情景模拟教育联合坚强概念心理干预在老年胆囊结石手术患者护理中的应用OA
Application of Scenario Simulation Education Combined with Strong Concept Psychological Intervention in the Nursing of Elderly Patients Undergoing Gallbladder Stone Surgery
目的:探讨情景模拟教育联合坚强概念心理干预在老年胆囊结石手术患者护理中的应用效果.方法:选取 2023 年 4月—2025 年 4 月如东县人民医院收治的 80 例老年胆囊结石手术患者作为研究对象,采用随机数表法分为对照组(实施标准护理方案)与观察组(在标准护理基础上联合应用情景模拟教育与坚强概念心理干预),每组各 40 例.比较两组的疾病不确定感、心理状态以及手术配合度.结果:干预后,观察组的 Mishel 疾病不确定感量表(MUIS-FM)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05).观察组的手术配合度高于对照组,差异有统计学意义(P<0.05).结论:情景模拟教育联合坚强概念心理干预能够有效降低老年胆囊结石手术患者的疾病不确定感,改善其心理状态,提高其手术配合度.
Objective:To explore the application effect of scenario simulation education combined with the psychological intervention of the concept of strength in the nursing of elderly patients undergoing gallbladder stone surgery.Method:From April 2023 to April 2025,80 elderly patients undergoing gallbladder stone surgery admitted to Rudong County People's Hospital were selected as the study objects and divided into the control group(implementing the standard nursing plan)and the observation group(combining scenario simulation education and psychological intervention of the concept of strength on the basis of standard nursing)according to the random number table method,with 40 cases in each group.Compare the disease uncertainty,psychological state and surgical cooperation degree of the two groups.Result:After the intervention,the scores of the Mishel Uncertainty Scale of Illness(MUIS-FM),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)in the observation group were all lower than those in the control group,and the difference was statistically significant(P<0.05).The surgical cooperation degree of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Scenario simulation education combined with psychological intervention of the concept of strength can effectively reduce the disease uncertainty of elderly patients undergoing gallbladder stone surgery,improve their psychological state,and enhance their surgical cooperation.
潘婷;徐秋琳
江苏省如东县人民医院 江苏 如东 226400江苏省如东县人民医院 江苏 如东 226400
情景模拟教育坚强概念心理干预胆囊结石疾病不确定感心理状态
Scenario simulation educationStrong concept psychological interventionGallstonesDisease uncertaintyMental state
《中外医学研究》 2026 (8)
117-120,4
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