摘要
目的观察基于磁性服务理念的护理对幽门螺杆菌(Hp)相关性消化性溃疡患者自护能力、生命质量及护理满意度的影响,以期为临床护理决策的制定提供参考。方法选取河北某医院2021年1月—2022年12月收治的230例Hp相关性消化性溃疡患者为研究对象,按随机数字表法将患者分为观察组和对照组,每组115例。对照组患者接受常规护理,观察组患者接受基于磁性服务理念的护理,2组均护理1个月。使用疾病不确定感量表(MUIS)、修正版自我护理能力评估量表(ASAS-R-C)、消化性溃疡患者生命质量量表(QLICD-PU)、护理满意度调查问卷分别评估患者疾病不确定感、自护能力、生命质量及护理满意度。结果干预前,2组患者MUIS各维度得分及总分、ASAS-R-C各维度得分及总分、QLICD-PU各维度得分比较,差异均无统计学意义(P>0.05)。干预后,2组患者MUIS各维度得分及总分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05);2组患者ASAS-R-C各维度得分及总分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05);2组患者QLICD-PU各维度得分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者护理满意度问卷各维度得分均高于对照组,差异均有统计学意义(P<0.05)。结论基于磁性服务理念的护理可有助于保证患者心理健康,减轻疾病不确定感,促进患者自护能力提高,使患者生命质量提升,从而获得较高护理满意度,值得临床推广。
Objective To observe the impact of nursing based on the magnetic service concept on self-care ability,quality of life,and nursing satisfaction in patients with Helicobacter pylori(Hp)-related peptic ulcer,in order to provide a reference for clinical nursing decision-making.Methods A total of 230 patients with Hp-related peptic ulcer,who were admitted to a hospital in Hebei from January 2021 to December 2022,were selected as the study participants.Patients were randomly allocated to the observation group and the control group,with 115 patients in each group.The control group received routine nursing care,while the observation group received nursing care based on the magnetic service concept.Both groups received nursing care for 1 month.Disease uncertainty,self-care ability,quality of life,and nursing satisfaction were assessed using the Managing Uncertainty in Illness Scale(MUIS),Appraisal Self-Care Agency Scale-Revision in Chinese(ASAS-R-C),QoL Instruments for Chronic Disease-peptic ulcer(QLICD-PU),and Nursing Satisfaction Survey.Results Before intervention,no significant differences were found in the MUIS scores(subscale and total scores),ASAS-R-C scores(subscale and total scores),and QLICD-PU scores(subscale scores)between the two groups(P>0.05).After intervention,the MUIS scores(subscale and total scores)for both groups were lower than before intervention,and the observation group had lower scores than the control group,with significant differences(P<0.05).The ASAS-R-C scores(subscale and total scores)for both groups were higher than before intervention,and the observation group had higher scores than the control group,with significant differences(P<0.05).The subscale scores of QLICD-PU for both groups were higher than before intervention,and the observation group had higher scores than the control group,with significant differences(P<0.05).After intervention,the subscale scores of nursing satisfaction in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Nursing based on the magnetic service concept can help ensure patients'psychological health,reduce disease uncertainty,promote self-care ability,increase quality of life,and lead to higher nursing satisfaction.It is worth promoting in clinical practice.
作者
卢美翠
孙晓冉
赵丽媛
张桂云
席默阳
刘颖华
张琦
Lu Meicui;Sun Xiaoran;Zhao Liyuan;Zhang Guiyun;Xi Moyang;Liu Yinghua;Zhang Qi(Department of General Medicine,The First Affiliated Hospital of Hebei North University,Zhangjiakou Hebei 075000,China;Department of Gastroenterology,The First Affiliated Hospital of Hebei North University,Zhangjiakou Hebei 075000,China)
出处
《保健医学研究与实践》
2024年第9期107-111,131,共6页
Health Medicine Research and Practice
基金
河北省医学科学研究课题计划(20231407)。