MPNFS模式下的统合性护理在鼻出血患者中的应用效果

Application effects of integrated nursing under MPNFS mode in patients with nasal bleeding

目的:观察MPNFS模式下的统合性护理在鼻出血患者中的应用效果。方法:回顾性分析2020年4月至2022年3月该院收治的106例鼻出血患者的临床资料,根据护理方法不同将其分为对照组和研究组各53例。对照组采用常规护理,研究组在对照组基础上采用MPNFS模式下的统合性护理,比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、知信行评分、并发症发生率、6个月鼻出血次数及护理满意度。结果:护理后,两组SAS、SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组知识、信念、行为评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);术后6个月,研究组鼻出血平均次数低于对照组,差异有统计学意义(P<0.05);研究组健康教育、服务态度、基础护理、护理操作等护理满意度评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论:MPNFS模式下的统合性护理应用于鼻出血术后患者,可改善其负性情绪,提高知信行水平和护理满意度,减少术后鼻出血次数,效果优于常规护理。

Objective:To observe application effects of integrated nursing under MPNFS mode in patients with nasal bleeding.Methods:The clinical data of 106 patients with nasal bleeding admitted to the hospital from April 2020 to March 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and study group,53 cases in each group.The control group was given routine nursing,while the study group was given the integrated nursing under MPNFS mode on the basis of that of the control group.The scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]before and after the nursing,the knowledge-attitude-belief score,the incidence of complications,the number of nasal bleeding in 6 months,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of knowledge,belief and attitude in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Six months after surgery,the average number of nasal bleeding in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction scores and total scores of health education,service attitude,basic nursing and nursing operation in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The integrated intervention under MPNFS mode in the postoperative patients with nasal bleeding can improve their negative emotions,improve the knowledge-attitude-belief levels and the nursing satisfaction,and reduce the number of postoperative nasal bleeding.Moreover,it is superior to the routine nursing.