摘要
目的本研究旨在设计一套针对重型肝炎患者的中医情志护理干预方案,并评估其效果。方法以证据总结和德尔菲专家咨询法为基础,建立了包括暗示疗法、情志相胜法、释疑解惑法和移情疗法4个一级指标,9个二级指标和25个三级指标。选取2021年1月至2023年3月南昌大学第二附属医院收治的64例重型肝炎患者作为研究对象,按照随机数字表法分为对照组(32例)和观察组(32例)。对照组采用常规护理方法,观察组则在此基础上引入中医情志护理干预方案。比较两组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分。结果最终确定的护理指标方案包含4个一级指标、8个二级指标和17个三级指标。两轮函询,专家咨询中积极性分别为100%和90%,权威系数分别为0.87和0.90;各级指标肯德尔和谐系数为0.177~0.835,各个条目的重要性和可行性的变异系数范围在0.00~0.20。观察组干预后的SAS和SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论本研究构建的中医情志护理干预方案针对重型肝炎患者,具备科学性和可靠性。实施该方案后,能够改善重型肝炎患者的焦虑和抑郁不良情绪,从而有助于改善疾病预后与生活质量。这项研究不仅可为护理实践提供新的思路,同时也可为未来的相关研究打开广阔的探索空间。
Objective This study aims to design a traditional Chinese medicine(TCM)emotional nursing intervention program for patients with severe hepatitis and evaluate its effectiveness.Methods Based on evidence summarization and the Delphi expert consultation method,a nursing indicator system was established,consisting of four primary indicators-suggestion therapy,emotional regulation therapy,clarification method,and empathy therapy-along with nine secondary indicators and twenty-five tertiary indicators.A total of 64 patients diagnosed with severe hepatitis admitted to the Second Affiliated Hospital of Nanchang University between January 2021 and March 2023 were selected as the study objects,and they were divided into control group(32 cases)and observation group(32 cases)according to random number table method.The control group received conventional nursing methods,while the observation group implemented the TCM emotional nursing intervention program in addition to standard care.The anxiety self-rating scale(SAS)and depression self-rating scale(SDS)scores between the two groups were compared.Results After systematic evaluation,the final nursing indicator scheme comprised four primary indicators,eight secondary indicators,and seventeen tertiary indicators.In the two rounds of correspondence consultation,the enthusiasm of experts was 100%and 90%respectively,and the authority coefficient was 0.87 and 0.90 respectively.The Kendall harmony coefficient of each index ranges from 0.177 to 0.835,and the coefficient of variation of the importance and feasibility of each item ranged from 0.00 to 0.20.The scores of the observation group on the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The TCM emotional nursing intervention program developed for patients with severe hepatitis is scientifically based and reliable.Implementing this program alleviates patients'anxiety and depression,thereby enhancing the disease prognosis and improving quality of life for these patients.This research provides new insights for nursing practice and opens up vast exploration opportunities for future related studies.
作者
段甜甜
何朝珠
DUAN Tiantian;HE Chaozhu(Department of Hepatology,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330006,China;School of Nursing,Nanchang University,Jiangxi Province,Nanchang 330019,China)
出处
《中国当代医药》
2024年第35期10-15,22,共7页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2022B139)。
关键词
重型肝炎
情志护理
抑郁
焦虑
Severe hepatitis
Emotional nursing
Anxiety
Depression
