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| PAC理论联合正念训练的护理在改善Wiltse入路腰椎术后患者负性情绪的应用与评价 [摘要]：目的：评价PAC理论联合正念训练式护理对Wiltse入路腰椎术后负性情绪影响。方法：将符合纳入标准的42例Wiltse入路腰椎术后患者标号入组，采用随机数表法分为研究组与对照组，每组21例。对照组在术后住院期间，只予常规术后护理；研究组则在常规护理基础上加入PAC理论联合正念训练的延续性护理，通过不同人格结构交流、正念减压训练等措施对患者进行干预式护理，干预前后分别采用医院焦虑抑郁量表(HADS)、疾病不确定感量表（MUIS）、纽卡斯尔护理服务满意度量表（NSNS）评价护理满意度表，对两组患者进行评估，比较两组护理治疗前后焦虑抑郁量值、疾病的MUIS评分、NSNS护理满意评分，结果：研究组患者的焦虑症状评分[(7.6±2.8）vs.(12.1±2.7)分]、抑郁症状评分[(6.8±2.5)vs.(11.3±2.6)分]均低于对照组，差异有统计学意义(P＜0.05)。术后的MUIS评分低于对照组（p<0.05）；护理的满意度高于对照组。结论：PAC理论联合正念训练式护理有助于提高患者术后遵医从性、疾病术后安全感和护理满意，减少护患、医患矛盾。 [关键词]：PAC理论；正念训练；Wiltse入路椎弓根钉术；负性情绪 Application and evaluation of PAC theory combined with mindfulness training in improving negative emotion in patients after lumbar spine surgery by Wiltse approach Objective:To evaluate the influence of PAC theory combined with mindfulness training nursing on negative emotions after lumbar spine surgery through Wiltse approach. Methods: 42 patients with lumbar spine surgery after Wiltse approach were enrolled and divided into study group and control group by random number table method, 21 patients in each group. The control group received routine postoperative care only during postoperative hospitalization.Team is on the basis of conventional nursing joining with PAC theory mindfulness training continuity of care,communication through different personality structure,and training of mindfulness and pressure relief measures of nursing intervention in patients with type,respectively before and after intervention using the hospital anxiety depression scale (HADS), sense of uncertainty in illness scale (MUIS), Newcastle nursing service satisfaction scale (NSNS) nursing satisfaction evaluation table, to evaluate two groups of patients, compared two groups of nursing before and after treatment of anxiety depression, disease, the MUIS score, NSNS nursing satisfaction ratings, results: Group of patients with anxiety symptom scores [(7.6 + 2.8) vs (12.1-2.7)], depression symptom scores [(6.8 + 2.5) vs (11.3-2.6)] are lower than the control group, the difference was statistically significant (P < 0.05).Postoperative MUIS score was lower than that of the control group (P <0.05).Nursing satisfaction was higher than that of the control group.Conclusion: THE combination of PAC theory and mindfulness training nursing can help to improve the postoperative compliance,postoperative safety and nursing satisfaction of patients, and reduce the contradictions between nurses and patients. Keywords：PAC theory; Mindfulness training;Wiltse approach pedicle screw technique; Negative emotions |
