基于Watson人性照护理论的护理模式在髋关节置换患者中的应用效果

Application effect of nursing model based on Watson's theory of human care in patients with hip replacement

目的探讨以Watson人性照护理论为指导的人文护理模式在髋关节置换患者中的应用效果。方法采用便利抽样法,选取2019年1月—2021年1月在盐城市第三人民医院骨科行髋关节置换术的70例患者为研究对象,按照随机数字表法将分为对照组及观察组,每组35例。对照组采用常规护理措施,观察组采用基于Watson人性照护理论的人文护理模式。比较两组患者的关怀行为评价(CBM)评分、一般自我效能感量表(GSES)评分、髋关节Harris量表评分。结果两组患者入院时CBM、GSES评分差异无统计学意义(P>0.05),出院时观察组CBM、GSES评分高于对照组,差异有统计学意义(P<0.05)。出院前观察组髋关节Harris量表评分优良率为94.3%(33/35),高于对照组的71.4%(25/35),差异有统计学意义(P<0.05)。结论基于Watson人性照护理论的护理模式有利于提高髋关节置换患者的关怀感受及自我效能,促进患者术后髋关节功能恢复。

Objective To explore the application effect of humanistic nursing mode based on Watson's theory of human care in patients with hip replacement.Methods A total of 70 patients who underwent hip replacement in Department of Orthopedics of Yancheng Third People's Hospital from January 2019 to January 2021 were selected as the research objects by the convenient sampling method.According to random number table method,they were divided into the control group and the observation group,with 35 cases in each group.The control group received conventional nursing measures,while the observation group received humanistic nursing model based on Watson's theory of human care.The two groups were compared for the scores of Caring Behavior Measurement(CBM),General Self-Efficacy Scale(GSES)and Harris Hip Joint Scale.Results There was no statistically significant difference in CBM and GSES scores between the two groups at admission(P>0.05).At discharge,CBM and GSES scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before discharge,the excellent and good rate of Harris Hip Joint Scale score in the observation group was 94.3%(33/35),higher than 71.4%(25/35)in the control group,and the difference was statistically significant(P<0.05).Conclusions The nursing model based on Watson's theory of human care is beneficial to improve the feeling of care and self-efficacy of patients with hip replacement and promote the recovery of postoperative hip function.