腹腔镜卵巢肿瘤剥除术围术期阶段性管理模式下赋能教育配合需要层的护理效果  

Nursing effect of the empowerment education under the staged management model combined with the need hierarchy nursing for patients with laparoscopic ovarian tumor excision during perioperative period

作　　者：李彤 杨昕丽 刘爽 LI Tong;YANG Xinli;LIU Shuang(Beijing You'an Hospital,Capital Medical University,Beijing,100069)

机构地区：[1]首都医科大学附属北京佑安医院,100069

出　　处：《中国计划生育学杂志》2024年第11期2584-2588,共5页Chinese Journal of Family Planning

基　　金：首都卫生发展科研专项2020年度项目(2020-4-1043)。

摘　　要：目的:分析评估阶段性管理模式下赋能教育配合需要层护理在腹腔镜卵巢肿瘤剥除术围术期中的应用效果。方法:选择2020年7月-2023年7月本院收治的105例腹腔镜卵巢肿瘤剥除术患者随机分为对照组52例和教育组53例,分别采用常规护理模式或教育组采用阶段性管理模式下赋能教育配合需要层护理模式。比较两组围术期基本情况(手术时间、术后下床时间、住院时间、术后并发症),对比干预前后两组心理状态[心理韧性量表(CD-RISC)]、自我管理能力[自我管理能力量表(ESCA)]以及生活质量[生活质量量表(QLQ-C30)]。结果:两组手术时间、术后下床时间未见差异(P>0.05),教育组住院时间(6.7±1.9d)、术后并发症(20.8%)发生率均低于对照组(7.8±2.0d、38.5%),两组CD-RISC量表评分(63.81±10.25分)、ESCA量表评分(110.97±14.66分)、QLQ-C30量表评分(85.60±12.65分)较干预前均有升高且教育组均高于对照组(56.39±11.31分、96.42±16.82分、77.91±13.84分)(均P<0.05)。结论:阶段性管理模式下赋能教育配合需要层护理能加快腹腔镜卵巢肿瘤剥除术患者术后恢复,提高患者心理韧性和自我管理能力,有助于改善患者生活质量。Objective:To analyze and evaluate the application effect of the empowerment education under the staged management model combined with the need hierarchy nursing for patients with laparoscopic ovarian tumor excision during perioperative period.Methods:105patients with laparoscopic ovarian tumor excision in the hospital from July 2020 to July 2023 were selected and were randomly divided into control group(n=52)and study group(n=53).The patients in the control group were given the routine nursing model,while the patients in the study group received the empowerment education under staged management model combined with the need hierarchy nursing.The perioperative basic conditions,such as the surgical time,the postoperative ambulation time,the hospital stay,the incidence of postoperative complications,and the psychological status evaluated by the connor-Davidson resilience scale(CD-RISC),the self-management ability evaluated by the exercise of self-care agency scale(ESCA)and the quality of life evaluated by the quality of life scale(QLQ-C30)before and after intervention of the patients were compared between the two groups.Results:There was no significant difference in the operation time and the postoperative ambulation time of the patients between the two groups(P>0.05).The hospitalization time(6.7±1.9d)and the incidence of the postoperative complications(20.8%)of the patients in the study group were significantly lower than those(7.8±2.0d and 38.5%)of the patients in the control group.The scores of CD-RISC scale,ESCA scale and QLQ-C30scale of the patients in the two groups after intervention had increased significantly,and which(63.81±10.25 points,110.97±14.66 points and 85.60±12.65 points)of the patients in the study group were significantly higher than those(56.39±11.31 points,96.42±16.82 points and 77.91±13.84 points)of the patients in the control group(all P<0.05).Conclusion:The empowerment education under staged management model combined with the need hierarchy nursing for the patients with laparoscopic o

关 键 词：腹腔镜卵巢肿瘤剥除术 阶段性管理模式 赋能教育 需要层护理 护理干预 

分 类 号：R473.73[医药卫生—护理学]