医护患协同护理对急性胰腺炎患者心理应激的影响

Effect of Collaborative Medical Care on Psychological Stress in Patients with Acute Pancreatitis

目的:探讨医护患协同护理对急性胰腺炎患者心理应激的影响,以提高护理效果。方法:选取2020年8月—2021年10月河南科技大学第一附属医院收治的86例急性胰腺炎患者作为研究对象,按照随机数表法分为对照组和观察组,每组各43例。对照组给予常规护理干预,观察组给予医护患协同护理干预,干预时间为2个月,观察两组患者干预前后心理弹性的变化、疾病应对方式的变化、治疗依从性及生活质量。结果:干预后,观察组自强、坚韧、乐观评分均高于对照组,差异有统计学意义(t=3.104、2.791、4.903,P<0.05);干预后,观察组面对评分高于对照组,回避、屈服评分低于对照组,差异有统计学意义(t=3.432、3.259、2.911,P<0.05);干预后,观察组治疗依从性优于对照组,差异有统计学意义(χ^(2)=3.888,P<0.05);干预后,观察组核心症状、生理功能、精神心理状态和社会活动能力评分高于对照组,差异有统计学意义(t=3.238、5.202、3.049、3.461,P<0.05)。结论:医护患协同护理能够使患者产生更加积极的心理应激,使其积极应对疾病,提高患者治疗依从性和整体生活质量。

Objective:To investigate the effect of collaborative medical nurse-patient care on psychological stress in patients with acute pancreatitis in order to improve nursing outcomes.Methods:86 patients with acute pancreatitis admitted to the hospital from August 2020 to October 2021 were selected as study subjects and divided into a control group and an observation group according to the random number table method,with 43 cases in each group.The control group was given conventional nursing interventions and the observation group was given collaborative nursing interventions with medical and nursing patients for a period of 2months.The changes in psychological resilience,changes in disease coping style,treatment compliance and quality of life were observed in both groups before and after the intervention.Results:After the intervention,the self-improvement,resilience and optimism scores were higher in the observation group than in the control group,with statistically significant differences(t=3.104,2.791,4.903,P<0.05).After the intervention,the observation group had higher confrontation scores and lower avoidance and submission scores than the control group,with statistically significant differences(t=3.432,3.259,2.911,P<0.05).After the intervention,treatment compliance was better in the observation group than in the control group,with statistically significant differences(χ2=3.888,P<0.05).After the intervention,the core symptoms,physical function,psychosocial status and social activity scores were higher in the observation group than in the control group,with statistically significant differences(t=3.238,5.202,3.049,3.461,P<0.05).Conclusion:Collaborative medical and nursing care can lead to more positive psychological stress for patients,enabling them to cope positively with their disease and improving their treatment compliance and overall quality of life.