基于心理层面的积极暗示对关节置换术患者消极情绪及自我效能的影响

Effects of positive suggestion nursing based on psychological level on the negative emotion and self-efficacy of patients undergoing joint replacement

目的分析基于心理层面的积极暗示护理对关节置换术患者消极情绪与自我效能的影响。方法纳入2019年6月至2020年5月关节置换术患者94例,采用随机数字表格法分为2组,每组47例。对照组患者接受常规护理,观察组患者接受基于心理层面的积极暗示护理,比较2组患者护理前后自我效能、消极情绪等。结果护理后,观察组SDS、SAS评分均低于对照组,差异有统计学有意义(P<0.05);2组护理后与护理前评分比较,差异有统计学意义(P<0.05)。护理后3个月自我效能评分比较,2组应对自我效能评分、任务自我效能评分及SER总分均明显升高,与护理前比较,差异有统计学意义(P<0.05);护理后,观察组应对自我效能评分、任务自我效能评分及SER总分高于对照组,差异有统计学意义(P<0.05)。随访不同时间观察组HSS评分均高于对照组,差异有统计学意义(P<0.05)。护理后与护理前比较,对照组患者SF-36量表中躯体疼痛、生理功能评分均升高,差异有统计学意义(P<0.05);护理后对照组总体健康、精神健康、情感职能、社会职能、生理职能等维度评分,与护理前比较,差异无统计学意义(P>0.05);观察组护理后,SF-36量表各维度评分均优于护理前,差异有统计学意义(P<0.05);护理后,除生理功能外,其余SF-36量表维度,观察组评分均优于对照组(P<0.05)。结论对关节置换术患者应用基于心理层面的积极暗示护理,能够有效消除患者消极情绪,提高患者自我效能,有助于改善患者膝关节功能,提高患者生活质量,值得推广。

Objective To investigate the effects of positive suggestion nursing based on psychological level on the negative emotion and self-efficacy of patients undergoing joint replacement.Methods A total of 94 patients who underwent joint replacement in our hospital from June 2019 to may 2020 were enrolled in this study,who were randomly divided into two groups,with 47 cases in each group.The patients in control group received routine nursing,however,those in observation group received positive suggestion nursing based on psychological level.The self-efficacy and negative emotions before and after nursing were observed and compared between the two groups.Results After nursing,the SDS and SAS scores in observation group were significantly lower than those in control group(P<0.05).After 3-month nursing,the coping self-efficacy scores,task self-efficacy scores and ser total scores in both groups were significantly increased,moreover,which in observation group were significantly higher than those in control group(P<0.05).The HSS scores in observation group were significantly higher than those in control group(P<0.05).Compared with those before nursing,the scores of physical pain and physiological function in SF-36 scale in control group were significantly increased(P<0.05),however,there were no significant differences in the scores of general health,mental health,emotional function,social function,physiological function in control group before nursing and after nursing(P>0.05).After nursing,the scores of SF-36 rating scales in observation group was significantly increased(P<0.05),moreover,which in observation group were superior to those in control group(P<0.05).Conclusion The application of positive suggestion nursing based on psychological level for patients undergoing joint replacement can effectively relieve the negative emotions of and improve the self-efficacy of patients,which is conducive to improving the knee joint function and life quality of patients,thus,which is worthy of clinical promotion.