时效性激励护理对慢性鼻窦炎患者疾病认知及自我感受负担的影响

Effects of timely motivational nursing on disease cognition and self-perceived burden in patients with chronic rhinosinusitis

目的探讨时效性激励护理对慢性鼻窦炎(CRS)患者疾病认知及自我感受负担的影响,以期为CRS患者的护理方案选择提供参考。方法选取2021年2月—2023年5月于阜阳市人民医院行鼻内镜手术的122例CRS患者为研究对象,根据采用的护理干预方法分为对照组与观察组,每组61例。对照组患者接受常规护理干预,观察组患者在对照组基础上接受时效性激励护理干预。比较2组患者干预前后的自我感受负担、疾病认知水平及护理满意度等指标。结果2组患者干预前自我感受负担量表(SPBS)的情感、经济及身体3个维度评分比较,差异均无统计学意义(P>0.05);2组患者干预后SPBS量表各维度评分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前简化版疾病感知问卷(B-IPQ)的认知表征、情绪表征及疾病理解能力3个维度评分比较,差异均无统计学意义(P>0.05);2组患者干预后B-IPQ问卷各维度评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组患者护理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论时效性激励护理干预有助于提升CRS患者的疾病认知水平,降低其自我感受负担水平,提高护理满意度,值得在临床推广。

Objective To explore the impact of timely motivational nursing on disease cognition and self-perceived burden in patients with chronic rhinosinusitis(CRS),aiming to provide guidance for nursing strategies.Methods A total of 122 CRS patients who underwent endoscopic sinus surgery at Fuyang People's Hospital from February 2021 to May 2023 were selected and allocated to a control group and an observation group,with 61 patients each.The control group received routine nursing intervention,while the observation group received additional timely motivational nursing.The pre-and post-intervention self-perceived burden,disease cognition levels,and degree of satisfaction with nursing were compared between the two groups.Results Before intervention,no significant differences were noted in the emotional,economic,and physical subscales of the Self-Perceived Burden Scale(SPBS)between the two groups(P>0.05).After intervention,SPBS scores in these subscales were significantly lower in both groups,with the observation group showing greater reductions(P<0.05).The Brief Illness Perception Questionnaire(B-IPQ)scores in cognitive representation,emotional representation,and disease understanding showed no significant differences before intervention(P>0.05).After intervention,scores in these subscales of B-IPQ significantly improved in both groups,with higher scores in the observation group(P<0.05).The observation group also had higher scores in the degree of satisfaction with nursing compared with the control group(P<0.05).Conclusion Timely motivational nursing intervention promotes disease cognition,reduces self-perceived burden,and increases the degree of satisfaction with nursing in CRS patients,warranting clinical promotion.