生物-心理-社会医学模式下的整体护理对健康体检血脂异常患者的影响

Effect of holistic nursing under the mode of bio-psycho-social medicine on patients with dyslipidemia in physical examination

目的分析生物-心理-社会医学模式下的整体护理对健康体检血脂异常患者的效果。方法选取本院2017年1月至2018年12月收治的健康体检血脂异常患者94例,根据建档时间不同分为观察组(n=47)与对照组(n=47)。观察组男27例,女20例,年龄34~72岁;对照组男29例,女18例,年龄36~73岁。对照组展开常规护理干预,在此基础上观察组展开生物-心理-社会医学模式为理念的整体护理干预。对比两组干预前后自我管理能力、遵医行为。结果干预3个月后,观察组自我管理能力各项评分低于对照组(均P<0.05);观察组遵医行为率高于对照组[93.62%(44/47)比74.47%(35/47),P<0.05]。结论给予健康体检血脂异常患者生物-心理-社会医学模式为理念的整体护理干预,可明显提高患者自我管理能力,增强其遵医行为。

Objective To analyze the effect of holistic nursing based on the concept of bio-psycho-social medical mode for patients with dyslipidemia in physical examination.Methods 94 patients with dyslipidemia in physical examination who were admitted to our hospital from January,2017 to December,2018 were divided into an observation group(n=47)and a control group(n=47)according to the different filing time.There were 27 male and 20 female in the observation group;they were 34-72 years old.There were 29 male and 18 female in the control group;they were 36-73 years old.The control group carried out routine nursing intervention;in addition,the observation group carried out the holistic nursing intervention based on the concept of bio-psycho-social medical mode.The self-management ability before and after the intervention and the medical compliance were compared between the two groups.Results After 3 months’intervention,the scores of self-management ability in the observation group were lower than those in the control group(all P<0.05).The compliance rate in the observation group was higher than that in the control group[93.62%(44/47)vs.74.47%(35/47);P<0.05].Conclusion Holistic nursing intervention based on the concept of bio-psycho-social medical mode can significantly improve the patients'self-management ability and enhance their compliance.