以马斯洛需要层次论为指导的心理护理对真菌性角膜炎患者优质护理的影响(1)
[摘要] 目的 探討以马斯洛需要层次论为指导的心理护理对真菌性角膜炎患者优质护理的影响。 方法 选取重庆医科大学附属第一医院2012年11月～2015年5月收治的真菌性角膜炎患者100例(138只眼)，采取便利抽样法分为实验组50例(72只眼)和对照组50例(66只眼)。对照组进行常规基础护理和专科护理；实验组进行常规基础护理和专科护理同时，以马斯洛需要层次论为指导，给予心理护理干预。比较两组患者入院时、治疗期、出院时症状自评量表(SCL-90)评分和出院时优质护理满意度评分。 结果 入院时，两组患者SCL-90评分均高于正常参照人群(P < 0.05)；组间评分比较，差异无统计学意义(P > 0.05)。治疗期和出院时，两组评分均明显改善(P < 0.05)；且实验组治疗期SCL-90评分中躯体化因子、人际关系敏感因子、抑郁因子、焦虑因子明显低于对照组(P < 0.05)；出院时，实验组SCL-90评分中人际关系敏感因子、抑郁因子、焦虑因子、敌对因子、恐怖因子明显低于对照组(P < 0.05)。出院时，实验组优质护理满意度高于对照组，差异有统计学意义(P < 0.05)。 结论 以马斯洛需要层次论为指导的心理护理能有效改善真菌性角膜炎患者不良心理状态，提高优质护理满意度。
[关键词] 马斯洛需要层次论；心理护理；真菌性角膜炎；优质护理
[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210(2017)08(a)-0177-04
[Abstract] Objective To explore the effect of psychological nursing guided by Maslow′s hierarchy of needs theory on the high quality nursing care for patients with fungal keratitis. Methods One hundred patients with (138 eyes) consecutive fungal keratitis admitted in the First Affiliated Hospital of Chongqing Medical University from November 2012 to May 2015 were divided into two groups by convenient sampling method， including 50 cases (66 eyes) in control group and 50 cases (72 eyes) in experimental group. The control group was received routine basic nursing and ophthalmic nursing， while the experimental groups was received psychological nursing intervention guided by Maslow′s hierarchy of needs based on the control group. Then， the Self-assessment Lists of Symptom (SCL-90) scores in the two groups on admission， during the therapeutic and at the time of discharge were compared. The quality nursing satisfaction scores were compared between the two groups at the time of discharge. Results At the time of admission， all factors evaluated in the SCL-90 in the both groups were higher than the normal value (P < 0.05). There were no differences between the two groups (P > 0.05). During the therapeutic and at the time of discharge， the SCL-90 scores of the two groups were increased significantly compared with those at the time of admission (P < 0.05). The scores of somatization factor， interpersonal sensitivity factor， depression factor and anxiety factor in the experimental group were significantly lower than those in the control group (P < 0.05). At the time of discharge， the SCL-90 scores for interpersonal sensitivity factor， depression factor， anxiety factor， hostility and phobia in the experimental group were significantly lower than those in the control group (P < 0.05). The quality nursing satisfaction scores in the experimental group were significantly higher than that in the control group (P < 0.05). Conclusion Psychological nursing guided by Maslow′s hierarchy of needs theory can effectively improve psychological state of the fungal keratitis patients， and improve the quality of nursing satisfaction., 百拇医药(罗清月 郭廷婷)
[关键词] 马斯洛需要层次论；心理护理；真菌性角膜炎；优质护理
[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210(2017)08(a)-0177-04
[Abstract] Objective To explore the effect of psychological nursing guided by Maslow′s hierarchy of needs theory on the high quality nursing care for patients with fungal keratitis. Methods One hundred patients with (138 eyes) consecutive fungal keratitis admitted in the First Affiliated Hospital of Chongqing Medical University from November 2012 to May 2015 were divided into two groups by convenient sampling method， including 50 cases (66 eyes) in control group and 50 cases (72 eyes) in experimental group. The control group was received routine basic nursing and ophthalmic nursing， while the experimental groups was received psychological nursing intervention guided by Maslow′s hierarchy of needs based on the control group. Then， the Self-assessment Lists of Symptom (SCL-90) scores in the two groups on admission， during the therapeutic and at the time of discharge were compared. The quality nursing satisfaction scores were compared between the two groups at the time of discharge. Results At the time of admission， all factors evaluated in the SCL-90 in the both groups were higher than the normal value (P < 0.05). There were no differences between the two groups (P > 0.05). During the therapeutic and at the time of discharge， the SCL-90 scores of the two groups were increased significantly compared with those at the time of admission (P < 0.05). The scores of somatization factor， interpersonal sensitivity factor， depression factor and anxiety factor in the experimental group were significantly lower than those in the control group (P < 0.05). At the time of discharge， the SCL-90 scores for interpersonal sensitivity factor， depression factor， anxiety factor， hostility and phobia in the experimental group were significantly lower than those in the control group (P < 0.05). The quality nursing satisfaction scores in the experimental group were significantly higher than that in the control group (P < 0.05). Conclusion Psychological nursing guided by Maslow′s hierarchy of needs theory can effectively improve psychological state of the fungal keratitis patients， and improve the quality of nursing satisfaction., 百拇医药(罗清月 郭廷婷)