higher than the control group with statistical differences (P<0.05). Conclusions Empathic care can significantly improve the anxiety, depression, quality of life, compliance with rehabilitation treatment and nursing satisfaction of hand trauma patients, and to a certain extent improve the nurse's sense of responsibility, communication skills and problem-solving ability, which is worth popularizing and applying to other clinical fields.