性格色彩罗盘在乳腺癌患者沟通中的应用

doi:10.3761/j.issn.0254-1769.2019.11.012

摘要/Abstract

摘要：

目的探讨自行设计、制作的性格色彩罗盘在乳腺科护患沟通中的应用及效果。方法基于性格色彩学理论,研究设计一种可以快速、简便区别患者性格特征的彩色罗盘。选取某三级甲等医院乳腺科2019年1月—3月收治入院的乳腺癌手术患者50例为试验组,2018年10月—12月收治入院的乳腺癌手术患者50例为对照组。试验组入院后通过扫描罗盘上的二维码进行性格测试,了解自己的基本性格,护士通过管理后台获悉患者的性格分析,找到罗盘中对应颜色的性格特征及沟通策略,指导护患沟通;对照组按常规的沟通交流方式进行护患沟通。比较两组焦虑、抑郁及护理服务满意度情况,比较应用性格色彩罗盘前后护士的临床沟通能力。结果试验组出院时的焦虑评分为（5.75±1.73）分,抑郁评分为（5.42±1.59）分,患者对护理服务满意度总均分为（44.56±2.54）分;对照组出院时的焦虑评分为（9.22±2.58）分,抑郁评分为（8.71±1.87）分,患者对护理服务满意度总均分为（34.29±3.83）分（t=-7.794,-9.342,15.593,均P<0.05）。应用性格色彩罗盘进行护患沟通后,护士临床沟通能力总均分由应用前的（20.25±1.06）分提高到（26.81±1.60）分（t=-13.672,P<0.001）。结论性格色彩罗盘有利于改善乳腺癌患者焦虑及抑郁情绪,有利于提高乳腺癌患者对护理服务的满意度,有利于提高护士的临床沟通能力。

关键词: 乳腺肿瘤, 性格, 焦虑, 抑郁, 心理护理

Abstract:

Objective To explore the effects of application of personality colors compass in communication between nurses and patients in breast surgery.Methods Four-colors Personality Analysis was analyzed to study and design a color compass that could quickly and easily distinguish the personality characteristics of patients. Fifty cases of breast cancer patients admitted to the breast department of a tertiary hospital from January to March 2019 were selected as the experimental group,and 50 cases of breast cancer patients admitted to the department from October to December 2018 were selected as the control group. After admission,the experimental group tested their personality and got their own personality analysis by scanning QR codes. Nurses obtained the patients’ personality analysis through the back-stage management,identified corresponding character traits and communicating strategies found in the compass,then communicated with the patients. For the control group,nurses communicated with patients using routine way. Patients’ anxiety and depression scores,nursing work satisfaction,the communication ability of nurses before and after the application of Personality Colors Compass were compared between two groups.Results Anxiety score at discharge of cases in the experimental group was 5.75±1.73,depression score was 5.42±1.59. The total score of patients’ satisfaction with nursing services was 44.56±2.54. Anxiety score at discharge of cases in the control group was 9.22±2.58,depression score was 8.71±1.87. The total score of patients’ satisfaction with nursing services was 34.29±3.83（t=-7.794,-9.342,15.593,P<0.05）. After the application of Personality Colors Compass,the average communication score of nurses increased from 20.25±1.06 to 26.81±1.60（t=-13.672,P<0.05）.Conclusion The Personality Colors Compass reduces breast cancer patients’ anxiety and depression effectively,improves patients’ satisfaction with nursing services,and improves nurses’ communication skills.

Key words: Breast Neoplasm, Character, Anxiety, Depression, PSYCHOLOGICAL NURSING

王莉莉, 伍焱, 杜艳鸣, 潘俊, 廖妍妍, 顾则娟. 性格色彩罗盘在乳腺癌患者沟通中的应用[J]. 中华护理杂志, 2019, 54(11): 1653-1657.

WANG Lili, WU Yan, DU Yanming, PAN Jun, LIAO Yanyan, GU Zejuan. Application research of personality colors compass in communication between nurses and patients with breast cancer[J]. Chinese Journal of Nursing, 2019, 54(11): 1653-1657.

图/表 6

图1 性格色彩罗盘示意图 1.定位孔 2.凸台 3.二维码 4.1/4挡板 5.扇形凹槽 6.磁铁 7.3/4挡板 8.圆形罗盘 9.安装圆台 10.定位螺钉

图2 性格色彩罗盘实物图

表1 乳腺癌患者沟通策略

表2 两组患者一般资料比较[例（百分比,%）]

表3 两组患者焦虑、抑郁量表得分比较（分,$\bar{x}$±s）

表4 应用前后护士临床沟通能力量表得分比较（分,$\bar{x}$±s）

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