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作 者:刘静 王菊 毛宝存 LIU Jing;WANG Ju;MAO Baocun(Gynecology Department,Yan'an University Affiliated Hospital,Yan'an 716000,China)
出 处:《临床医学研究与实践》2025年第11期155-158,共4页Clinical Research and Practice
摘 要:目的分析基于Roy适应模式的强化宣教护理对子宫肌瘤手术患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及自我效能的影响。方法选取2022年1月至2023年3月我院收治的102例子宫肌瘤手术患者为研究对象,随机将其分为常规组(51例,常规健康教育)和观察组(51例,基于Roy适应模式的强化宣教护理)。比较两组的护理效果。结果观察组的术后并发症总发生率显著低于常规组,差异具有统计学意义(P<0.05)。护理后,观察组的自护能力各维度评分均显著高于常规组,差异具有统计学意义(P<0.05)。护理后,观察组的SAS、SDS评分均显著低于常规组,一般自我效能感量表(GSES)评分显著高于常规组,差异具有统计学意义(P<0.05)。观察组的护理服务满意度显著高于常规组,差异具有统计学意义(P<0.05)。结论基于Roy适应模式的强化宣教护理可有效降低子宫肌瘤患者术后并发症发生率,提升自护能力、自我效能,缓解负面情绪,且患者护理服务满意度较高,值得临床应用。Objective To analyse the influences of intensive propaganda and education nursing based on Roy adaptation model on Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores,and self-efficacy of patients undergoing uterine fibroids surgery.Methods From January 2022 to March 2023,102 patients undergoing uterine fibroids surgery in our hospital were selected as the research objects and randomly divided into conventional group(51 cases,routine health education)and observation group(51 cases,intensive propaganda and education nursing based on Roy adaptation model).The nursing effects of the two groups were compared.Results The total incidence of postoperative complications in the observation group was significantly lower than that in the conventional group,and the difference was statistically significant(P<0.05).After nursing,the scores of each dimension of self-care ability in the observation group were significantly higher than those in the conventional group,and the differences were statistically significant(P<0.05).After nursing,the scores of SAS,SDS in the observation group were significantly lower than those in the conventional group,the General Self-Efficacy Scale(GSES)score was significantly higher than that of the conventional group,and the differences were statistically significant(P<0.05).The nursing service satisfaction of the observation group was significantly higher than that of the conventional group,and the difference was statistically significant(P<0.05).Conclusion The intensive propaganda and education nursing based on Roy adaptation model can effectively reduce the incidence of postoperative complications in patients with uterine fibroids,improve self-care ability and self-efficacy,relieve negative emotions,with high patients'nursing service satisfaction,which is worthy of clinical application.
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