基于Watson关怀理论的护理干预对高龄股骨粗隆间骨折患者幸福度和自我效能的影响

Effect of nursing intervention guided by Watson's theory of human caring on well-being and self-efficacy of elderly patients with femoral intertrochanteric fractures

目的探讨基于Watson关怀理论的护理干预对高龄股骨粗隆间骨折患者幸福度和自我效能的影响。方法以开平市中心医院2018年1月至2020年11月接收的80例高龄股骨粗隆间骨折患者为研究对象,按随机数字表法分成2组。对照组的40例患者接受常规护理,观察组的40例患者在常规护理方法的基础上接受基于Watson关怀理论护理干预。比较2组患者的幸福度、自我效能、髋关节功能和护理满意度。结果出院时,2组的纽芬兰纪念大学幸福度量表(MUNSH)和一般自我效能感量表(GSES)评分均高于同组术后1 d(P均<0.05),且观察组的MUNSH和GSES评分均高于对照组(P均<0.05)。观察组在术后1个月、3个月和6个月的髋关节Harris评分系统(HHS)评分均高于对照组(P均<0.05)。出院时,观察组的各项护理满意度评分均高于对照组(P均<0.05)。结论对高龄股骨粗隆间骨折患者实施基于Watson关怀理论的护理干预,可明显提高其幸福度和自我效能,有效促进其髋关节功能恢复,并有助于提升其护理满意度。

Objective To explore the effect of nursing intervention guided by Watson's theory of human caring on well-being and self-efficacy of elderly patients with femoral intertrochanteric fracture.Methods Eighty elderly patients with femoral intertrochanteric fractures who were admitted to Kaiping Central Hospital from January 2018 to November 2020 were selected as the research objects and divided into two groups according to the random number table method.The 40 patients who received routine nursing were set as the control group,and the 40 patients who received nursing intervention guided by Watson's theory of human caring on the basis of routine nursing were set as the observation group.The well-being,self-efficacy,hip function,and nursing satisfaction of the two groups were compared.Results At discharge,the scores of Memorial University of Newfoundland scale of happiness(MUNSH)and general self-efficacy scale(GSES)in the two groups were higher than those at 1 day after operation(all P<0.05),and the scores of MUNSH and GSES in the observation group were higher than those in the control group(both P<0.05).At 1 month,3 months and 6 months after operation,the Harris hip score(HHS)of the observation group was higher than that of the control group(all P<0.05).At discharge,the scores of various items of nursing satisfaction in the observation group were higher than those in the control group(all P<0.05).Conclusion Nursing intervention guided by Watson's theory of human caring can significantly improve the well-being and self-efficacy of elderly patients with femoral intertrochanteric fractures,effectively promote their hip function recovery,and improve the nursing satisfaction.