基于赋能理论的多维护理模式对肝癌肝切除术患者的影响  

Influence of Multidimensional Nursing Model Based on Empowerment Theory on Patients with Liver Cancer Undergoing Hepatectomy

作　　者：高晓琳 GAO Xiaolin(Jinan Integrated Traditional Chinese and Western Medicine Hospital,Jinan 271100,China)

机构地区：[1]济南市中西医结合医院,山东济南271100

出　　处：《中外医学研究》2023年第9期90-94,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨基于赋能理论的多维护理模式对肝癌肝切除术患者手术相关指标、围手术期身心应激及并发症的影响。方法:选取2020年4月—2021年4月济南市中西医结合医院收治的52例肝癌肝切除术患者作为研究对象,采取便利抽样将其分为对照组与观察组,各26例。对照组实施常规护理,观察组在对照组常规护理的基础上采用基于赋能理论的多维护理模式干预。观察并对比两组手术结局、身心应激情况及并发症发生率。结果:干预后,观察组各项手术相关指标均显著优于对照组,差异有统计学意义(P<0.05);观察组身心应激现象较对照组改善更明显,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:将基于赋能理论的多维护理模式应用于肝癌肝切除术患者,可明显缩短其术后拔管及通气时间,减少围手术期不良身心应激反应,降低诸多并发症发生率。Objective:To explore the influence of multidimensional nursing model based on empowerment theory on the operation-related indexes,perioperative physical and psychological stress and complications of patients with liver cancer undergoing hepatectomy.Method:A total of 52 patients with liver cancer who underwent hepatectomy in Jinan Integrated Traditional Chinese and Western Medicine Hospital from April 2020 to April 2021 were selected as the study subjects.They were divided into control group and observation group by convenient sampling,with 26 cases in each group.The control group was given routine nursing,while the observation group was given multidimensional nursing intervention based on empowerment theory on the basis of routine nursing in the control group.The surgical outcome,physical and psychological stress and complication rate of the two groups were observed and compared.Result:After intervention,the surgical related indicators in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05);compared with the control group,the physical and mental stress phenomenon in the observation group improved significantly(P<0.05);the incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Applying multidimensional nursing model based on empowerment theory to patients with liver cancer after hepatectomy can significantly shorten their postoperative extubation and ventilation time,reduce adverse physical and psychological stress reactions during perioperative period and reduce the incidence of many complications.

关 键 词：赋能理论 肝癌 肝切除术 手术结局 

分 类 号：R473.73[医药卫生—护理学]