Du Jie, Chen Ruozhou, Xie Hong
Department of Rehabilitation, General Hospital of Pingxiang Mining Group Co. Pingxiang 337000, Jiangxi, China.
Department of Clinical Medicine, Yichun University Yichun 336000, Jiangxi, China.
Am J Transl Res. 2024 Apr 15;16(4):1246-1255. doi: 10.62347/JFAI7888. eCollection 2024.
To study the effect of nursing intervention derived from Snyder's hope theory in individuals with spinal cord injury.
We retrospectively analyzed clinical data of 80 patients with spinal cord injury who were admitted to General Hospital of Pingxiang Mining Group Co., from August 2021 to October 2023. According to different nursing methods, they were assigned into a control group (n = 40, routine curative care) and an observation group (n = 40, routine curative care plus nursing intervention derived from Snyder's hope theory). The two groups were compared in terms of emotional state, level of hope, living standard, occurrence of complications, and nursing satisfaction. According to the occurrence of complications after nursing, the patients were divided into a good prognosis group and a poor prognosis group, and the influencing factors for prognosis were analyzed by univariate analysis and logistic multivariate analysis.
After nursing, the anxiety and depression scores decreased in both groups when compared to their pre-nursing scores, with lower scores in the observation group than in the controls (P<0.05). Also, the observation group exhibited significantly higher score of hope, higher score of quality of life, and lower occurrence of complications when compared to the control group (P<0.05). The nursing satisfaction rate in the observation group was 95.00% (38/40), which was noticeably greater than 65.00% (26/40) in the control group (P<0.05). Multivariate analysis showed that nursing methods (P = 0.007, OR = 7.828, 95% CI: 1.766-34.688) and HB after intervention (P = 0.029, OR = 0.965, 95% CI: 0.935-0.996) were the influencing factors of complications after nursing intervention in patients with SCI.
The implementation of nursing intervention derived from Snyder's hope theory can decrease the anxiety and depression levels, lower the occurrence of complications, enhance the hope level, increase the satisfaction rate, and improve the overall quality of life in patients with spinal cord injury.
探讨基于斯奈德希望理论的护理干预对脊髓损伤患者的影响。
回顾性分析2021年8月至2023年10月萍乡矿业集团总医院收治的80例脊髓损伤患者的临床资料。根据护理方法不同，将其分为对照组（n = 40，常规治疗护理）和观察组（n = 40，常规治疗护理加基于斯奈德希望理论的护理干预）。比较两组患者的情绪状态、希望水平、生活质量、并发症发生情况及护理满意度。根据护理后并发症发生情况，将患者分为预后良好组和预后不良组，采用单因素分析和logistic多因素分析方法分析预后的影响因素。
护理后，两组患者焦虑、抑郁评分均低于护理前，且观察组低于对照组（P<0.05）。观察组患者希望水平评分、生活质量评分均高于对照组，并发症发生率低于对照组（P<0.05）。观察组护理满意度为95.00%（38/40），明显高于对照组的65.00%（26/40）（P<0.05）。多因素分析显示，护理方法（P = 0.007，OR = 7.828，95%CI：1.766 - 34.688）和干预后血红蛋白水平（P = 0.029，OR = 0.965，95%CI：0.935 - 0.996）是脊髓损伤患者护理干预后并发症的影响因素。
实施基于斯奈德希望理论的护理干预可降低脊髓损伤患者的焦虑、抑郁水平，减少并发症发生，提高希望水平，提高满意度，改善患者整体生活质量。
