基于“问候—自我介绍—过程—解释—感谢”沟通模式的护理措施在急性阑尾炎手术患者中的效果分析

Analysis of the Effect of Nursing Measures Based on the Communication Model of“Acknowledge-Introduce-Duration-Explanation-Thank you”in Patients Undergoing Acute Appendicitis Surgery

目的:探讨基于"问候-自我介绍-过程-解释-感谢"(AIDET)沟通模式的护理措施在急性阑尾炎手术患者中的效果。方法:将许昌市立医院2018年1—12月行常规护理干预的43例急性阑尾炎手术患者临床资料纳入对照组,将2019年1—12月行常规护理联合基于AIDET沟通模式护理干预的43例急性阑尾炎手术患者临床资料纳入观察组。两组均干预1周,分别于干预前干预1周时采用焦虑自评量表(SAS)及匹兹堡睡眠质量指数量表(PSQI)评估两组焦虑及睡眠质量改善情况。结果:干预1周,两组SAS评分均较干预前低,且观察组低于对照组,差异有统计学意义(t=32.144、37.428,P<0.05;t=8.009,P<0.05)。干预1周,两组PSQI评分均较干预前低,且观察组低于对照组,差异有统计学意义(t=22.896、29.262,P<0.05;t=6.006,P<0.05)。结论:基于AIDET沟通模式的护理措施应用于急性阑尾炎手术患者中,效果较好,可改善其术后焦虑情绪,提高睡眠质量。

Objective:To explore the effect of nursing measures based on"Acknowledge-Introduce-Duration-ExplanationThank you"(AIDET)communication mode in patients with acute appendicitis surgery.Methods:The clinical data of 43 patients with acute appendicitis surgery who received routine nursing intervention in the hospital from January 2018 to December 2018 were included in the control group,the clinical data of 43 patients with acute appendicitis surgery who received routine nursing and nursing intervention based on AIDET communication mode from January 2019 to December 2019 were included in the observation group.Both groups were intervened for 1 week,self rating anxiety scale(SAS)and pittsburgh sleep quality index(PSQI)were used to evaluate the improvement of anxiety and sleep quality in the two groups 1 week before intervention.Results:After 1 week of intervention,the SAS scores of both groups were lower than those before intervention,and the observation group was lower than the control group,with statistically significant difference(t=32.144,37.428,P<0.05,t=8.009,P<0.05).After 1 week of intervention,the PSQI scores of both groups were lower than before intervention,and the observation group was lower than the control group,with statistically significant difference(t=22.896,29.262,P<0.05,t=6.006,P<0.05).Conclusion:The effect of nursing measures based on AIDET communication mode in patients with acute appendicitis surgery is better,it can improve postoperative anxiety and sleep quality.