Meleis转移理论过渡期护理在腮腺肿瘤切除术后的应用  

Application of Transitional Nursing Based on Meleistransition Theory in Patients after Parotid Gland Tumor Resection

作　　者：李丹丹 焦佳佳 芦丹丹 何清丽 Li Dandan;Jiao Jiajia;Lu Dandan(Henan Provincial People′s Hospital,Zhengzhou Henan 450003,China)

机构地区：[1]河南省人民医院、郑州大学人民医院,河南郑州450003

出　　处：《齐鲁护理杂志》2023年第12期1-4,共4页Journal of Qilu Nursing

基　　金：2022年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20220038)。

摘　　要：目的:探讨Meleis转移理论的过渡期护理在腮腺肿瘤切除术后患者中的应用效果。方法:选取98例腮腺肿瘤切除术后患者,采用随机数字表法分为对照组和观察组各49例,对照组给予常规护理,观察组在对照组基础上给予Meleis转移理论的过渡期护理。比较两组干预前后状态-特质焦虑量表(STAI)、自我认同感量表、健康促进策略量表(SUPPH)、出院准备度评估量表(RHDS)、汉化版出院指导质量量表(QDTS)、生存质量卡氏(KPS)评分及并发症。结果:干预后,两组STAI量表中状态焦虑、特质焦虑评分均低于干预前(P<0.05),且观察组低于对照组(P<0.01);干预后,两组自我认同感评分高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后,两组SUPPH中减轻压力、积极态度、决策维度评分及总分均高于干预前(P<0.05),且观察组高于对照组(P<0.01);出院当天,观察组RHDS、QDTS评分均高于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.01),随访6个月KPS评分高于对照组(P<0.01)。结论:将Meleis转移理论的过渡期护理用于腮腺肿瘤切除患者,能有效纠正患者负性情绪,提高其自我认同感、出院准备度和出院指导质量,增强自我管理效能,减少并发症,改善生存质量。Objective:To explore the application effect of transitional nursing based on Meleis transition theory in patients after parotid gland tumor resection.Methods:A total of 98 patients after parotid gland tumor resection were selected and by the random number table method divided into the control group and the observation group,with 49 cases in each group.The control group was given routine nursing,and the observation group was given transitional nursing based on Meleis transition theory based on nursing in the control group.Negative emotions,self-identity,self-management efficacy,discharge readiness and teaching quality,the occurrence of postoperative complications,and the quality of life in both groups were compared between the two groups.Results:After intervention,the scores of state anxiety and trait anxiety of STAI scale in the two groups groups were lower than those before intervention(P<0.05),and those in observation group were lower than those in the control group(P<0.01).After intervention,the score of self-identity in both groups were higher than those before intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.01).After intervention,the scores of three dimensions of stress reduction,positive attitude and decision making and total score of SUPPH scale in both groups were hgher than those before intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.01).On the day of discharge,the RHDS and QDTS scores were higher in the observation group than those in the control group(P<0.05).The total incidence rate of postoperative complications in the observation group was lower than that in the control group(P<0.01),and the KPS scores at 3 months of follow-up after surgery were higher than those in the control group(P<0.01).Conclusion:The application of transitional nursing based on Meleis transition theory in the postoperative nursing in patients with parotid gland tumor resection can effectively correct the negative emo

关 键 词：腮腺肿瘤切除术 Meleis转移理论 过渡期护理 负性情绪 

分 类 号：R473.73[医药卫生—护理学]