情境代入式床旁体验护理对子宫肌瘤手术患者的影响  

Influence of Situation-introduced Bedside Experience Care on the Patients Undergoing Hysteromyoma Operation

作　　者：濮丹华 赵敏[1] PU Danhua;ZHAO Min(Wuxi City Maternal and Child-care Hospital,Wuxi 214002,China)

机构地区：[1]无锡市妇幼保健院

出　　处：《西部中医药》2019年第12期109-112,共4页Western Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(青年科学基金项目)(编号81100437)

摘　　要：目的:探究情境代入式的床旁体验护理模式子对宫肌瘤手术患者手术配合依从性及手术知识掌握程度的影响。方法:将88例患者随机分为观察组、对照组各44例。对照组给予传统的护理方法进行干预,观察组在对照组基础上给予情境代入式的床旁体验护理。比较2组患者手术配合依从性及其对手术知识的掌握程度;比较2组患者入院当天及手术后第4天时SAS和SDS量表评分。结果:焦虑、抑郁评分干预前2组比较,差异无统计学意义(P>0.05);干预后,观察组均低于对照组,差异有统计学意义(P<0.05)。术前准备配合、麻醉配合及术后护理配合率观察组均高于对照组,差异有统计学意义(P<0.05)。干预前2组手术知识掌握程度比较,差异无统计学意义(P>0.05);干预后,观察组高于对照组,差异有统计学意义(P<0.05)。结论:对于子宫肌瘤手术患者,引入情境代入式的床旁体验护理,有助于提高患者的治疗依从性,且能提高其对相关医疗知识掌握的内化程度。Objective:To survey the effects of situation-introduced bedside experience care on surgical cooperation compliance and surgical knowledge mastery degrees of the patients undergoing hysteromyoma operation.Methods:All 88 patients were randomized into the observation group and the control group,44 cases each group.The control group were intervened by traditional nursing method,and the observation group situationintroduced bedside experience care.To compare surgical cooperation compliance and the patients′surgical knowledge mastery degrees between both groups;and compare SAS and SDS scores at the admission day and the forth day after the surgery between both groups.Results:The difference had no statistical meaning in SAS and SDS scores between both groups before the intervention(P>0.05);after the intervention,the observation group was lower than the control group,and the difference showed statistical meaning(P<0.05).The observation group was higher than the control group in preoperative preparation and cooperation,anaesthesia cooperation and the cooperation rate of postoperative nursing,and the difference showed statistical meaning(P<0.05).The difference presented no statistical meaning in surgical knowledge mastery degrees before the intervention between both groups(P>0.05);after the intervention,the observation group was higher than the control group,and the difference had statistical meaning(P<0.05).Conclusion:Situation-introduced bedside experience care for the patients undergoing hysteromyoma operation could help raise the patients′therapeutic compliance,and the patients′surgical knowledge mastery degrees.

关 键 词：子宫肌瘤 情境代入 床旁体验 配合依从性 认知 依从性 抑郁 焦虑 

分 类 号：R248.2[医药卫生—中医临床基础]