系统化护理模式在大肠病变内镜下黏膜剥离术患者中的应用效果  

Application effectiveness of systematic nursing model in patients undergoing endoscopic mucosal dissection for large intestine lesions

作　　者：涂道玲 张妍 Tu Daoling;Zhang Yan(Lu'an Hospital Affiliated to Anhui Medical University,Lu'an Anhui 237005,China;Department of Gastroenterology,Yijishan Hospital,Wuhu Anhui 241001,China)

机构地区：[1]安徽医科大学附属六安医院,安徽六安237005 [2]安徽省弋矶山医院消化内科,安徽芜湖241001

出　　处：《保健医学研究与实践》2023年第S02期173-176,共4页Health Medicine Research and Practice

基　　金：2020年度安徽高校自然科学研究项目(KJ2020A0594)。

摘　　要：目的探讨系统化护理模式对大肠病变内镜下黏膜剥离术患者睡眠状况、负性情绪及胃肠功能的影响。方法选取2020年1月—2022年6月在我院行大肠病变内镜下黏膜剥离术治疗的127例患者,采用随机数字表法分为对照组(60例)与观察组(67例)。对照组患者采用常规护理模式干预,观察组患者采用系统化护理模式干预。比较2组患者干预前后负性情绪、睡眠质量评分、健康教育知晓率及胃肠道功能改善时间等指标。结果干预前,2组患者负性情绪、睡眠质量评分比较,差异无统计学意义(P>0.05);干预后,观察组负性情绪、睡眠质量评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者医学应对问卷(MCMQ)的面对维度评分高于对照组,回避和屈服维度评分低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者自我护理能力测量量表(ESCA)各维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者健康教育知晓率高于对照组,差异有统计学意义(P<0.05)。观察组患者胃肠道功能改善时间短于对照组,差异有统计学意义(P<0.05)。结论系统化护理模式有助于为大肠病变内镜下黏膜剥离术患者提供多元化、全面化的健康宣教,减轻患者负性情绪,提升患者自护能力,改善患者睡眠质量,促进胃肠功能恢复。Objective To explore the effects of a systematic nursing model on the sleep status,negative emotion,and gastrointestinal function of patients undergoing endoscopic mucosal dissection for large intestine lesions.Methods A total of 127 patients who underwent endoscopic mucosal dissection for large intestine lesions in our hospital from January 2020 to June 2022 were selected and randomly assigned to a control group(n=60)and an observation group(n=67)using a random number table.The control group received routine nursing intervention,while the observation group received systematic nursing model intervention.The negative emotion,sleep quality scores,health education awareness rate,and time for improvement of gastrointestinal function before and after intervention were compared between the two groups.Results Before intervention,no significant difference was found in negative emotion and sleep quality scores between the two groups(P>0.05).After intervention,the negative emotion and sleep quality scores of the observation group were significantly lower than those of the control group(P<0.05).After intervention,the scores of the confrontation dimension in the Medical Coping Modes Questionnaire(MCMQ)were significantly higher in the observation group than in the control group,while the scores of the avoidance and surrender dimensions were significantly lower in the observation group than in the control group(P<0.05).After intervention,the scores of all dimensions in the Exercise of Self-Care Agency(ESCA)were significantly higher in the observation group than in the control group(P<0.05).The health education awareness rate of the observation group was significantly higher than that of the control group(P<0.05).The time for improvement of gastrointestinal function in the observation group was significantly shorter than that in the control group(P<0.05).Conclusion The systematic nursing model provides diversified and comprehensive health education for patients undergoing endoscopic mucosal dissection for large intestine lesion

关 键 词：大肠病变内镜下黏膜剥离术 系统化护理模式 睡眠状况 负性情绪 

分 类 号：R735.34[医药卫生—肿瘤]