反刍性沉思护理干预对自体脂肪颗粒移植治疗面部凹陷患者负性情绪及自护能力的影响

The impact of rumination-focused nursing intervention on negative emotions and self-care ability in patients undergoing autologous fat grafting for facial depressions

目的探讨反刍性沉思护理干预对自体脂肪颗粒移植治疗面部凹陷患者负性情绪及自护能力的影响。方法纳入2020年4月至2023年4月于无锡市第二人民医院接受自体脂肪颗粒移植治疗的88例面部凹陷患者,采用随机数字表法分为对照组与观察组,各44例。对照组予以常规护理,观察组予以反刍性沉思护理干预。比较两组干预前后的负性情绪[医院焦虑抑郁量表(HADS)评分]、自尊程度[自尊量表(SES)评分]、自我效能[一般自我效能感量表(GSES)评分]、自护能力[自我护理能力测定量表(ESCA)评分],并统计不良反应发生率。结果干预前,观察组HADS焦虑抑郁评分、SES、GSES及ESCA各维度评分与对照组相比差异无统计学意义(P>0.05);干预后,观察组HADS焦虑抑郁评分[(6.11±1.89)分、(6.21±2.23)分]及不良反应发生率[6.82%(3/44)]较对照组的[(10.45±2.58)分、(10.12±2.76)分、22.73%(10/44)]低;观察组SES、GSES评分及ESCA中自护技能、自护责任感、自我概念、健康知识水平等维度评分较对照组高,差异有统计学意义(均P<0.05)。结论反刍性沉思护理干预能显著改善自体脂肪颗粒移植治疗面部凹陷患者的负性情绪,减少焦虑、抑郁,并提高其自尊、自我效能和自护能力,同时还能减少不良反应的发生。

ObjectiveTo explore the impact of rumination-focused nursing intervention on negative emotions and self-care ability in patients undergoing autologous fat grafting for facial depressions.MethodsA total of 88 patients with facial depression who received autologous fat particle transplantation in the Second People's Hospital of Wuxi from April 2020 to April 2023 were included and divided into control group and observation group by random number table method,with 44 cases in each group.The control group received standard nursing care,while the observation group received rumination-focused nursing intervention.The negative emotions[Hospital Anxiety and Depression Scale(HADS)score]and self-esteem[Self-Esteem Scale(SES)],self-efficacy[General Self-Efficacy Scale(GSES)score],self-care ability[Self-Care Ability Scale for Evaluation(ESCA)]of the two groups before and after intervention were compared,and the incidence of adverse reactions was analyzed.ResultsBefore intervention,HADS anxiety and depression scores,SES,GSES and ESCA scores in the observation group had no statistical significance compared with the control group(P>0.05).After intervention,the HADS anxiety and depression scores[(6.11±1.89)points,(6.21±2.23)points]and the incidence of adverse reactions[6.82%(3/44)]in the observation group were lower than those in the control group[(10.45±2.58)points,(10.12±2.76)points,22.73%(10/44)].The scores of SES,GSES and self-care skills,self-care responsibility,self-concept and health knowledge in ESCA of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).ConclusionsRumination-focused nursing intervention can significantly improved negative emotions,reducing anxiety and depression levels,and enhanced self-esteem,self-efficacy and self-care ability in patients undergoing autologous fat grafting for facial depressions.It also helped in reducing the occurrence of adverse reactions.