He Yangdong, Xie Chaoying, Xia You, Rang Jiaxi, Peng Liming
Department of General Surgery, The First Hospital of Changsha Changsha 410005, Hunan Province, China.
Department of Nursing, The First Hospital of Changsha Changsha 410005, Hunan Province, China.
Am J Transl Res. 2021 Sep 15;13(9):10527-10535. eCollection 2021.
This study was designed to investigate the application value of humanistic care interventions in patients with lower extremity arteriosclerosis obliterans (LEASO).
We enrolled 98 LEASO patients undergoing interventional therapy in our hospital into this study, among whom 47 cases received conventional care interventions (the regular group) while the other 51 received humanistic care interventions based on conventional care interventions (the research group). The two groups were compared in negative emotions, complications, and quality of life of patients.
Scores of negative emotions were lower in the research group than in the regular group after care (P < 0.05). The pain intensity decreased in both groups after care, with a sharper decrease in the research group (P < 0.05). The incidence of complications was lower in the research group than in the regular group after care (P < 0.05). The pain-free walking distance (PFWD) increased remarkably in both groups after care, with a longer PFWD in the research group than in the regular group (P < 0.05). Scores of the 36-Item Short-Form Health Survey (SF-36) increased after care in both groups (P < 0.05), with higher SF-36 scores in the research group than in the regular group (P < 0.05). SF-36 reflects the quality of life of patients from four aspects including vitality, emotional state, social function, and role-emotional. The care compliance and satisfaction level with care of patients were higher in the research group than in the regular group (P < 0.05). The care compliance rate and patient satisfaction level with care were higher in the research group than in the regular group (P < 0.05).
Humanistic care interventions can reduce postoperative pain intensity and improve the quality of life in patients with LEASO.
本研究旨在探讨人文关怀干预在下肢动脉硬化闭塞症（LEASO）患者中的应用价值。
选取我院98例接受介入治疗的LEASO患者纳入本研究，其中47例接受常规护理干预（常规组），另外51例在常规护理干预基础上接受人文关怀干预（研究组）。比较两组患者的负面情绪、并发症及生活质量。
护理后研究组负面情绪评分低于常规组（P<0.05）。两组护理后疼痛强度均降低，研究组降低更明显（P<0.05）。护理后研究组并发症发生率低于常规组（P<0.05）。两组护理后无痛步行距离（PFWD）均显著增加，研究组PFWD长于常规组（P<0.05）。两组护理后36项简短健康调查量表（SF-36）评分均升高（P<0.05），研究组SF-36评分高于常规组（P<0.05）。SF-36从活力、情绪状态、社会功能和角色情绪四个方面反映患者生活质量。研究组患者护理依从性及护理满意度高于常规组（P<0.05）。研究组护理依从率和患者护理满意度高于常规组（P<0.05）。
人文关怀干预可降低LEASO患者术后疼痛强度，提高生活质量。
