基于一点二源的适应性护理对心律失常患者心理弹性和自我护理能力的影响

Effects of adaptive nursing based on one point and two sources on psychological resilience and self-care of patients with arrhythmia

目的探讨基于一点二源的适应性护理对心律失常患者心理弹性和自我护理能力的影响。方法采用便利抽样法,选取2020年12月—2021年5月在首都医科大学附属北京安贞医院接受治疗的心律失常患者为研究对象。将2020年12月—2021年2月收治的患者设为对照组(n=163),2021年3—5月收治的患者设为观察组(n=175)。对照组采用常规护理,观察组在对照组基础上实施基于一点二源的适应性护理,比较两组患者干预前后的中文版心理弹性量表(CD-RISC)和自我护理能力测定量表(ESEA)评分。结果干预前,两组患者CD-RISC、ESEA各维度评分比较差异均无统计学意义(P>0.05)。干预后,观察组CD-RISC、ESEA各维度评分均高于对照组,差异有统计学意义(P<0.01)。结论基于一点二源的适应性护理可有效改善心律失常患者心理弹性,提高患者自我护理能力,值得在临床中推广应用。

Objective To explore the effect of adaptive nursing based on one point and two sources on the psychological resilience and self-care of patients with arrhythmia.Methods From December 2020 to May 2021,patients with arrhythmias in Beijing Anzhen Hospital affiliated to Capital Medical University were selected by convenience sampling as research objects.The patients admitted from December 2020 to February 2021 were set in the control group(n=163),and the patients admitted from March to May 2021 were set in the observation group(n=175).The control group received routine nursing,while the observation group received adaptive nursing based on one point and two sources on the basis of the control group.The scores of the Chinese version of Connor-Davidson Resilience Scale(CD-RISC)and Exercise of Self-care Agency(ESEA)were compared between the two groups before and after intervention.Results Before the intervention,there were no significant differences in the scores of CD-RISC and ESEA between the two groups(P>0.05).After intervention,the scores of CD-RISC and ESEA in the observation group were statistically higher than those in the control group(P<0.01).Conclusions Adaptive nursing based on one point and two sources can effectively improve the psychological resilience of patients with arrhythmia,and improve their self-care,which is worth popularizing in clinical practice.