聚焦解决护理模式对子痫前期患者护理依从性和自我主观感受的影响

目的:探讨聚焦解决护理模式对子痫前期患者护理依从性和自我主观感受的影响。方法:选取2016年1月1日~2019年6月1日收治的102例子痫前期患者为研究对象,按随机数字表法分为观察组和对照组各51例,对照组给予常规护理干预,观察组在常规护理干预基础上实施聚焦解决护理模式;比较两组入院时、出院时的应对方式采用简易应对方式量表(SCSQ)]及疾病相关知识掌握度,并比较两组自我感受负担采用中文版自我感受负担量表(SPBS)]、护理依从性采用通用依从性量表(GAS)]及母婴相关并发症发生情况。结果:出院时,两组SCSQ中积极应对评分高于入院时(P<0.05)、且观察组高于对照组(P<0.05),而两组消极应对评分低于入院时(P<0.05)、且观察组低于对照组(P<0.05);出院时,两组疾病相关知识掌握度(手术适应证、疾病诱发因素、预防措施、注意事项、锻炼方法)高于入院时(P<0.05),且观察组高于对照组(P<0.05);观察组SPBS评分分级优于对照组(P<0.05),护理总依从率高于对照组(P<0.05);随访至分娩,两组均无脱组病例,亦未出现胎儿死亡情况,且观察组母婴并发症总发生率低于对照组(P<0.01)。结论:聚焦解决护理模式可明显改善子痫前期患者的应对方式,提升患者疾病相关知识掌握程度及护理依从性,且能降低患者自我感受负担。

Effects of Solution-focused Nursing Model on Nursing Compliance and Self-subjective Perception of Patients with Preeclampsia

Objective:To explore the effect of solution-focused nursing model on nursing compliance and self-subjective perception of patients with preeclampsia.Methods:A total of 102 patients with preeclampsia admitted from January 1,2016 to June 1,2019 were selected as study subjects.They were divided into observation group and control group with 51 patients in each group according to the random number table method.The coping style(SCSQ)and the degree of knowledge mastered related to disease were compared on admission and discharge between the two groups,and the self-perceived burden(SPBS),nursing compliance(GAS),and complications related to maternal and child were compared between the two groups.Results:At discharge,the SCSQ score of positive response in the two groups was higher than that at admission(P<0.05),and that in the observation group was higher than that in the control group(P<0.05),while the negative response score in the two groups was lower than that at admission(P<0.05),and that in the observation group was lower than that in the control group(P<0.05).At discharge,the degree of knowledge related to diseases mastered(surgical indications,disease inducing factors,preventive measures,precautions,exercise methods)of the two groups was higher than that at admission(P<0.05),and the observation group was higher than the control group(P<0.05).SPBS score grading in the observation group was better than that in the control group(P<0.05),and the total nursing compliance rate was higher than that in the control group(P<0.05).During the follow-up to delivery,there were no cases of detachment and no fetal death in both groups,and the total incidence of maternal and infant complications in the observation group was lower than that in the control group(P<0.01).Conclusion:Solution-focused nursing model can significantly improve the coping style of patients with preeclampsia,enhance the master of knowledge related disease and nursing compliance,and reduce the patients′self-perceived burden.