叙事护理联合归因训练对肾移植术后患者希望水平及应对方式的影响分析

Effect of Narrative Nursing Combined with Attribution Training on Hope Level and Coping Style of Patients after Kidney Transplantation

目的探究叙事护理联合归因训练对肾移植术后患者希望水平及应对方式的影响。方法方便选取2021年1月—2022年11月厦门大学附属翔安医院73例行肾移植手术患者,按照随机数表法分为两组。对照组(n=36)使用常规护理,观察组(n=37)在对照组的基础上使用叙事护理联合归因训练。比较两组患者干预前,干预4周后希望水平[希望指数量表(Herth Hope Index Scale,HHI)]、疾病应对方式[医学应对量表(Medi⁃cal Coping Modes Questionnaire,MCMQ)]、睡眠质量[匹兹堡睡眠量表(Pittsburgh Sleep Quality Index,PSQI)]、自护能力[自护能力量表(Exercise of Self Care Agency,ESCA)]差异。结果干预后,两组患者HHI、MCMQ、ESCA评分均优于干预前,且观察组HHI中行动、态度、亲密关系的评分(3.15±0.27)分、(3.11±0.31)分、(3.08±0.33)分均高于对照组,差异有统计学意义(P<0.05);护理后,两组患者PSQI评分均降低,且观察组PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论叙事护理联合归因训练对肾移植术后患者进行干预后,有效提高患者希望水平以及自护能力,改善患者对于疾病的应对方式以及睡眠质量。

Objective To explore the influence of narrative nursing combined with attribution training on hope level and coping style of patients after kidney transplantation.Methods 73 patients undergoing kidney transplantation in Xiang'an Hospital Affiliated to Xiamen University from January 2021 to November 2022 were conveniently selected and divided into two groups according to random number table method.Control group(n=36)received conventional nursing,observation group(n=37)received narrative nursing combined with attribution training on the basis of the con⁃trol group.Before intervention,after 4 weeks of intervention,the differences of hope level[Herth Hope Index Scale(HHI)],disease coping style[Medical Coping Modes Questionnaire(MCMQ)],sleep quality[Pittsburgh Sleep Quality Index(PSQI)]and self-care ability[Exercise of Self Care Agency(ESCA)]between the two groups were compared.Re⁃sults After intervention,HHI,MCMQ and ESCA scores in both groups were better than before intervention,and HHI scores of action,attitude and intimacy in observation group(3.15±0.27)points,(3.11±0.31)points and(3.08±0.33)points were higher than those in control group,the differences were statistically significant(P<0.05).After nursing,PSQI score of both groups were reduced,and the the PSQI score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion After the intervention of narrative nursing combined with attribution training for patients after kidney transplantation,the hope level and self-care ability of patients were effectively improved,and the coping style and sleep quality of patients were improved.