对于急性胰腺炎患者负面情绪的叙述护理:基于模型的构建和应用
Ling-Jun Zhou1,2, Juan Wu3, Wen-Jie Huang1
1School of Nursing and Rehabilitation, Nantong University, Nantong 226001, Jiangsu Province, China.
World journal of psychiatry
|November 20, 2024
概括
叙事护理有效地减少了急性胰腺炎 (AP) 患者的负面情绪和焦虑. 这种方法提高了患者的满意度和生活质量,为AP管理提供了有前途的干预措施.
科学领域:
- 医疗外科护理 医疗外科护理
- 精神病体医学是一种精神病体医学.
- 患者生活质量研究研究
背景情况:
- 急性胰腺炎 (AP) 是一种普遍的疾病,与严重的并发症和对患者生活质量的重大影响有关.
- 在AP患者中,负面情绪加剧了压力激素分泌,高血糖和胰岛素抵抗,增加了疾病风险.
- 针对心理困扰的干预措施对于改善AP结果和患者福祉至关重要.
研究的目的:
- 开发和验证一个叙事护理模型来管理急性胰腺炎患者的负面情绪.
- 评估叙事护理模型在缓解心理痛苦和提高患者结果方面的有效性.
主要方法:
- 使用德尔菲专家咨询,构建了一个叙事护理模型.
- 一项非随机的准实验性研究涉及92名负面情绪的AP患者,分为观察 (叙述护理) 和控制 (例行护理) 组.
- 评估包括焦虑 (SAS),抑郁 (SDS),影响 (PANAS),关爱行为,满意度和健康状况 (SF-36) 在出院和出院后1-3个月.
主要成果:
- 与对照组相比,叙事护理组的焦虑 (SAS) 和抑郁 (SDS) 分数显著降低,负面影响减少.
- 接受叙事护理的患者报告了更高的积极影响,更大的满意度和更好的关怀行为得分.
- 分析显示,随着时间的推移,情绪和健康状况得分在各组之间存在显著差异,在出院3个月后,SF-36得分持续改善.
结论:
- 叙述性护理方案在减少急性胰腺炎患者的焦虑和负面情绪方面非常有效.
- 这种干预显著提高了患者的满意度和感知到的关怀行为.
- 叙事护理提供了一种有价值的治疗策略,可以改善AP患者的心理健康和整体结果.
相关概念视频
01:30Acute Pancreatitis II: Clinical Manifestations and Management
93
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
93
01:29Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70
01:27Acute Pancreatitis I: Introduction
334
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
334
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.8K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.8K
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
231
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
231
01:24Chronic Pancreatitis I: Introduction
72
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
72