基于知信行模式的护理在流行性出血热患者中的应用效果

Application effects of knowledge-attitude-practice mode-based nursing on patients with epidemic hemorrhagic fever

目的:探讨基于知信行模式的护理在流行性出血热患者中的应用效果。方法:回顾性分析2019年4月至2022年4月该院收治的98例流行性出血热患者的临床资料,根据护理方法不同将其分为对照组和观察组各49例。对照组实施常规护理,观察组实施基于知信行模式的护理。比较两组护理前后疾病认知情况、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、症状缓解时间、住院时间及护理满意度。结果:护理后,观察组疾病认知量表中发病原因、临床表现、个人防护和注意事项等维度评分均高于对照组,HAMA、HAMD评分均低于对照组,尿蛋白转阴时间、退热时间、血小板恢复正常时间、血压恢复正常时间及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.92%(47/49),高于对照组的83.67%(41/49),差异有统计学意义(P<0.05)。结论:基于知信行模式的护理用于流行性出血热患者可提高其对疾病认知,缓解不良情绪,缩短症状缓解时间和住院时间,提高患者护理满意度。

Objective:To explore application effects of knowledge-attitude-practice mode-based nursing on patients with epidemic hemorrhagic fever.Methods:The clinical data of 98 patients with epidemic hemorrhagic fever admitted to this hospital from April 2019 to April 2022 were retrospectively analyzed.According to different nursing methods,those patients were divided into control group and observation group,49 cases in each group.The control group was given routine nursing,while the observation group was given the knowledge-attitude-practice modebased nursing.The disease cognition before and after the nursing,the negative emotions before and after the nursing[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]score,the symptom relief time,the hospitalization time,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of the causes,clinical manifestations,personal protection and precautions in the disease cognition scale of the observation group were higher than those of the control group;the HAMA and HAMD scores were lower than those in the control group;the urine protein negative conversion time,the fever time,the platelet recovery time,the blood pressure recovery time and the hospitalization time were shorter than those in the control group;and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.92%(47/49),which was higher than 83.67%(41/49)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Knowledge-attitude-practice mode-based nursing for the patients with epidemic hemorrhagic fever can improve patients’disease cognition,relieve the negative emotions,shorten the symptom relief time and the hospitalization time,and improve the patients’nursing satisfaction.