突发性聋患者负性情绪知信行模式构建及应用效果

目的 探讨知信行模式在突发性耳聋患者中的应用效果。 方法 应用随机数字表法将2017年1月至2018年6月收治的68例突发性耳聋患者分为A组和B组各34例,A组接受常规护理模式指导下护理干预,B组接受知信行模式指导下护理干预,采用自编量表、Zung氏焦虑自评量表、Zung氏抑郁自评量表问卷分别于入组时和3个月进行调查。比较两组患者护理满意度、焦虑情绪和抑郁情绪变化。 结果 干预3个月后,B组和A组患者Zung氏焦虑自评量表标准分、Zung氏抑郁自评量表标准分均优于入组时(t分别为26.994、37.554,P均<0.001),B组Zung氏焦虑自评量表标准分、Zung氏抑郁自评量表标准分低于A组(t分别为12.769、10.040,P均<0.001)。B组患者护士与患者沟通能力、护理行为规范性、护士解决患者问题能力、护士为患者健康宣教的能力优于A组(t分别为15.285、19.263、15.757、15.096,P均<0.001)。 结论 构建的知信行模式能改善突发性聋患者负性情绪,提高患者的护理满意度。

The constructive and mediating effects of knowledge/attitude/belief/practice interference on negative emotion in patients with sudden deafness

Objective To explore the constructive and mediating effects of knowledge/attitude/belief/practice interference on negative emotion in patients with sudden deafness. Methods A total of 68 patients with sudden deafness who underwent treatment in the Otolaryngology Department of our hospital from January, 2017 to June, 2018 were selected. They were divided into two groups using a random number table: group A, those accepting nursing intervention under guidance of routine nursing mode; and group B, those accepting nursing intervention under guidance of knowledge/attitude/belief/practice mode. Scores through self-compiled scale, self-rating anxiety scale, and self-rating depression scale were acquired at baseline and after 3 months intervention. Patient care satisfaction and negative emotion were compared between groups A and B. Results After 3 months' intervention, the standard scores on self-rating anxiety scale and self-rating depression scale in the two groups were better than those at baseline(t=26.994, P<0.001; t=37.554, P<0.001); the self-rating anxiety scale score and self-rating depression scale score were lower in group B than in group A (t=12.769, P<0.001; t=10.040, P<0.001).Group B was superior to group A in terms of the nurses'ability to communicate with patients, normative nursing behavior, and ability of nurses to solve patients problems and promote and educate patients' health(t=15.285, 19.263, 15.757, and 15.096, respectively; P<0.001). Conclusion Nursing practice under the knowledge/attitude/belief/practice interference mode in patients with sudden deafness can improve the patients' negative emotion and satisfaction with nursing.