基于保护动机理论延续护理在胆囊切除术患者术后的应用效果  

Effect of Continuous Nursing in Patients Undergoing Cholecystectomy Based on Protective Motivation Theory

作　　者：古宗涛 GU Zongtao(Department of Hepatobiliary and Pancreatic Surgery,Fujian Provincial Hospital,Fuzhou,Fujian 350000,China)

机构地区：[1]福建省立医院肝胆胰外科,福建福州350000

出　　处：《中国医药指南》2025年第1期170-173,共4页Guide of China Medicine

摘　　要：目的分析基于保护动机理论延续护理在胆囊切除术患者术后的运用效果。方法选取2022年4月至2023年4月在福建省立医院的86例胆囊切除术患者,随机数字表法分为试验组(43例,采用基于保护动机理论延续护理)和对照组(43例,采用常规护理),对比两组临床指标恢复时间、术后不同时间疼痛量表、不良心理评分以及并发症总发生率。结果试验组胆囊切除术患者首次排便时间、下床活动时间、首次排气时间、住院时间、肠鸣音恢复时间均短于对照组(均P<0.05);试验组胆囊切除术患者术后6 h、24 h视觉模拟量表(VAS)评分均低于对照组(均P<0.05);试验组护理后胆囊切除术患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分以及并发症总发生率均低于对照组(均P<0.05)。结论基于保护动机理论延续护理在胆囊切除术患者术后具有良好的运用效果,能有效缩短患者恢复时间,减轻胆囊切除术患者术后疼痛程度,改善患者不良心理,减少并发症情况的发生。Objective To analyze the effect of continuous nursing based on protective motivation theory in postoperative cholecystectomy patients.Methods Eighty-six cholecystectomy patients were selected from April 2022 to April 2023 in Fujian Provincial Hospital,and were divided into the trial group(43 cases,using continuity of care based on the theory of protective motivation)and the control group(43 cases,using conventional care)by the random number table method,comparing the two groups in terms of clinical indicators of the time to recovery,postoperative scores on the pain scale at different times,the adverse psychological scores,as well as the total incidence of complications.Results Time to first defecation,time to get out of bed,time to first gas evacuation,length of hospital stay,and time to recovery of bowel sounds were all shorter in the trial group than in the control group(all P<0.05).And visual analogue scale(VAS)scores were lower than those of the control group in the trial group at 6 hours and 24 hours postoperatively in the patients who had undergone cholecystectomy(both P<0.05).The cholecystectomy patients in the trial group had lower scores on the self-depression scale(SDS)and the self-anxiety scale(SAS),as well as a lower overall incidence of complications than those in the control group after care(all P<0.05).Conclusions Continuous nursing based on the theory of protective motivation has a good application effect in patients after cholecystectomy,which can effectively shorten the recovery time of patients,reduce the degree of pain,improve the adverse psychology of patients,and reduce the occurrence of complications.

关 键 词：基于保护动机理论 延续护理 胆囊切除术 护理效果 

分 类 号：R657.4[医药卫生—外科学] R473.6[医药卫生—临床医学]