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护理束对急性泪囊炎患者术后疼痛、负面情绪及自我护理能力的影响

Effect of care bundles on postoperative pain, negative emotions, and self-care ability of patients with acute dacryocystitis.

作者信息

Luo Qingyue, Zhou Huan, Yang Rui, Li Meng, Huang Dan, Zhou Xueqin, Du Fang

机构信息

Department of Ophthalmology, The First Affiliated Hospital of Chongqing, Chongqing Key Laboratory of Ophthalmology, Chongqing Institute of Ophthalmology Chongqing 400069, China.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):2794-2803. eCollection 2021.

Abstract

AIM

This study aimed to investigate the effect of care bundles on the postoperative pain, negative emotions, and self-care ability of patients with acute dacryocystitis.

METHODS

We recruited 103 patients with acute dacryocystitis undergoing surgery in our hospital from July 2018 to October 2019 in this study. Among them, 55 patients received care bundles (the research group, RG) and the other 48 received conventional care (the control group, CG). The two groups were compared in response rate, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Exercise of Self-Care Agency Scale (ESCA) before and after nursing interventions, as well as postoperative Visual Analogue Scale (VAS), MOS 36-item short-form health survey (SF-36), and patient satisfaction rate.

RESULTS

After the care, the RG had a markedly higher response rate than the CG. No significant differences were found in SAS and SDS scores between the two groups before nursing care, and lower scores were found in the RG after the care. There was no significant difference in VAS scores before nursing care, and the RG showed higher scores than the CG after the care. There was no significant difference in self-care skills, self-care responsibility, self-concept, health knowledge, and self-care ability between the two groups before nursing care, but they all increased after the care. Markedly higher scores of SF-36 and a higher patient satisfaction rate were observed in the RG after the care.

CONCLUSION

Care bundles can enhance the self-care ability of patients with acute dacryocystitis after surgery, reduce pain intensity, relieve negative emotions, improve quality of life, and increase patient satisfaction with nursing care.

摘要

目的

本研究旨在探讨护理包对急性泪囊炎患者术后疼痛、负面情绪及自我护理能力的影响。

方法

本研究纳入了2018年7月至2019年10月在我院接受手术的103例急性泪囊炎患者。其中,55例患者接受护理包(研究组,RG),另外48例接受常规护理(对照组,CG)。比较两组在护理干预前后的反应率、自评焦虑量表(SAS)、自评抑郁量表(SDS)及自我护理能力测定量表(ESCA),以及术后视觉模拟评分法(VAS)、MOS 36项简短健康调查量表(SF-36)和患者满意度。

结果

护理后,研究组的反应率明显高于对照组。护理前两组的SAS和SDS评分无显著差异,护理后研究组的评分较低。护理前VAS评分无显著差异,护理后研究组的评分高于对照组。护理前两组在自我护理技能、自我护理责任、自我概念、健康知识和自我护理能力方面无显著差异,但护理后均有所提高。护理后研究组的SF-36评分明显更高,患者满意度也更高。

结论

护理包可提高急性泪囊炎患者术后的自我护理能力,减轻疼痛程度,缓解负面情绪,改善生活质量,并提高患者对护理的满意度。

相似文献

本文引用的文献

1
Acute dacryocystitis.急性泪囊炎
Cleve Clin J Med. 2020 Jul 31;87(8):477. doi: 10.3949/ccjm.87a.19121.
10
Evidence-based medicine as science.循证医学作为科学。
J Eval Clin Pract. 2019 Dec;25(6):997-1002. doi: 10.1111/jep.13090. Epub 2018 Dec 21.

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