蓝天

【摘要】 目的：探討知信行教育模式下精准护理对流行性出血热患者负面情绪及生存质量的影响。方法：选择2019年2月-2020年10月本院收治的86例流行性出血热患者作为研究对象，根据入院先后顺序分为两组，2019年2月-2020年1月收治的43例患者为对照组，采取传统的护理模式;2020年2-10月收治的43例患者为观察组，采取本院2020年2月新改进的知信行教育模式下精准护理模式进行护理。比较两组平均住院时间、并发症发生率、对护理的满意度，并对两组护理前后SAS、SDS评分及生活质量进行评分比较。结果：对照组平均住院时间为（25.12±3.05）d，观察组为（18.14±2.63）d，两组比较差异有统计学意义（P<0.05）;观察组和对照组并发症发生率分别为4.65%、11.62%，两组比较差异有统计学意义（P<0.05）;与护理前相比，两组护理后患者对疾病的掌握程度均明显提高（P<0.05），但观察组对流行性出血热相关知识的掌握程度显著高于对照组（P<0.05）。两组护理后负性情绪均明显得到不同程度缓解（P<0.05），且观察组优于对照组（P<0.05）;两组护理后机体症状积分水平以及生活质量水平均得到不同程度改善（P<0.05），且观察组显著优于对照组（P<0.05）;观察组患者对护理人员的满意度显著高于对照组（P<0.05）。结论：知信行教育模式下精准护理服务模式能有效缓解流行性出血热患者的焦虑、抑郁情绪，帮助患者更好地掌握疾病相关知识，减少并发症发生，提高患者生存质量，促进康复，临床上值得推广。

【关键词】 流行性出血热 精准护理 焦虑 抑郁 生存质量

[Abstract] Objective： To explore the influence of accurate nursing under the education mode of knowledge， belief and practice on the negative emotions and quality of life of patients with epidemic hemorrhagic fever. Method： A total of 86 patients with epidemic hemorrhagic fever in our hospital from February 2019 to October 2020 were selected as the research objects， and they were divided into two groups according to the order of admission. 43 patients in our hospital from February 2019 to January 2020 were selected as the control group， taking the traditional nursing mode; 43 patients in our hospital from February to October 2020 were selected as the observation group， taking the new improved accurate nursing under the education mode of knowledge， belief and practice. The average length of stay， incidence of complications， satisfaction with nursing， SAS， SDS and quality of life were compared between two groups. Result： The average length of hospital stay of the control group was （25.12±3.05） d， the observation group was （18.14±2.63） d， and there was a statistically significant difference between two groups （P<0.05）. The incidence of complications of the observation group and the control group were 4.65% and 11.62%， respectively， and the difference was statistically significant （P<0.05）. Compared with before nursing， the mastery of disease in two groups after nursing were significantly improved （P<0.05）， and the mastery of epidemic hemorrhagic fever related knowledge in the observation group were significantly higher than those in the control group （P<0.05）. After nursing， the negative emotions in two groups were obviously relieved in different degrees （P<0.05）， and the observation group were better than those of the control group （P<0.05）. After nursing， symptom scores and quality of life of patients in two groups were improved to varying degrees （P<0.05）， and the observation group were significantly better than those of control group （P<0.05）. The satisfaction of patients in the observation group was significantly higher than that in the control group （P<0.05）. Conclusion： The accurate nursing under the education mode of knowledge， belief and practice can effectively relieve the anxiety and depression of patients with epidemic hemorrhagic fever， help patients better grasp the disease knowledge， reduce the incidence of complications， improve the quality of life of patients， and promote disease rehabilitation， which is worth of promoting in clinical practice.

[Key words] Epidemic hemorrhagic fever Accurate nursing Anxiety Depression Quality of life

First-authors address： Dandong Infectious Disease Hospital， Dandong 118000， China

doi：10.3969/j.issn.1674-4985.2021.09.025

流行性出血热（epidemic hemorrhagic fever，EHF）是经由鼠类传播的、汉坦病毒引起的传染性疾病。临床上，流行性出血热患者主要表现为发热、出血以及肾功能损害症状[1]。该病病程较长、易合并多种并发症，故病死率相对较高，患者和家属的经济压力与精神压力也相应较大。在该病的诊治过程中，优质的护理服务不仅包含严密观察患者病情变化，而且可以在一定程度上可以减轻患者的心理负担，增强患者对抗疾病的信念。此次研究对本院86例流行性出血热患者住院期间实施了不同的护理服务，并对护理效果进行了分析。现报道如下。

1 资料与方法

1.1 一般资料 选取2019年2月-2020年10月本院收治的86例流行性出血热患者作为研究对象。入院患者均出现不同程度的发热、出血、肺部感染等症状。……