The impact of structured nursing based on positive reinforcement theory on the negative emotions and pain levels of patients with tonsillitis
基于正强化理论的结构式护理对扁桃体炎患者不良情绪及疼痛程度的影响

摘要

目的 分析基于正强化理论的结构式护理在扁桃体炎患者中的实际应用效果及对患者不良情绪和疼痛程度的影响。方法 选择2023年7月-2025年7月我院收治的90例扁桃体炎患者为研究目标，采用电脑随机分组分为对照组和研究组，各45例。予对照组常规护理，研究组在对照组基础上实施基于正强化理论的结构式护理。比较两组患者干预前后负性情绪[汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）]、疼痛程度[视觉模拟评分法（VAS）]以及护理满意度。结果 两组干预前HAMA、HAMD、VAS评分均未见显著性差异（P>0.05），干预后均呈现显著下降趋势，且研究组评分较对照组更低（P<0.05）。在护理满意度比较上，研究组整体满意度较对照组更高（P<0.05）。结论 基于正强化理论的结构式护理能够有效缓解扁桃体炎患者的负性情绪，减轻疼痛程度，提高护理满意度，具有良好的临床应用价值。

Abstract

Objective To analyze the practical application effect of structured nursing based on positive reinforcement theory in patients with tonsillitis and its impact on patients’ negative emotions and pain levels.
Methods 90 patients with tonsillitis admitted to our hospital from July 2023 to July 2025 were selected as the research targets. They were randomly divided into the control group and the study group, with 45 cases in each group. The control group received routine care, while the study group received structured nursing based on positive reinforcement theory in addition to the control group. The negative emotions [Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD)], pain levels [Visual Analogue Scale (VAS)], and nursing satisfaction of the two groups were compared before and after the intervention.
Results Before the intervention, the scores of HAMA, HAMD, and VAS in both groups showed no significant differences (P > 0.05). After the intervention, all showed a significant downward trend, and the scores of the study group were lower than those of the control group (P < 0.05). In terms of nursing satisfaction, the overall satisfaction of the study group was higher than that of the control group (P < 0.05).
Conclusion   Structured nursing based on positive reinforcement theory can effectively alleviate the negative emotions of patients with tonsillitis, reduce pain levels, and improve nursing satisfaction, with good clinical application value.