基于SWOT的多学科协作护理在胆囊结石患者康复中的应用  

The Application of Multidisciplinary Collaborative Nursing based on SWOT in the Rehabilitation of Patients with Gallstones

作　　者：田锡铭 TIAN Ximing(Tianjin Integrated Traditional Chinese and Western Medicine Hospital/Nankai Hospital,Tianjin 300052,China)

机构地区：[1]天津市中西医结合医院(南开医院),天津300052

出　　处：《中国实用乡村医生杂志》2025年第2期27-30,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的分析基于SWOT的多学科协作护理对在囊结石患者康复护理中的应用。方法选取2021年2月-2022年10月天津市中西医结合医院因胆囊结石行胆囊切除术的患者90例作为研究对象,通过简单随机数字表法分为研究组和对照组各45例。对照组采取常规护理,研究组在对照组基础上采取基于SWOT的多学科协作护理。比较两组干预后的心境状态、应对方式、恢复情况和并发症发生率。结果干预后,研究组广泛性焦虑自评量表、PHQ-9健康问卷评分低于对照组,差异有统计学意义(P<0.05)。研究组Jalowiec应对量表的听天由命、逃避、姑息评分低于对照组;而面对、情感宣泄、寻求支持、自我依靠、乐观评分高于对照组,差异有统计学意义(P<0.05)。研究组排便时间、下床活动时间、住院时间短于对照组,差异有统计学意义(P<0.05)。结论对于胆囊结石行胆囊切除术的患者,基于SWOT的多学科协作护理可进一步改善心境状态和应对方式,加快康复进程并降低并发症发生率。Objective To analyze the application of multidisciplinary collaborative nursing based on SWOT in the rehabilitation nursing of patients with cystic stones.Methods Ninety patients who underwent cholecystectomy for gallstones in our hospital from February 2021 to October 2022 were selected as the study subjects.They were divided into a study group and a control group by simple random number table method,with 45 cases in each group.The control group received routine care,while the study group received multidisciplinary collaborative care based on SWOT on the basis of the control group.The mood state,coping strategies,recovery status,and incidence of complications between two groups after intervention were compared.Results After intervention,the scores of generalized anxiety disorder-7 and patient health questionnaire-9 in the study group were lower than those in the control group(P<0.05).The scores of Jalowiec coping scale for resignation,avoidance,and appeasement of study group were lower than those of the control group.However,the scores for facing,emotional venting,seeking support,self-reliance,and optimism of study group were higher than those of the control group(P<0.05).The study group had shorter defecation time,bed activity time,and hospitalization time than the control group(P<0.05).Conclusion For patients undergoing cholecystectomy for gallstones,multidisciplinary collaborative nursing based on SWOT can further improve their mood and coping strategies,accelerate the recovery process,and reduce the incidence of complications.

关 键 词：胆囊结石 胆囊切除术 多学科协作护理 SWOT分析 

分 类 号：R473.6[医药卫生—护理学]