摘要
目的 观察带有人文关怀的护理新模式对家庭营养支持病人护理效果，探讨适用于家庭营养支持患者人文关怀护理方案及发展趋势。方法 纳入2018年1月-2020年5月在我院普外科临床营养中心出院实施家庭营养支持病人共计120例。采取随机数字法将病人分为干预组和对照组，对照组实施传统护理模式，干预组实行新型护理模式（常规护理基础上实施人文关怀护理）。对家庭营养病人护理三个月后，记录其生活质量评分（SF-36）、Barthel指数、焦虑评分（SAS）、抑郁评分（SDS）、并发症发生情况等指标，综合评估人文关怀护理在家庭营养支持过程中是否发挥作用。结果 两组在进行护理干预后，SAS、SDS评分均显著降低（P＜0.05）。干预组与对照组相比，病人SF-36评分、Bathel指数明显增高（P＜0.05），SAS评分，SDS评分明显降低（P＜0.05），并发症显著减少。结论 人文关怀护理可明显提高家庭营养病人的生活质量，降低焦虑、抑郁的情绪，减少患者并发症，提高生活质量，值得推广。
关键词： 人文关怀；家庭营养；效果观察
Abstract
Objective To observe the effect of new nursing model with humanistic care on patients with family nutrition support, and to explore the humanistic care nursing plan and development trend for patients with family nutrition support. Methods A total of 120 patients who were discharged from Clinical nutrition Center of General Surgery Department of our hospital from January 2018 to May 2020 and received family nutrition support were included. Patients were divided into intervention group and control group by random number method. The control group implemented traditional nursing mode, while the intervention group implemented new nursing mode (humanistic nursing based on routine nursing). The quality of life score (SF-36), Barthel index, anxiety score (SAS), depression score (SDS) and complications were recorded after three months of home nutrition care for patients, and the role of humanistic care in the process of family nutrition support was comprehensively evaluated. Results After nursing intervention, SAS and SDS scores were significantly decreased in both groups (P < 0.05). Compared with the control group, SF-36 score and Bathel index were significantly increased (P < 0.05), SAS score and SDS score were significantly decreased (P < 0.05), and complications were significantly reduced in the intervention group. Conclusion Humanistic care nursing can obviously improve the quality of life of patients with family nutrition, reduce anxiety and depression, reduce complications and improve the quality of life.
Key words： Humanistic care, Family nutrition, Effect observation
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