基于保护动机理论的护理模式对慢性胃瘫患者的影响

Effect of protective motivation-based theory nursing model on patients with chronic gastroparesis

目的 探讨基于保护动机理论的护理模式对慢性胃瘫患者健康焦虑元认知、预感性悲伤的影响。方法 选取平顶山市第一人民医院2020年5月—2022年5月收治的98例慢性胃瘫患者为研究对象,按照组间基线资料可比的原则将其分为对照组和观察组,各49例。对照组采取常规护理模式干预,观察组在对照组基础上采取基于保护动机理论的护理模式干预。观察干预前、干预3 d后、干预1周后、干预2周后两组胃瘫症状恢复情况[胃轻瘫基本症状指数(GCSI)],比较干预前、干预后两组健康焦虑元认知能力(健康焦虑元认知量表)、预感性悲伤[预感性悲伤量表(AGS)]、生活质量[生活质量量表(SF-36)]。结果 干预期间,两组患者GCSI评分均呈降低趋势(P<0.05),干预2周后,观察组患者GCSI评分低于对照组(P<0.05)。干预后,两组健康焦虑元认知量表评分、SF-36评分较干预前均有升高(P<0.05),且观察组高于对照组(P<0.05);两组AGS评分较干预前均有降低(P<0.05),且观察组低于对照组(P<0.05)。结论 基于保护动机理论的护理模式能提高慢性胃瘫患者健康焦虑元认知水平,降低其预感性悲伤程度,同时能加快患者胃瘫症状恢复,改善患者生活质量。

Objective To explore the effect of the protective motivation-based theory nursing model on the health anxiety metacognition and premonitory sadness of patients with chronic gastroparesis.Methods 98 patients with chronic gastroparesis admitted to the First People's Hospital of Pingdingshan from May 2020 to May 2022 were selectedas the study subjects,they were divided into a control group and an observation group accordingto the principle of comparable baseline data between groups,with 49 cases in each group.The control group received routine nursing model intervention,and the observation group received nursing model intervention based on the theory of protective motivation on the basis of the control group.To observe the recovery of gastroparesis symptoms(GCSI)before the intervention,3 days after the intervention,1 week after the intervention,and 2 weeks after the intervention.To compare the health anxiety metacognitive ability(health anxiety meta cognitive scale),the Anticipatory Grief Scale(AGS),and quality of life(SF-36)before and afterthe intervention.Results During the intervention,the GCSI score in both groups showed a decrease trend(P<0.05).After 2 weeks of intervention,the GCSI score in the observation group was lower than that in the control group(P<0.05).After the intervention,the health anxiety metacognitive scale score and SF-36 score in both groupswere higher than that before the intervention(P<0.05),the observation group was higher than that in the control group(P<0.05),the AGS score in both groupswas lower than that before the intervention(P<0.05),and the observation group was lower than that in the control group(P<0.05).Conclusion The nursing model based on the protection motivation theory can improve the health anxiety metacognition level of patients with chronic gastroparesis,reduce the degree of premonitory sadness,accelerate the recovery of gastroparesis symptoms,and improve the quality of life of patients.