基于赋能理论的多维护理对老年腹腔镜手术患者的影响  

Effect of multidimensional nursing based on empowerment theory on elderly patients undergoing laparoscopic surgery

作　　者：厉琼 林虹[1] 周敏[1] 缪小春 

机构地区：[1]温州医科大学附属第一医院腔镜外科,325000

出　　处：《中国实用护理杂志》2018年第6期412-416,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨以赋能理论为框架的多维护理对老年腔镜手术患者术前负性情绪的作用。 方法采用便利抽样法选取温州医科大学附属第一医院腔镜外科收治的行腹腔镜手术的老年患者243例，用随机数字表法分为干预组122例和对照组121例。按腔镜外科护理常规对2组患者进行常规护理，干预组患者在此基础上进行基于赋能理论的多维护理。分别在入院时、术前晚和术前30 min，观察和评价2组患者的焦虑和抑郁情况。 结果干预组入院时、术前晚和术前30 min焦虑得分依次为（16.23 ± 3.45）、（22.17 ± 4.13）、（23.36 ± 6.55）分，抑郁总分依次为（10.23 ± 3.45）、（15.31 ± 3.65）、（19.29 ± 6.28）分；对照组入院时、术前晚和术前30 min焦虑总分依次为（15.56 ± 3.68）、（30.17 ± 3.78）、（36.36 ± 9.25）分，抑郁总分依次为（9.56 ± 1.23）、（20.56 ± 5.36）、（34.24 ± 8.17）分。干预组与对照组焦虑和抑郁状况在术前逐渐增高，但干预组焦虑抑郁情况优于对照组，差异有统计学意义（t=-34.908^-12.180，P〈0.05或0.01）。 结论基于赋能理论的多维护理可以有效改善老年腹腔镜手术患者术前的负性情绪，有利于疾病的治疗与恢复。ObjectiveTo explore the effect of multidimensional nursing based on empowerment theory on preoperative negative emotion in elderly patients undergoing endoscopic surgery. MethodsA total of 243 cases of elderly patients undergoing laparoscopic surgery undergoing endoscopic surgery in the First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province were selected by convenient sampling method. The intervention group （122 cases） and the control group （121 cases） were divided into two groups by random number table. According to the endoscopic surgery nursing routine, two groups of patients were given routine care, and the intervention group was given multidimensional nursing based on empowerment theory. Two groups were observed to evaluate the anxiety and depression of the patients during admission, preoperative night and 0.5 hour before surgery. ResultsThe preoperative anxiety scores of the intervention group were 16.23±3.45, 22.17±4.13, 23.36±6.55. The preoperative depression scores of the intervention group were 10.23±3.45, 15.31±3.65, 19.29±6.28. The preoperative anxiety scores of the control group were 15.56±3.68, 30.17±3.78, 36.36±9.25. The preoperative depression scores of the control group were 9.56±1.23, 20.56±5.36, 34.24±8.17. The anxiety and depression of the intervention group and the control group were gradually increased before the operation, but the anxiety and depression in the intervention group was better than that in the control group （P〈0.01）. ConclusionsMultidimensional nursing based on empowerment theory can effectively improve the preoperative negative emotions of elderly laparoscopic surgery, and is conducive to the treatment and recovery of the disease.

关 键 词：焦虑 抑郁 赋能理论 腹腔镜手术 

分 类 号：R473.6[医药卫生—护理学]