中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
11期
153-156
,共4页
耳鼻喉科%顽固病种%新型护理干预
耳鼻喉科%頑固病種%新型護理榦預
이비후과%완고병충%신형호리간예
Department of ENT%Refractory disease%New nursing intervention
目的：探讨新型护理干预在耳鼻喉科门诊顽固性疾病患者中的应用。方法选择2012年4月~2013年5月于深圳市西丽人民医院诊治的具有焦虑、抑郁症状的反流性咽喉炎(n=100)、真菌性外耳道炎(n=100)和变应性鼻炎(n=96)3种病种的患者296例。按就诊时间分为对照组和观察组，其中对照组和观察组真菌性外耳道炎各50例、反流性咽喉炎各50例及变应性鼻炎各48例。对照组采用传统的护理干预形式，观察组采用新型护理干预形式，包括具有特色的健康教育，专业的长期心理干预和延续性护理等措施。比较两组护理干预后焦虑及抑郁改善情况及患者对护理人员的满意度等。结果护理干预后，观察组焦虑好转率为76.00%，抑郁好转率为65.75%，均显著高于对照组(26.39%、18.42%，均P<0.01)。观察组患者对护理人员的满意度为(94.48±4.05)分，显著高于对照组[(72.14±6.26)分]，差异有高度统计学意义(P<0.01)。结论本次研究选择就诊人数较多且病情复杂顽固的3种病种，患者普遍存在焦虑抑郁程度较高、对护理人员不满意等情况。实施特色健康教育、专业的长期心理干预和延续性的新型护理干预形式较传统的护理形式能显著降低焦虑、抑郁人数。患者对护理人员的满意度大大提高。
目的：探討新型護理榦預在耳鼻喉科門診頑固性疾病患者中的應用。方法選擇2012年4月~2013年5月于深圳市西麗人民醫院診治的具有焦慮、抑鬱癥狀的反流性嚥喉炎(n=100)、真菌性外耳道炎(n=100)和變應性鼻炎(n=96)3種病種的患者296例。按就診時間分為對照組和觀察組，其中對照組和觀察組真菌性外耳道炎各50例、反流性嚥喉炎各50例及變應性鼻炎各48例。對照組採用傳統的護理榦預形式，觀察組採用新型護理榦預形式，包括具有特色的健康教育，專業的長期心理榦預和延續性護理等措施。比較兩組護理榦預後焦慮及抑鬱改善情況及患者對護理人員的滿意度等。結果護理榦預後，觀察組焦慮好轉率為76.00%，抑鬱好轉率為65.75%，均顯著高于對照組(26.39%、18.42%，均P<0.01)。觀察組患者對護理人員的滿意度為(94.48±4.05)分，顯著高于對照組[(72.14±6.26)分]，差異有高度統計學意義(P<0.01)。結論本次研究選擇就診人數較多且病情複雜頑固的3種病種，患者普遍存在焦慮抑鬱程度較高、對護理人員不滿意等情況。實施特色健康教育、專業的長期心理榦預和延續性的新型護理榦預形式較傳統的護理形式能顯著降低焦慮、抑鬱人數。患者對護理人員的滿意度大大提高。
목적：탐토신형호리간예재이비후과문진완고성질병환자중적응용。방법선택2012년4월~2013년5월우심수시서려인민의원진치적구유초필、억욱증상적반류성인후염(n=100)、진균성외이도염(n=100)화변응성비염(n=96)3충병충적환자296례。안취진시간분위대조조화관찰조，기중대조조화관찰조진균성외이도염각50례、반류성인후염각50례급변응성비염각48례。대조조채용전통적호리간예형식，관찰조채용신형호리간예형식，포괄구유특색적건강교육，전업적장기심리간예화연속성호리등조시。비교량조호리간예후초필급억욱개선정황급환자대호리인원적만의도등。결과호리간예후，관찰조초필호전솔위76.00%，억욱호전솔위65.75%，균현저고우대조조(26.39%、18.42%，균P<0.01)。관찰조환자대호리인원적만의도위(94.48±4.05)분，현저고우대조조[(72.14±6.26)분]，차이유고도통계학의의(P<0.01)。결론본차연구선택취진인수교다차병정복잡완고적3충병충，환자보편존재초필억욱정도교고、대호리인원불만의등정황。실시특색건강교육、전업적장기심리간예화연속성적신형호리간예형식교전통적호리형식능현저강저초필、억욱인수。환자대호리인원적만의도대대제고。
Objective To explore the application effect of a new nursing intervention in patients with refractory disease in the outpatient department of ENT. Methods From April 2012 to May 2013, in Xili People's Hospital of Shenzhen 296 patients including 100 reflux laryngitis, 100 fungal otitis externa and 96 allergic rhinitis were selected and divided equally into the observation group and the control group, 50 reflux laryngitis, 50 fungal otitis externa and 48 allergic rhinitis in each group. The control group was used the traditional way of nursing intervention;the observation group was used the new intervention way including characteristic health education, long-term professional psychological interven-tion and continuity of care measures. Then the improvement rate of anxiety and depression, and the satisfaction rate to the nursing staff between the control group and the observation group were compared. Results The anxiety improvement rates of the observation group and the control group were 76.00%and 26.39%with statistically significant difference (P<0.01), the depression improvement rates of the two groups were 65.75% and 18.42% with statistically significant differ-ence (P<0.01), and the satisfaction rate to the nursing staff of the two groups were (94.48±4.05) scores and (72.14±6.26) scores with statistically significant difference (P<0.01). Conclusion The new nursing intervention way including char-acteristic health education, long-term professional psychological intervention and continuity of care measures can sig-nificantly reduce the number of patients with anxiety and depression, and significantly improve the satisfaction to nurs-ing staff.
