基于Watson关怀理论的干预对吞咽功能障碍患者生活质量、心理状态的影响

Effects of intervention based on Watson care theory on quality of life and psychological state of patients with swallowing functional disturbance

目的分析基于Watson关怀理论的干预对吞咽功能障碍患者生活质量、心理状态的影响。方法选取2020年6月至2022年6月在我院治疗的96例吞咽功能障碍患者作为研究对象,按照随机数字表法将其分为对照组和研究组,各48例。对照组采用常规干预,研究组采用基于Watson关怀理论的干预。比较两组的干预效果。结果干预后,研究组的生活质量评价量表(SF-36)各维度评分高于对照组(P<0.05)。干预后,研究组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分低于对照组(P<0.05)。干预后,研究组的Gugging吞咽功能评估表(GUSS)评分高于对照组,洼田饮水试验评分低于对照组(P<0.05)。干预后,研究组的白蛋白(ALB)、总蛋白(TP)、血红蛋白(Hb)水平高于对照组(P<0.05)。研究组的满意度高于对照组,差异具有统计学意义(P<0.05)。结论基于Watson关怀理论的干预可改善吞咽功能障碍患者的负性情绪、营养状态,提高生活质量。

Objective To analyze the effects of intervention based on Watson care theory on quality of life and psychological state of patients with swallowing functional disturbance.Methods A total of 96 patients with swallowing functional disturbance who were treated in our hospital from June 2020 to June 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and study group,with 48 cases in each group.The control group was given routine intervention,and the study group was given intervention based on Watson care theory.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Short Form 36 Questionnaire(SF-36)in the study group were higher than those in the control group(P<0.05).After intervention,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in the study group were lower than those in the control group(P<0.05).After intervention,the Gugging Swallowing Screen(GUSS)score of the study group was higher than that of the control group,and the Watian drinking water test score was lower than that of the control group(P<0.05).After intervention,the levels of albumin(ALB),total protein(TP)and hemoglobin(Hb)in the study group were higher than those in the control group(P<0.05).The satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The intervention based on Watson care theory can improve the negative emotion,nutritional status and quality of life of patients with swallowing functional disturbance.