Life Review the Impact of Combined Watson Care Theory Intervention on Psychological Status and Quality of Life in Patients with Terminal Lung Cancer

Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitted from March 2021 to January 2024 were selected, which were divided into research group (life review combined with Watson care theory intervention) and control group (conventional intervention), with 36 cases each. Compare the nursing effect between the two groups. Results: The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores were significantly lower than those of the control group, and the quality of life score was significantly higher than that of the control group (P < 0.05). Conclusion: Life review combined with Watson care theory intervention can improve the psychological state and improve the quality of life of patients with terminal lung cancer.

Experiencing a traumatic spinal cord injury—Analysis on the view of the theory of Watson’s transpersonal caring

This is an inquiry that seeks to understand the meaning of experiencing a spinal cord injury for hospitalized Brazilian and Portuguese patients. A quailtative study was achieved in two care services to spinal cord injury in Fortaleza-Brazil and Lisboa-Portugal. The subjects were 30 patients with complete spinal cord injury. The findings were obtained through a semi-structured interview, which took place at different times and it was used the following guiding question: What does it mean for you to experience a spinal cord injury? The data were organized by Bardin technique and analysis based on the assumptions of the theory of Jean Watson’s care. The speeches of the patients show a diversity of meanings such as: to lose the freedom of going and coming, sexuality and to become dependent on others. It is concluded that this situation of loss overbalances the person’s existence, which is expressed by feelings of sadness, grief, discontent, isolation, anxiety, crying, pain and emotional suffering. These feelings were expressed by the two groups despite being from different cultures. The research enabled the description of multiple dimensions of the meaning of spinal cord injury. It fills the theoretical gap, not yet sufficiently addressed to the practice of caring people with spinal cord injury.

Watson关怀理论下人性照护联合运动激励干预对老年2型糖尿病患者疾病负担、特质焦虑和血糖控制的影响

目的:探讨watson关怀理论下人性照护联合运动激励干预对老年2型糖尿病(T2DM)患者疾病负担、特质焦虑和血糖控制的影响。方法:选取2021年1月—2024年1月在某院接受诊疗的老年T2DM患者170例,经随机数字表法完成随机分组,将患者纳入联合组与对照组,两组例数均为85例。对照组予以运动激励干预,联合组在对照组基础上予以watson关怀理论下人性照护。比较两组干预前后血糖水平、疾病负担、心理状态、自护能力及生活质量。结果:干预后,两组空腹血氧(FBG)、餐后2h血糖(2hPG)及糖化血红蛋白(HbA1c)水平同干预相比较均下降,且联合组相对更低(t=5.594,5.291,5.400;P<0.05);两组自我感受负担量表(SPBS)各维度分值同干预前相比较均下降,且联合组相对更低(t=4.333,3.636,4.819,3.883;P<0.05);两组焦虑自评量表(SAS)和抑郁自评量表(SDS)分值同干预前相比较均下降,且联合组相对更低(t=3.974,3.134;P<0.05);两组自护能力测定量表(ESCA)分值同干预前相比较均升高,且联合组相对更高(t=5.911,4.214,4.296,4.993,4.867;P<0.05);两组健康调查简表(SF-36)各维度分值同干预前相比较均升高,且联合组相对更高(t=4.298,3.607,2.936,3.862,4.089,5.082,3.826,3.249;P<0.05)。结论:watson关怀理论下人性照护联合运动激励干预对老年T2DM患者疾病负担、心理状态及血糖水平的改善具有加强作用,同时也更有利于提升患者自护能力及生活质量。

观察基于Watson人性照顾理论的干预对重症肺炎合并呼吸衰竭患者的应用效果

目的:观察基于Watson人性照顾理论的干预对重症肺炎合并呼吸衰竭患者的应用效果。方法:选取2021年6月至2023年6月泉州市第一医院呼吸与危重症医学科收治的重症肺炎合并呼吸衰竭患者94例作为研究对象,按照随机数字表法分为对照组和观察组,每组47例。对照组给予常规护理干预,观察组在对照组基础上给予Watson人性照顾理论的干预。采用匹兹堡睡眠质量指数量表(PSQI)比较2组患者干预前后睡眠质量的变化,采用阿森斯失眠量表(AIS)评估2组患者干预前后失眠的改善效果,并通过2组患者护理后的呼吸困难缓解时间、机械通气时间、重症监护室住院时间,以判断恢复情况。结果:干预后,观察组患者PSQI评分、AIS评分均显著低于对照组,观察组呼吸困难缓解时间、机械通气时间及重症监护室住院时间均显著短于对照组,差异均有统计学意义(均P<0.05)。结论:对重症肺炎合并呼吸衰竭患者应用基于Watson人性照顾理论的护理干预可有效改善其睡眠质量,促进病情恢复,值得临床推广应用。

A unitary caring science resilience-building model:Unifying the human caring theory and research-informed psychology and neuroscience evidence

Resilience is the psychological capability to recover from difficulties quickly.Healthcare professionals are especially vulnerable to job-related stress and burnout.Unitary Caring Science is the framework for Watson’s Human Caring Theory,providing a philosophy of practice in healthcare.With the high rates of clinician burnout and psychological issues,it will be significant to unify the human caring theory with research-informed psychological and neuroscience evidence to develop clinicians’resilience-building strategies.The purpose of this article is to introduce a Unitary Caring Science Resilience Model and explain the science behind the core strategies based on Unitary Caring Science philosophy and the psychological and neuroscience research.This model includes six strategies:Embracing loving-kindness for self and others;Nurturing interpersonal and intersubjective connections/relations;Deepening a creative use of self and sense of belonging;Balancing self-learning,self-awareness,and an evolved selfconsciousness;Valuing forgiveness and releasing negativity;Inspiring and maintaining faith-hope.The caring-theory guided resilience-building strategies are proven to alleviate the depletion of clinicians’energy and emotions.Healthcare practices are challenging but rewarding.Clinicians can be emotionally,psychologically,and physically exhausted if they always consider themselves‘giving’and‘doing’institutional tasks without a sense of purpose or fulfillment.The practice can be rewarding if it becomes more aligned with clinicians’value to serve humanity.Through the unitary caring science resilience strategies,clinicians can build resilience as an antidote to clinician burnout and depletion.

Caring Science in Nursing.coming of Age in:Theory-Practice-Research

Jean Watson(华生)博士通过探究护理的哲学与科学根基,比较自然科学之医学典范与人文科学之护理典范的差异,以"Caring"为护理核心本质,发展了关怀科学(Caring Science)。本论著中Watson博士概述了关怀科学的理论根基——整体论(Unitary Ontology),及其伦理归属(Ethic of Belonging);介绍了人文关怀的10大要素(Caritas Processes);阐述了人际间关怀时刻(Transpersonal Caring Moment)的内涵以及护理人员实现人性关怀的方法学(CaritasHeart TM Methodology)。最后,Watson博士提出了关怀科学在护理实践应用的指导方针。希望此论著对我国护理工作者认识和实践人文关怀有所裨益!

Application of “Swanson’s Middle Range Caring Theory” in Sweden after miscarriage

Objective: The aim of this study was to apply Swanson’s Middle Range Caring Theory to the follow-up visit with a midwife for Swedish women who have suffered early miscarriage or received care for late missed miscarriage in preg-nancy week 18-20. Methods: Twenty-five tape recorded interviews with women four weeks after their early miscarriages and thirteen tape recorded semi-structured interviews with midwives and nurses who had the experience of caring for women who have been diagnosed with a missed miscarriage during a routine ultrasound scan. The interviews were transcribed verbatim and interpreted deductively from the text using the theory. Results: Each woman described her personal experience of miscarriage in the relative terms of a human experience. The midwives and nurses described their experiences with women who received care for missed miscarriage. The interviews included information about the treatment provided by the caregivers during the period afterward of the diagnosis. The caregiver attitude was formed from Swanson’s caring categories: “Maintaining belief”, “knowing”, “being with”, “doing for”, “enabling”. Conclusions: Swanson’s Middle Range Caring Theory as applied to the caregiver includes being emotionally present, giving support with respect for the woman’s dignity, being competent, meeting each woman’s own individual needs. Given the proper care after a miscarriage every woman has the power within herself to improve their wellbeing.

基于Watson关怀理论的培训在低年资护士培训中的应用

目的探究将基于Watson关怀理论的培训应用于低年资护士,对其人文关怀能力、临床护理质量及护理满意度的效果观察。方法采用便利抽样法,选取牡丹江医学院附属红旗医院110名低年资护士为研究对象,采用随机数表法将其分为对照组(n=55)和试验组(n=55)。对照组低年资护士采用常规人文关怀学习培训,试验组低年资护士采用基于Watson关怀理论的人文关怀学习培训。比较两组低年资护士参加培训前后人文关怀品质量表得分情况、两组低年资护士临床护理工作质量及护理满意度。结果经过培训后,试验组低年资护士的护理人文关怀品质总分与对照组比较,差异有统计学意义(P<0.05),试验组低年资护士临床护理质量评分为(97.8±2.1)分,显著高于对照组的(91.2±2.5)分,试验组低年资护士护理满意度(98.18%,54/55)显著高于对照组(80.00%,44/55),差异有统计学意义(P<0.05)。结论基于Watson关怀理论的人文关怀培训能够促进低年资护士掌握人文关怀相关理论知识,培养其人文关怀素质,从而提高临床护理工作质量和护理满意度,值得临床护理管理者推广和使用。

Watson人性照顾理论联合层级链式护理对慢性阻塞性肺疾病患者肺功能及生活质量的影响

目的分析Watson人性照顾理论联合层级链式护理对慢性阻塞性肺疾病(COPD)患者肺功能及生活质量的影响。方法选取我院2020年1月至2022年12月收治的320例COPD患者,采用随机数字表法将其分为两组,每组160例,对照组实施常规护理,观察组实施Watson人性照顾理论联合层级链式护理,对比两组患者肺功能、生活质量、护理满意度、并发症发生情况。结果观察组干预后第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC均高于对照组(P<0.05);观察组干预后躯体功能、心理功能、生理功能、社会功能评分均高于对照组(P<0.05);观察组护理满意度为98.13%(157/160),对照组护理满意度为87.50%(140/160),观察组护理满意度高于对照组(P=0.001)。观察组并发症总发生率为2.50%(4/160),对照组并发症发生率为9.38%(15/160),观察组并发症总发生率低于对照组(P=0.018)。结论应用Watson人性照顾理论联合层级链式护理的综合护理干预,能有效提升COPD患者的肺功能和生活质量,并提高患者对护理服务的满意度。

Watson关怀理论下激励式护理对呼吸衰竭患者治疗依从性及生活质量的影响

目的探究Watson关怀理论下激励式护理在呼吸衰竭患者中的护理价值。方法方便选取2020年12月-2022年12月新沂市人民医院收治的102例呼吸衰竭患者作为研究对象,采用随机数表法分为对照组和研究组,各51例。对照组入院后接受常规护理服务,研究组接受结合Watson关怀理论下激励式护理服务。比较两组患者护理干预前及护理干预3个月后的服药依从性量表(Morisky Medication Adherence Scale,Morisky)、生活质量简表(World Health Organization Quality of Life-100,WHOQOL-100)、心理韧性量表(Stress and Coping Questionnaire,SCSQ)及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分。结果护理干预后,研究组Morisky评分、WHOQOL-100评分高于对照组,差异有统计学意义(P均<0.05)。研究组SCSQ得分(67.85±4.17)分高于对照组的(59.28±4.36)分,差异有统计学意义(t=10.144,P<0.05)。研究组PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论对呼吸衰竭患者实施Watson关怀理论下激励式护理,可激发患者主观能动性,有助于提高其依从性,并增强睡眠质量及心理韧性,从而提高生活质量。

基于Watson关怀理论的激励式护理干预对髋关节置换术患者的影响

目的:探讨Watson关怀理论的激励式护理干预对髋关节置换术患者康复进程及负性情绪的影响.方法:选取2022年5月至2023年5月本院收治的80例行髋关节置换术患者为研究对象,按护理方法将其分为实验组(n=40,给予Watson关怀理论的激励式护理模式干预)和对照组(n=40,给予常规护理模式干预).比较两组患者术后康复进程、负性情绪和护理满意度.结果:干预后实验组患者下床活动时间、住院时间、髋关节恢复时间均短于对照组,差异有统计学意义(P<0.05);干预后实验组患者焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05);干预后实验组患者护理满意度(38/40,95.00%)高于对照组(31/40,77.50%),差异有统计学意义(P<0.05).结论:Watson关怀理论的激励式护理应用于髋关节置换术患者,能促进患者早日康复,减少患者负性情绪,患者满意度高.

Theory Critique of Kristen Swanson’s Theory of Caring

Theory is considered essential for integral assessment, adopting its foundations and concepts is of great utility. The theory provides different templates to help nurses provide care that respects patients and improves outcomes. Through understanding the intersection of nursing, patients, health, and the environment, theories aim to simplify the complicated, ever-evolving relationship that nurses have with their profession. Nursing theory helps distinguish nursing as a separate discipline from medicine and related sciences, and assists nurses in understanding their patients and their needs. The behaviors of healthcare providers affect how patients participate in and experience care situations. In the nursing discipline, the theoretical structures of caring have been established as the core concept of guidance in all nurses’ work. The aim of this paper is to develop a critique of Kristen Swanson’s theory of caring—a theory structured around five caring principles (maintaining belief, knowing, being with, doing for, and enabling) by applying it to nursing practice. When applied to nursing practice, each of these five stages stimulates the caregiver’s attitude, which in turn improves the overall patient’s well-being. Implications to nursing practice are mentioned [1] [2].

基于Watson关怀理论的人文关怀体系创建及实施效果评价

目的探讨基于Watson关怀理论创建的人文关怀体系的实施效果。方法基于Watson关怀理论提出的构成关怀行为的十大因素制定人文关怀内容,对全院护理人员实施人文关怀,包括形成人文利他主义的价值系统,灌输信念和希望等。比较实施前后护士工作满意度及离职率。结果实施后护士工作满意度各维度及总分显著高于实施前(均P<0.01),离职率显著低于实施前(P<0.01)。结论对护士实施基于Watson关怀理论的人文关怀,可提高护士工作满意度,降低离职率,稳定护理队伍。

Watson关怀理论在溃疡型淋巴结结核伤口护理中的应用效果评价

目的探讨基于Watson关怀理论的护理措施在溃疡型淋巴结结核患者伤口护理中的应用效果。方法2018年10月至2020年10月,选取就诊于同济大学附属上海市肺科医院结核伤口护理门诊的溃疡型淋巴结结核患者作为研究对象,根据其就诊及护理伤口的先后顺序分为对照组(n=40)和观察组(n=40)。对照组患者接受常规护理措施,观察组在对照组的基础上接受基于Watson关怀理论的护理措施。比较两组患者的炎症指标数值、治疗依从性、自我效能感量表评分及护理满意度。结果干预1个月后,观察组患者炎症指标数值、治疗依从性、自我效能感量表评分及护理满意度均优于对照组(P<0.05)。结论基于Watson关怀理论的护理干预可提高溃疡型淋巴结结核患者的自我护理效能、治疗依从性及对护理工作的满意度,能有效改善患者的伤口状况,促进伤口恢复。

“五心”护理结合Watson关怀理论在乳腺癌病人护理中的应用效果

[目的]探讨"五心"护理结合Watson人文关怀理论在乳腺癌病人护理中的应用效果。[方法]选择2014年3月—2016年4月入住我院乳腺甲状腺诊疗中心的乳腺癌病人320例,将2014年3月—2015年4月入院的160例乳腺癌病人作为对照组,实施人文关怀优质护理服务工作;2015年5月—2016年4月入院的160例乳腺癌病人作为观察组,实施基于Watson人文关怀理论的"五心"护理服务。比较实施前后两组病人的癌因性疲乏程度及生活质量,比较两组实施后护士人文关怀满意度。[结果]实施后两组病人的癌因性疲乏程度及生活质量得分比较差异有统计学意义(P<0.05)。两组病人实施后护士人文关怀满意度各条目得分及总分比较差异有统计学意义(P<0.05)。[结论]"五心"护理结合Watson人文关怀理论可以改善乳腺癌病人的癌因性疲乏,提高病人的生活质量及护士的人文关怀能力。

Watson关怀理论下的康复锻炼指导在乳腺良性肿瘤患者中的应用研究

目的:分析Watson关怀理论下的康复锻炼指导对乳腺良性肿瘤微创旋切术患者疼痛、负性情绪及肩部活动度的影响。方法:选取我院2021年1月至2022年6月期间接受微创旋切术治疗乳腺良性肿瘤患者105例为研究对象,抽签法分两组,对照组52例给予Watson关怀理论下的常规护理干预,观察组53例在对照组基础上增加康复锻炼指导,对比两组患者疼痛、负性情绪及肩部活动度。结果:观察组愈合率较对照组高,复发率较对照组低(P<0.05)。观察组术后6d、12d、24d的疼痛数字等级评定量表(NRS)评分较对照组低(P<0.05);焦虑评分、抑郁评分、恐惧评分和自卑评分较对照组高(P<0.05)。结论:Watson关怀理论下的康复锻炼指导干预微创旋切术患者效果好,能够缓解患者疼痛,减少负面情绪,增加肩部活动度。

专业化个案管理结合Watson关怀理论对结肠癌术患者希望水平及生活质量的影响

目的探讨专业化个案管理结合Watson关怀理论对结肠癌术患者希望水平及生活质量的影响。方法选取本院2018年4月—2020年4月112例行结肠癌手术治疗患者作为研究对象,按照随机数字表法分为对照组(n=56)和观察组(n=56),对照组使用常规护理,观察组在此基础上采用专业化个案管理结合Watson关怀理论。比较两组干预前后希望水平、心理状态、生活质量及满意度。结果观察组干预后积极行动、与他人保持亲密、对未来和希望的积极状态等维度评分及Hearth希望量表(HHI)总分高于对照组(P<0.05);观察组干预后SDS评分、SAS评分低于对照组(P<0.05);观察组干预后社会功能、心理功能、物质生活状态、躯体功能等维度评分及生活质量综合评定问卷(GQOLI-74)总分高于对照组(P<0.05);观察组护理态度、健康教育、护理管理、护理技术、护理环境等维度评分高于对照组(P<0.05)。结论专业化个案管理结合Watson关怀理论能够提升结肠癌术患者的希望水平,改善心理状态,提高生活质量及满意度。

基于Watson关怀理论的护理干预对高龄股骨粗隆间骨折患者幸福度和自我效能的影响

目的探讨基于Watson关怀理论的护理干预对高龄股骨粗隆间骨折患者幸福度和自我效能的影响。方法以开平市中心医院2018年1月至2020年11月接收的80例高龄股骨粗隆间骨折患者为研究对象,按随机数字表法分成2组。对照组的40例患者接受常规护理,观察组的40例患者在常规护理方法的基础上接受基于Watson关怀理论护理干预。比较2组患者的幸福度、自我效能、髋关节功能和护理满意度。结果出院时,2组的纽芬兰纪念大学幸福度量表(MUNSH)和一般自我效能感量表(GSES)评分均高于同组术后1 d(P均<0.05),且观察组的MUNSH和GSES评分均高于对照组(P均<0.05)。观察组在术后1个月、3个月和6个月的髋关节Harris评分系统(HHS)评分均高于对照组(P均<0.05)。出院时,观察组的各项护理满意度评分均高于对照组(P均<0.05)。结论对高龄股骨粗隆间骨折患者实施基于Watson关怀理论的护理干预,可明显提高其幸福度和自我效能,有效促进其髋关节功能恢复,并有助于提升其护理满意度。

基于Watson关怀理论的系统化导师制培训对培养新护士人文关怀品质的效果评价

目的 :评价以Watson关怀理论为基础的系统化导师制培训对培养新护士人文关怀品质的效果。方法 :以便利抽样的方法选取某三级甲等医院2018年新入职的110名护士作为研究对象,随机分为对照组与实验组(每组各55人)。对照组参加医院常规的人文关怀培训,实验组接受以Watson关怀理论为基础的系统化导师制人文关怀培训,使用护士人文关怀品质量表对两组新护士进行培训前后的问卷调查。结果 :培训后实验组人文关怀品质总分以及理念、能力、感知3个维度得分与培训前的差值同对照组比较,差异具有统计学意义(P<0.05)。结论 :以Watson关怀理论为基础的系统化导师制人文关怀培训有助于加强新护士人文关怀品质的培养,尤其在人文关怀理念、能力、感知3个维度效果显著。

2000—2020年国内外Watson关怀理论研究现状与热点可视化分析

目的 分析近二十年国内外Watson关怀理论的研究概况,旨在揭示国内外应用的现状、热点及存在的问题。方法 在中国知网、万方和维普数据库中以“人性照护理论”或“Watson理论”或“华生关怀理论”和“护理”为检索词进行检索;在Web of Science中使用“human caring”OR“Watson’s theory”OR“Watson’s caring”为检索式进行检索,检索时间均限定为2000年1月至2020年12月。应用文献计量学方法及可视化软件对纳入文献进行分析。结果 共纳入中文160篇,英文218篇,共计378篇。年度文献发文量呈逐渐上升趋势,但基金资助力度不够,作者间合作交流程度不高,国家、地区与机构分布不均,文献质量有待提高。国外研究热点多聚焦于患者及护理人员的临床关怀体验和感知,注重护理教育、护理管理、家庭护理、社区护理和远程护理方向的研究。而我国研究热点侧重于临床实践,如艾滋病、癌症、精神分裂症等疾病的护理。结论 Watson关怀理论研究已逐渐受到重视,但仍存在许多不足,今后应加强跨专业、跨机构、跨国界的多元化合作交流,构建适用于我国国情的关怀理论体系,进一步提高理论研究质量。