马斯洛需求层次理论下的护理干预模式联合关节松动训练对重症监护室 AMI 患者的影响
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郑州市第三人民医

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Application Effect of Nursing Intervention Mode Based on Maslow’s Hierarchy of Needs Theory Combined with Joint Mobilization Training in ICU Patients with AMI
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Third People''s Hospital of zhengzhou

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    摘要:

    目的 观察马斯洛需求层次理论下的护理干预模式联合关节松动训练在重症监护室( Intensive Care Unit, ICU)急性心肌梗死( Acute Myocardial Infarction, AMI)护理中的应用效果。 方法 选取 2020 年 1 月至 2022 年 12 月郑州市第三人民医院 ICU 收治的 94 例 AMI 患者进行前瞻性研究,按随机数表法将患者平均分为对照组和研究组。两组患者均实施 ICU常规护理,对照组在此基础上实施关节松动训练,研究组在对照组的基础上实施马斯洛需求层次理论下的护理干预模式。比较两组肌力[使用医学研究委员会( Medical Research Council, MRC)量表评估]、焦虑抑郁情况[使用焦虑自评量表( Self-Rating Anxiety Scale, SAS)和抑郁自评量表( Self-Rating Depression Scale, SDS)评估]、舒适度(使用舒适状况量表评估)及护理质量。 结果 研究组患者 MRC 评分、舒适状况量表评分、护理质量评分均高于对照组( t=2.760, 3.642,11.604; P=0.007,< 0.001,< 0.001)。研究组患者焦虑发生率、抑郁发生率均低于对照组( χ2=4.414, 5.045, P=0.036, 0.025)。结论 马斯洛需求层次理论下的护理干预模式联合关节松动训练可增强 ICU 急性心肌梗死患者肌力,降低患者焦虑、抑郁的发生率,提高患者的舒适度和护理质量。

    Abstract:

    Objective To observe the application effect of intervention mode based on Maslow’s hierarchy of needs theory combined with joint mobilization training in the nursing of acute myocardial infarction (AMI) in the Intensive Care Unit (ICU). Methods A prospective study was conducted on 94 AMI patients admitted to the ICU of the Third People’s Hospital of Zhengzhou from January 2020 to December 2022. They were randomly divided into a control group and a study group, with 47 cases in each group, using a random number table method. Both groups of patients received routine ICU care, while the control group received joint mobilization training, and the study group received intervention based on Maslow’s hierarchy of needs theory on the basis of the control group. Muscle strength [assessed with Medical Research Council (MRC) scale], anxiety and depression [assessed with Self Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)], comfort [assessed with Comfort Scale], and nursing quality of both groups were compared. Results The MRC score, comfort scale score, and nursing quality score of the study group were higher than those of the control group, with statistical significant differences (t=2.760, 3.642, 11.604; P=0.007, <0.001, <0.001). The incidence of anxiety and depression in the study group was lower than that in the control group, with a statistical significant difference (χ2=4.414, 5.045; P=0.036, 0.025). Conclusion The intervention model based on Maslow’s hierarchy of needs theory combined with joint mobilization training can enhance the muscle strength of ICU patients with acute myocardial infarction, reduce the incidence of anxiety and depression, and improve patient comfort and nursing quality.

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李怡.马斯洛需求层次理论下的护理干预模式联合关节松动训练对重症监护室 AMI 患者的影响[J].生物医学工程学进展,2025,46(3):397-402

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  • 收稿日期:2025-04-18
  • 最后修改日期:2025-04-24
  • 录用日期:2025-04-24
  • 在线发布日期: 2025-08-04
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