摘要
目的 探索人文护理使用于高压氧舱护理中的价值与功用。方法 以2022年1月至2023年2月期间于我院行高压氧治疗的78例患者为分析对象,采用双盲法将其分组后,其中39例纳入对照组,另39例纳入观察组。对照组实施知识普及、体征监测、病情观察等常规护理模式,观察组施加健康教育、心理疏导、入舱护理、出舱护理等人文护理模式,比较两组护理风险事件发生率及依从性,以及在入舱前、出舱后的不良情绪状态。结果 观察组发生中耳气压伤、皮肤擦伤等护理风险事件的人数少于对照组,且入舱前、出舱后的焦虑、抑郁评分低于对照组,依从率高于对照组,差异P<0.05。结论 高压氧舱护理中执行人文护理模式,以患者为中心提供全方位的护理干预,有利于提高护理质量、降低护理风险事件发生率的同时,改善患者不良情绪,提高依从性,值得推行。
关键词: 高压氧舱;人文护理;高压氧治疗;依从性
Abstract
Objective To explore the value and function of humanistic nursing in hyperbaric oxygen chamber nursing. Methods A total of 78 patients who received hyperbaric oxygen therapy in our hospital from January 2022 to February 2023 were analyzed and divided into two groups by double-blind method. 39 of them were included in the control group and 39 in the observation group. The control group was subjected to routine nursing mode such as knowledge popularization, physical signs monitoring and condition observation, while the observation group was subjected to humanistic nursing mode such as health education, psychological counseling, in-cabin nursing and out-cabin nursing. The incidence of nursing risk events and compliance of the two groups were compared, as well as the adverse emotional state before and after out-cabin. Results The number of patients in the observation group with middle ear pressure injury, skin abrasion and other nursing risk events was less than that in the control group, and the scores of anxiety and depression before and after entering the cabin were lower than those in the control group, and the compliance rate was higher than that in the control group, the difference being P<0.05. Conclusion The implementation of humanistic nursing mode in hyperbaric oxygen chamber nursing, providing a full range of nursing intervention centered on patients, is conducive to improving the quality of nursing, reducing the incidence of nursing risk events, improving patients' adverse emotions and improving compliance, and is worth implementing.
Key words: Hyperbaric oxygen chamber; Humanistic nursing; Hyperbaric oxygen therapy; Compliance
参考文献 References
[1] 王荣. 高压氧治疗中的人文关怀[J]. 养生保健指南, 2021(26):180.
[2] 申丽霞,刘丽爽,刘爱贤,等. 精细化护理干预对急性脑梗死经高压氧治疗后所致中耳气压伤疗效及治疗依从性和生活质量的影响[J]. 现代中西医结合杂志,2021,30(15): 1694-1697.
[3] 冯伟. 论人文护理在高压氧护理工作中的重要性[J]. 中国医药指南,2019,17(2):212-213.
[4] 杨雪勤. 人文关怀在老年性脑梗死患者高压氧舱康复治疗中的应用探析[J]. 首都食品与医药,2019,26(15):187.
[5] 安永芳. 人文关怀在老年性脑梗死患者高压氧舱康复治疗中的应用[J]. 临床医药文献电子杂志,2017,4(87):17141.
[6] 程春华. 老年脑卒中患者高压氧治疗中人文关怀的应用[J]. 中西医结合心血管病电子杂志,2017,5(4):93-94.
[7] 张国红,金田丽,彭瑶,等. 老年脑梗死患者高压氧治疗中运用人文关怀的效果分析[J]. 健康之友,2019(5):63.
[8] 高伟,宋爱华,刘雪. 人文护理在高压氧护理工作中的作用分析[J]. 中国保健营养,2020,30(26):168-169.
[9] 李艳,吕春丽,贾满然,等. 高压氧结合闭环护理模式对胃癌术后患者疼痛控制、胃肠反应及心理弹性的影响[J]. 中华航海医学与高气压医学杂志,2023,30(1):53-57.
[10] VELURE G K , HAUKEN M A. Symptom burden and health-related quality of life six months after hyperbaric oxygen therapy in cancer survivors with pelvic radiation injuries[J]. Support Care Cancer, 2022,30(6):1-9.
[11] 赵艺,孙秋岩. 高压氧科优质人文护理在一氧化碳中毒诊疗过程中的作用[J]. 中国社区医师,2019,35(35):133-134.
[12] 石琳琳. 人文关怀在老年性脑梗死患者高压氧舱康复治疗中的应用[J]. 医疗装备,2019,32(8):180-181.
[13] 高会新,张涵. 浅谈将医学人文精神融入高压氧临床工作[J]. 心理月刊,2019,14(12):54.
[14] 杨雪慧. 人文护理在高原地区高压氧治疗中的效果分析[J]. 青海医药杂志,2020,50(5):50-51.