CAJ | 학술논문

目的：阐释Neuman系统模式的核心内容，探讨以Neuman理论为指导的护理方法在子宫全切术后患者心理危机干预中的应用价值。方法选取在我院妇科入住的136例子宫全切术后存在抑郁状态的患者，随机分为干预组和对照组，干预组采用根据Neuman理论设定的心理危机干预措施；对照组采取常规生活护理，并于干预前后以汉密顿抑郁量表（HAMD）评价干预效果。结果心理干预后治疗组患者 HAMD总评分显著改善（P＜0．05），同时，焦虑/躯体化、绝望感、认知障碍3类因子分较对照组显著改善，差异有显著意义（ P＜0．05）。结论以Neu-man理论为指导的护理方法在子宫全切术后患者心理危机干预中具有较高的应用价值，值得在各级医院护理人员中推广。
목적：천석Neuman계통모식적핵심내용，탐토이Neuman이론위지도적호리방법재자궁전절술후환자심리위궤간예중적응용개치。방법선취재아원부과입주적136례자궁전절술후존재억욱상태적환자，수궤분위간예조화대조조，간예조채용근거Neuman이론설정적심리위궤간예조시；대조조채취상규생활호리，병우간예전후이한밀돈억욱량표（HAMD）평개간예효과。결과심리간예후치료조환자 HAMD총평분현저개선（P＜0．05），동시，초필/구체화、절망감、인지장애3류인자분교대조조현저개선，차이유현저의의（ P＜0．05）。결론이Neu-man이론위지도적호리방법재자궁전절술후환자심리위궤간예중구유교고적응용개치，치득재각급의원호리인원중추엄。
Objective To interpret the core content of Neuman systems model and to study the application value of Neuman theoretical used for psychological crisis intervention for post-operative hysterectomy patients .Method 136 in-patients with depression status after hysterectomy in our hospital was selected randomly divided into interven-tion group and control group ,patients in intervention group was given psychological crisis intervention based on the Neumann theory ,patients in control group was given general life care .The Hamilton Depression Scale (HAMD) was used to evaluate the effect of the intervention before and after interventions .Result The total score in interven-tion group was improved significantly after psychological intervention (P<0 .05) .Meanwhile the three types factor scores including anxiety or somatization ,hopelessness ,recognizing barriers was improved in intervention group sig-nificantly compared control group (P<0 .05) .Conclusion The nursing method guidance by Neuman theory was valu-able for psychological crisis intervention among patients after hysterectomy ,It's worthy for promotion at all levels of nursing staff in the hospital .