基于循证理念的护理策略结合信息-动机-行为模式在子宫肌瘤剔除术后患者中的应用价值  

Application value of nursing strategy based on evidence-based concept combined with information-motivation-behavior model in patients after laparoscopic myomectomy

作　　者：胡先锋 HU Xianfeng(Gynaecology and Obstetrics Department,Xi'an No.9 Hospital,Xi'an 710054,China)

机构地区：[1]西安市第九医院妇产科,陕西西安710054

出　　处：《临床医学研究与实践》2024年第25期183-186,共4页Clinical Research and Practice

摘　　要：目的分析基于循证理念的护理策略结合信息-动机-行为模式在子宫肌瘤剔除术后患者中的应用价值。方法择取2019年9月至2022年10月收治的80例腹腔镜下子宫肌瘤剔除术后患者为研究对象,随机将其分为对照组和观察组,各40例。对照组采用常规护理干预,观察组在对照组基础上加基于循证理念的护理策略结合信息-动机-行为模式干预。比较两组的干预效果。结果干预后,观察组的恐惧视觉模拟评分(FAVS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P<0.05)。干预后,观察组的自我护理能力量表(ESCA)各维度评分均高于对照组(P<0.05)。干预后,观察组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各维度评分高于对照组(P<0.05)。结论基于循证理念的护理策略结合信息-动机-行为模式用于腹腔镜下子宫肌瘤剔除术后患者中不仅能够调节心理状态,还能有效提升患者自护能力,从而提高术后生活质量,值得推广。Objective To analyze the application value of nursing strategy based on evidence-based concept combined with information-motivation-behavior model in patients after laparoscopic myomectomy.Methods Eighty patients who underwent laparoscopic myomectomy from September 2019 to October 2022 were selected as the study subjects and randomly divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing strategy based on evidence-based concept combined with information-motivation-behavior model intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the Fear Visual Analogue Scale(FAVS),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of the World Health Organization Quality of Life-BREF(WHOQOL-BREF)in the observation group were higher than those in the control group(P<0.05).Conclusion The nursing strategy based on evidence-based concept combined with information-motivation-behavior model can not only regulate the psychological state of patients after laparoscopic myomectomy,but also effectively improve self-care ability,so as to improve the quality of life after operation,which is worthy of promotion.

关 键 词：基于循证理念的护理策略 信息-动机-行为模式 腹腔镜下子宫肌瘤剔除术 

分 类 号：R475[医药卫生—护理学]