CAJ | 학술논문

目的：探讨五行情绪护理方案在胃肠手术患者中的应用价值。方法将228例行胃肠手术患者按照随机数字表法分为观察组和对照组，每组114例。观察组患者实施针对3种负性情绪制定的五行情绪护理方案，对照组患者实施一般情绪护理方法。采用症状自评量表对患者自身的症状进行测评，采用St．Mary’s医院睡眠问卷（SMH）对患者的睡眠质量进行评价，比较两组患者入院后第2天和干预1周后的自身症状和医院睡眠质量评分。结果两组患者干预前症状自评量表和医院睡眠问卷得分经比较差异均无统计学意义（P＞0．05），干预后观察组的躯体化和SMH总分分别为（1．36±0．20），（18．09±3．58）分，对照组分别为（1．42±0．33），（17．69±2．48）分，差异均无统计学意义（t值分别为0．368，0．985；P＞0．05），其余项目观察组的改善状况均优于对照组，差异有统计学意义（t＝2．896～4．023，P＜0．05）。观察组干预前后症状自评量表和SMH得分差异均有统计学意义（ t＝3．012～7．362， P＜0．05），对照组干预后躯体化和SMH总分均有明显改善（t值分别为3．026，－4．331；P＜0．05），其余项目差异均无统计学意义（t＝0．639～0．942，P＞0．05）。采用五行情绪护理方案的观察组满意112例，不满意2例，对照组分别为91，23例，差异有统计学意义（χ2＝19．726，P＜0．01）。结论五行情绪护理方案对胃肠手术患者的负性情绪有一定的调节作用，并能提升患者的睡眠质量和治疗满意度。
목적：탐토오행정서호리방안재위장수술환자중적응용개치。방법장228례행위장수술환자안조수궤수자표법분위관찰조화대조조，매조114례。관찰조환자실시침대3충부성정서제정적오행정서호리방안，대조조환자실시일반정서호리방법。채용증상자평량표대환자자신적증상진행측평，채용St．Mary’s의원수면문권（SMH）대환자적수면질량진행평개，비교량조환자입원후제2천화간예1주후적자신증상화의원수면질량평분。결과량조환자간예전증상자평량표화의원수면문권득분경비교차이균무통계학의의（P＞0．05），간예후관찰조적구체화화SMH총분분별위（1．36±0．20），（18．09±3．58）분，대조조분별위（1．42±0．33），（17．69±2．48）분，차이균무통계학의의（t치분별위0．368，0．985；P＞0．05），기여항목관찰조적개선상황균우우대조조，차이유통계학의의（t＝2．896～4．023，P＜0．05）。관찰조간예전후증상자평량표화SMH득분차이균유통계학의의（ t＝3．012～7．362， P＜0．05），대조조간예후구체화화SMH총분균유명현개선（t치분별위3．026，－4．331；P＜0．05），기여항목차이균무통계학의의（t＝0．639～0．942，P＞0．05）。채용오행정서호리방안적관찰조만의112례，불만의2례，대조조분별위91，23례，차이유통계학의의（χ2＝19．726，P＜0．01）。결론오행정서호리방안대위장수술환자적부성정서유일정적조절작용，병능제승환자적수면질량화치료만의도。
Objective To explore the application value of five row of emotional nursing program in the patients suffering from gastrointestinal operation.Methods Totals of 228 patients suffering from gastrointestinal operation were randomly divided into the observation group and the control group, with 114 cases in each group. The observation group received five rows of emotional nursing program according to the three kinds of negative emotions, and the control group was implemented the general emotional nursing care.The symptom checklist was used to assess patients’ symptoms, the St.Mary’ s Hospital Sleep Questionnaire ( SMH) was used to evaluate the sleep quality of patients.Patients’ symptoms and sleep quality were compared at the second day after admission and the first day after intervention.Results The scores of symptom checklist and SMH were not significant (P>0.05).After the intervention, the total scores of somatization and SMH were (1.36 ±0.20) and (18.09 ±3.58) in the observation group.Those scores of the control group were (1.42 ±0.33) and (17.69 ±2.48).There were no significant differences between the two groups ( t =0.368, 0.985, respectively;P>0.05).Other aspects of the observation group were significantly better than those in the control group (t=2.896-4.023,P<0.05).The self-assessment lists and SMH of the observation group before and after the intervention had significant differences (t=3.012-7.362,P<0.05).After the intervention, the total scores of somatization and SMH of the control group were significantly improved ( t =3.026, -4.331, respectively;P<0.05).The rest of the aspects had no significant differences (t=0.639-0.942,P>0.05). Based on the five row emotional care programme, 112 patients in the observation group were satisfied and 2 patients were not satisfied.Those numbers of the control group were 91 and 23.There was a significant difference between the two groups (χ2 =19.726,P<0.01).Conclusions The five row emotional nursing program for patients suffering from gastrointestinal operation have a certain effect on negative emotional, and can improve the sleep quality and treatment satisfaction of the patients.