基于华生关怀理论的护理在慢性心力衰竭患者中的应用效果

Application effects of Watson care theory-based nursing in patients with chronic heart failure

目的:观察基于华生关怀理论的护理在慢性心力衰竭患者中的应用效果。方法:选取2020年1月至2021年10月该院收治的108例慢性心力衰竭患者进行前瞻性研究,按照随机数字表法将其分为对照组(n=54)和观察组(n=54)。对照组给予常规护理,观察组在对照组基础上给予基于华生关怀理论的护理,比较两组护理前后心理弹性[心理弹性量表(CD-RISC)]评分、自护能力[自我护理能力测定量表(ESCA)]评分、生命质量[生活质量综合评定问卷(GQOLI-74)]评分和护理满意度。结果:护理后,观察组力量性、坚韧性和乐观性等CD-RISC评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组自我责任感、自我概念、自护技能和健康知识水平等ESCA评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组躯体功能、社会功能、心理功能和物质生活状态等GQOLI-74评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为96.30%(52/54),高于对照组的79.63%(43/54),差异有统计学意义(P<0.05)。结论:在常规护理基础上给予基于华生关怀理论的护理可提高慢性心力衰竭患者CD-RISC评分、ESCA评分、GQOLI-74评分和护理满意度,效果优于单纯常规护理。

Objective:To explore application effects of Watson care theory-based nursing in patients with chronic heart failure.Methods:A prospective study was conducted on 108 patients with chronic heart failure admitted to this hospital from January 2020 to October 2021.They were divided into control group(n=54)and observation group(n=54)by using the random number table method.The control group was given routine nursing,while the observation group was given the Watson care theory-based nursing on the basis of that of the control group.The scores of psychological resilience[Connor-Davidson resilience scale(CD-RISC)],self-care ability[exercise of self-care agency scale(ESCA)],quality of life[general quality of life inventory(GQOLI-74)],and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the CD-RISC scores of strength,tenacity and optimism in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ESCA scores of self-responsibility,self-concept,self-care skills and health knowledge in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GQOLI-74 scores of physical function,social function,psychological function and material life status in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 96.30%(52/54),which was higher than 79.63%(43/54)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the Watson care theory-based nursing can improve the CD-RISC scores,the ESCA scores,the GQOLI-74 scores and the nursing satisfaction of the patients with chronic heart failure.Moreover,it is superior to single routine nursing.