| 姚娟,汪莹,高悦,吴兰,李晓梅.方舱病友支持互助护理模式对新冠肺炎患者心理健康的影响[J].上海护理,2021,21(10): |
| 方舱病友支持互助护理模式对新冠肺炎患者心理健康的影响 |
| Impact of mutual peer support nursing model on mental health of patients with new coronary pneumonia in cabin hospital |
| DOI： |
| 中文关键词: 新型冠状病毒肺炎；方舱医院 ；集中隔离；病友；支持；互助；护理模；希望；心理健康 |
| 英文关键词:Cabin hospital, Neo-coronary pneumonia, Peer support nursing mode, Hope level, Mental health |
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| 中文摘要: |
| 目的 探讨方舱病友支持互助干预对新冠肺炎患者心理健康及希望水平的影响。方法 将192例汉阳方舱轻症新冠肺炎患者按入住区域（A、B）随机分为观察组和对照组，每组各96例，对照组患者予以常规护理，观察组在常规护理基础上开展病友互助护理模式，即组织责任心强、身心恢复良好的患者对同组其余患者进行情感沟通和生活互助。分别采用症状自评量表（SCL-90）、希望水平量表（Herth Hope Index.HHI）比较两组患者的干预效果。 结果：入院时两组患者SCL-90评分各因子均显著高于地方常模，差异有统计学意义（P ＜0.05），但两组间评分差异无统计学意义（P＞0.05）；出院前SCL-90评分，除敌对、偏执、精神症状外，观察组其余各因子均显著低于对照组，差异有统计学意义（P ＜0.05）；观察组希望水平较高，与对照组在各因子及总分上的差异均有统计学意义。结论 入住方舱的轻症新冠肺炎患者均存在不同程度心理问题，对其引入支持互助护理模式干预，可改善患者心理健康状态，提高患者希望水平，有利于患者的康复。 |
| 英文摘要: |
| Objective To explore the effect of mutual peer support interventions on the mental health and hope level of patients with new coronary pneumonia in the cabin hospital. Methods A total of 192 patients with mild neo-coronary pneumonia in Hanyang cabin were randomly divided into an intervention group and a control group, with 96 patients in each group. The patients in the control group were given routine nursing care. The intervention group underwent peer support nursing based on conventional care, that is, patients with new coronary pneumonia who have a strong sense of responsibility and good physical and mental recovery conduct emotional communication and mutual life assistance with other patients in the same group. The SCL-90 and Herth Hope Index (HHI) were used to compare the intervention effects of the two groups. Results: The SCL-90 scores of the two groups of patients were significantly higher than the local norms, and the differences were statistically significant (P <0.05). On discharge, the SCL-90 scores again. Except for hostility, paranoia, and psychiatric symptoms, the other factors in the intervention group were significantly lower than those in the control group, and the differences were statistically significant (P <0.05); Compared with the control group, the intervention group had a higher level of hope at discharge, the differences in each factor and total score were statistically significant (P <0.05). CONCLUSIONS: Patients with mild neo-coronary pneumonia isolated in the cabin hospital have psychological problems. The introduction of peer support nursing mode intervention can improve the patient"s mental health, increase the level of hope of the patient, thus helping the patient"s rehabilitation. |
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