基于叙事护理理论对心脏瓣膜病手术患者负性情绪、治疗依从性及生活质量的影响分析

Analysis of the Effect of Narrative Nursing Theory on Negative Emotions,Treatment Compliance,and Quality of Life in Patients Undergoing Cardiac Valve Disease Surgery

目的探讨心脏瓣膜病(VHD)手术患者采用叙事护理理论干预负性情绪、治疗依从性及生活质量的影响。方法选取2020年4月至2022年11月在周口市中心医院接受治疗的96例VHD手术患者,以随机数字表法分为干预组(n=48)与对照组(n=48),对照组实行常规护理干预,干预组实行叙事护理干预,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和生活质量综合评定问卷-74(GQOL-74)评价体系进行量化,比较两组负性情绪、治疗依从性及生活质量。结果干预组HAMA、HAMD评分低于对照组,GQOL-74评分高于对照组,治疗依从性(95.83%)高于对照组(72.92%),差异有统计学意义(P<0.05)。结论叙事护理干预应用于VHD手术患者中,能够降低患者负面情绪,提升治疗依从性,提高生活质量。

Objective To explore the effect of narrative nursing theory intervention on negative emotion,treatment compliance and quality of life in patients with valvular heart disease(VHD).Methods A total of 96 patients with VHD who were treated in our hospital from April 2020 to November 2022 were selected,and divided into the intervention group(n=48,narrative nursing intervention)and the control group(n=48,routine nursing intervention)by the random number table method.Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and General Quality of Life Questionnaire-74(GQOL-74)were used to quantify the evaluation system,and the negative emotions,treatment compliance and quality of life were compared between the two groups.Results In comparision of the control group,the scores of HAMA and HAMD in the intervention group were lower,and the scores of GQOL-74 were higher.In the treatment compliance,in comparision of the control group(72.92%),the intervention group(95.83%)was higher,with significant difference(P<0.05).Conclusion Narrative nursing intervention applied to VHD patients can reduce the negative emotions of patients,improve treatment compliance and improve quality of life.