共情护理联合激励式护理对糖尿病伴肺结核患者病耻感及负性情绪的影响

The Effect of Empathy Nursing Combined with Motivational Nursing on Stigma and Negative Emotions of Patients with Diabetes and Tuberculosis

目的分析糖尿病伴肺结核患者的护理需求,评价共情护理与激励式护理联合实施对合并症患者病耻感、情绪等方面的影响。方法选择我院2019年2月至2020年12月期间收治的糖尿病伴肺结核患者,总计70例。治疗基础上进行分组护理,依据随机数字表法。其中,对照组35例患者采取常规护理,观察组35例患者辅助共情护理+激励式护理干预,伦理委员会审核批准、患者与家属知情同意,比较合并症患者的病耻感、负性情绪以及自我效能。结果以自我护理能力实施量表(Exercise of Self-Care Agency,ESCA)评估合并症患者的自我效能感,干预后观察组评分高于对照组,P<0.05;以焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)情绪评估合并症患者的负性情绪,干预后观察组SAS、SDS评分低于对照组,P<0.05;以社会影响量表(Social Impact Scale,SIS)评估合并症患者的病耻感,干预后观察组社会排斥、社会隔离、内在羞耻感、经济无保障评分均明显低于对照组,P<0.05。结论共情护理+激励式护理干预满足糖尿病伴肺结核患者护理需求,可以有效减轻患者的病耻感、负性情绪,提升患者的自我效能。

Objective To analyze the nursing needs of patients with diabetes and pulmonary tuberculosis,and to evaluate the impact of the combined implementation of empathic nursing and motivational nursing on the stigma and mood of patients with comorbidities.Methods A total of 70 patients with diabetes and tuberculosis who were admitted to our hospital from February 2019 to December 2020 were selected.Group nursing is performed on the basis of treatment,according to the random number table method.Among them,35 patients in the control group took conventional nursing care,and 35 patients in the observation group assisted empathy nursing+motivational nursing intervention,reviewed and approved by the ethics committee,patients and their families informed consent,and compared the stigma,negative emotions and negative emotions and selfefficacy.Results The self-efficacy of patients with comorbidities was assessed by the Exercise of Self-Care Agency(ESCA).After the intervention,the score of the observation group was higher than that of the control group,P<0.05;Self-rating Anxiety Scale(SAS),Depression Self-rating Scale(SDS)emotional assessment of negative emotions in patients with comorbidities,SAS and SDS scores of the observation group were lower than those of the control group after intervention,P<0.05;The Social Impact Scale(SIS)assessed the stigma of patients with comorbidities.After the intervention,the scores of social exclusion,social isolation,internal shame,and economic insecurity in the observation group were significantly lower than those in the control group,P<0.05.Conclusion Empathy nursing+motivational nursing intervention meets the nursing needs of patients with diabetes and tuberculosis,and can effectively reduce patients'stigma and negative emotions,and improve patients'self-efficacy.