MSc, MD, Attending Physician, Department of Emergency Medicine, Chia-Yi Chang Gung Memorial Hospital, Taiwan.
PhD, RN, Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, and Associate Research Fellow, Department of Nursing, Chia-Yi Chang Gung Memorial Hospital, Taiwan.
J Nurs Res. 2021 Jun 7;29(4):e163. doi: 10.1097/JNR.0000000000000439.
Research has shown that nursing interventions are able to affect short-term outcomes in patients with injury. However, evidence based on a comprehensive nurse-led intervention may be beneficial for trauma care.
This study was designed to assess the effect of a nursing intervention on the illness perceptions and quality of life of patients with injury.
A two-group experimental design and a follow-up period of 12 months were used. Ninety-four patients were randomly assigned to either the experimental group or the control group. A nurse-led cognitive behavioral therapy intervention was used to improve outcomes.
The illness perception variables of "personal control" and "treatment control" were found to be significantly improved in the experimental group at 3 months after discharge, whereas "emotional perception" was significantly improved at 6 months after discharge. The intervention was also shown to improve "social quality of life" at 6 and 12 months after injury.
This study adds new knowledge related to nursing interventions for patients with injury in terms of the intervention achieving longer-term effects than the interventions examined in previous studies. The results highlight the importance of providing interprofessional collaborative care. However, the intervention protocol should be tested further in future studies.
研究表明，护理干预能够影响创伤患者的短期结局。然而，基于全面的护士主导干预的证据可能对创伤护理有益。
本研究旨在评估护理干预对创伤患者疾病认知和生活质量的影响。
采用两组实验设计和 12 个月的随访期。94 名患者被随机分配到实验组或对照组。采用护士主导的认知行为疗法干预来改善结局。
出院后 3 个月，实验组的疾病认知变量“个人控制”和“治疗控制”显著改善，而“情绪感知”则在出院后 6 个月显著改善。干预还显示，在受伤后 6 个月和 12 个月时，“社会生活质量”得到改善。
本研究在护理干预创伤患者方面增加了新的知识，干预的效果比以前研究中检查的干预措施具有更长的效果。结果强调了提供跨专业协作护理的重要性。然而，未来的研究还需要进一步测试干预方案。
