基于人文关怀的磁性护理理念在老年慢性病患者管理中的应用
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摘要
目的探讨磁性护理理念在老年慢性病患者管理中的应用效果。方法在人文关怀理论的基础上,将磁性护理理念应用于老年慢性病患者的管理中,制订人文关怀磁性护理管理方案,包括心理、饮食与营养、延续性护理等。对2016年12月至2017年6月期间住院的老年慢性病患者进行干预,以磁性护理管理实施前(2016年3月至9月)为对照组,实施后(2016年12月至2017年6月)为干预组,对两组患者干预前后满意度、焦虑和抑郁、生活质量进行评估。结果干预后干预组患者满意度高于对照组(P<0.01),焦虑、抑郁状况改善(P<0.01),生活质量提高(P<0.01)。结论基于人文关怀的磁性护理管理方案的实施提高了患者满意度,改善了焦虑和抑郁状况,提高了生活质量,值得借鉴推广。
Objective To explore the application effect of magnetic nursing concept in the management of elderly patients with chronic diseases.Methods Based on the theory of humanistic care,the magnetic nursing concept was applied to the management of the elderly patients with chronic diseases.Formulate the humanistic magnetic nursing management program,include psychology,diet and nutrition,continuous nursing.Elderly patients with chronic diseases who were hospitalized from December 2016 to June 2017 were treated with the intervention.Before magnetic nursing management was implemented(March to September 2016),the control group was selected as the control group,and after the implementation(December 2016 to June 2017),the satisfaction,anxiety,depression and quality of life of the two groups of patients before and after the intervention were evaluated.Results After intervention,patients in the intervention group were more satisfied than those in the control group(P<0.01),their anxiety and depression were improved(P<0.01),and their quality of life was improved(P<0.01).Conclusion The implementation of magnetic nursing management scheme based on humanistic care improves patient satisfaction,relieves anxiety,depression,and the quality of life.It is worth learning from and widely spreading.
Objective To explore the application effect of magnetic nursing concept in the management of elderly patients with chronic diseases.Methods Based on the theory of humanistic care,the magnetic nursing concept was applied to the management of the elderly patients with chronic diseases.Formulate the humanistic magnetic nursing management program,include psychology,diet and nutrition,continuous nursing.Elderly patients with chronic diseases who were hospitalized from December 2016 to June 2017 were treated with the intervention.Before magnetic nursing management was implemented(March to September 2016),the control group was selected as the control group,and after the implementation(December 2016 to June 2017),the satisfaction,anxiety,depression and quality of life of the two groups of patients before and after the intervention were evaluated.Results After intervention,patients in the intervention group were more satisfied than those in the control group(P<0.01),their anxiety and depression were improved(P<0.01),and their quality of life was improved(P<0.01).Conclusion The implementation of magnetic nursing management scheme based on humanistic care improves patient satisfaction,relieves anxiety,depression,and the quality of life.It is worth learning from and widely spreading.
引文
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[3] 李选.推进磁性护理对强化专业发展的影响[J].中国护理管理,2014,14(12):1233-1235.DOI:10.3969/j.issn.1672-1756.2014.12.001.
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[8] 汪晖,刘于,王颖,等.基于磁性医院文化的护理管理实践与效果[J].中国护理管理,2018,18(1):64-67.DOI:10.3969/j.issn.1672-1756.2018.01.016.
[9] 徐悦,徐妍妍,沈小芳.基于磁性管理下的神经内科病区护理质量管理及效果[J].护理学报,2017,24(24):9-11.DOI:10.16460/j.issn1008-9969.2017.24.009.
[10] 顾李妍,张玲娟.磁性医院护理工作环境测评工具的研究进展[J].中华护理杂志,2014,49(5):602-605.DOI:10.3761/j.issn.0254-1769.2014.05.022.
[11] 陈雅卓.优质护理措施对脑肿瘤手术患者生活质量的影响[J].中国实用神经疾病杂志,2017,20(16):106-108.DOI:10.3969/j.issn.1673-5110.2017.16.035.
[12] 吴艳艳,陈珂,郭素梅,等.“心中有患者”优质护理服务链对慢性阻塞性肺病患者生活质量的影响[J].中华现代护理杂志,2013,19(23):2784-2786.DOI:10.3760/cma.j.issn.1674-2907.2013.23.014.
[13] 张燕,周斌,邱华,等.“磁性医院”管理模式在提高军队医院护理服务质量中的应用[J].东南国防医药,2014,16(6):643-645.DOI:643-645.10.3969/j.issn.1672-271X.2014.06.027.
[14] 任国琴,任玉娇,周炮芳,等.磁性护理理念的三级甲等医院护理服务质量管理[J].国际护理学杂志,2017,36(24):3423-3425.DOI:10.3760/j.issn.1673-4351.2017.24.033.
[15] 韩斌如,王庆玲,赵晓维,等.英国“以人为本”的护理管理模式及对我国的启示[J].护理管理杂志,2018,18(2):149-152.DOI:10.3969/j.issn.1671-315x.2018.02.020.
[16] 尹小兵,朱晓萍.美国磁性医院护理进修体会[J].中国护理管理,2013,13(2):13-15.DOI:10.3969/j.issn.1672-1756.2013.02.005.
[17] 季红,袁越.走进磁性医院感受吸引护理[J].护理管理杂志,2016,16(3):226-228.
[2] NIGHTINGALE F.Notes on nursing[M].Philadephia:Davis,1992:26-28.
[3] 李选.推进磁性护理对强化专业发展的影响[J].中国护理管理,2014,14(12):1233-1235.DOI:10.3969/j.issn.1672-1756.2014.12.001.
[4] 汪向东,王希林,马弘,等.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999.
[5] MILANOVIC S M,ERJAVEC K,POLJICANIN T,et al.Prevalence of depression symptoms and associated socio-demographic factors in primary health care patients[J].Psychiatria Danubina,2015,27(1):31-37.
[6] 李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.DOI:10.3760/j:issn:0253-9624.2002.02.011.
[7] 韦懿芸,颜艳,王多劳,等.中文版SF-36在社区老年人生存质量评价中的应用[J].中南大学学报(医学版),2006,31(2):184-188.DOI:10.3321/j.issn:1672-7347.2006.02.006.
[8] 汪晖,刘于,王颖,等.基于磁性医院文化的护理管理实践与效果[J].中国护理管理,2018,18(1):64-67.DOI:10.3969/j.issn.1672-1756.2018.01.016.
[9] 徐悦,徐妍妍,沈小芳.基于磁性管理下的神经内科病区护理质量管理及效果[J].护理学报,2017,24(24):9-11.DOI:10.16460/j.issn1008-9969.2017.24.009.
[10] 顾李妍,张玲娟.磁性医院护理工作环境测评工具的研究进展[J].中华护理杂志,2014,49(5):602-605.DOI:10.3761/j.issn.0254-1769.2014.05.022.
[11] 陈雅卓.优质护理措施对脑肿瘤手术患者生活质量的影响[J].中国实用神经疾病杂志,2017,20(16):106-108.DOI:10.3969/j.issn.1673-5110.2017.16.035.
[12] 吴艳艳,陈珂,郭素梅,等.“心中有患者”优质护理服务链对慢性阻塞性肺病患者生活质量的影响[J].中华现代护理杂志,2013,19(23):2784-2786.DOI:10.3760/cma.j.issn.1674-2907.2013.23.014.
[13] 张燕,周斌,邱华,等.“磁性医院”管理模式在提高军队医院护理服务质量中的应用[J].东南国防医药,2014,16(6):643-645.DOI:643-645.10.3969/j.issn.1672-271X.2014.06.027.
[14] 任国琴,任玉娇,周炮芳,等.磁性护理理念的三级甲等医院护理服务质量管理[J].国际护理学杂志,2017,36(24):3423-3425.DOI:10.3760/j.issn.1673-4351.2017.24.033.
[15] 韩斌如,王庆玲,赵晓维,等.英国“以人为本”的护理管理模式及对我国的启示[J].护理管理杂志,2018,18(2):149-152.DOI:10.3969/j.issn.1671-315x.2018.02.020.
[16] 尹小兵,朱晓萍.美国磁性医院护理进修体会[J].中国护理管理,2013,13(2):13-15.DOI:10.3969/j.issn.1672-1756.2013.02.005.
[17] 季红,袁越.走进磁性医院感受吸引护理[J].护理管理杂志,2016,16(3):226-228.