行为分阶段转变干预模式在胆囊炎合并胆囊结石手术患者中的应用效果  

Effect of behavioral stage change intervention mode in patients with cholecystitis combined with cholecystolithiasis

作　　者：李燕 LI Yan(Department of Surgery,Ji'nan Hospital of Integrated Traditional Chinese and Western Medicine,Ji'nan,Shandong 271100,China)

机构地区：[1]济南市中西医结合医院外科,山东济南271100

出　　处：《医药前沿》2025年第13期131-134,共4页Journal of Frontiers of Medicine

摘　　要：目的探讨行为分阶段转变干预模式在胆囊炎合并胆囊结石手术患者中的应用效果。方法选取2023年3月—2024年3月济南市中西医结合医院择期手术治疗的胆囊炎合并胆囊结石患者80例,采用随机数字表法将其分为对照组和观察组,每组40例。对照组采取常规护理,观察组在常规护理基础上实施行为分阶段转变干预模式。比较两组心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、护理满意度及生活质量[胃肠疾病生活质量指数(GIQOL)量表]。结果入院时,两组SAS、SDS评分比较,差异均无统计学意义(P>0.05)。手术当日,两组SAS、SDS评分均高于入院时,但观察组SAS、SDS评分均低于对照组;出院时,两组SAS、SDS评分均低于手术当日,且观察组低于对照组;观察组护理总满意度高于对照组;干预后,两组GIQOL评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论行为分阶段转变干预模式在胆囊炎合并胆囊结石手术患者中应用能够有效改善患者焦虑、抑郁情绪,提高患者对护理的满意度和生活质量。Objective To explore the application effect of staged behavior change intervention model in patients with cholecystitis and gallbladder stones undergoing surgery.Methods A total of 80 patients with cholecystitis and gallbladder stones who underwent elective surgery in Ji'nan Hospital of Integrated Traditional Chinese and Western Medicine from March 2023 to March 2024 were selected and divided into two groups(a control group and an observation group),each comprising 40 subjects.The control group underwent standard nursing care,whereas the observation group received a staged behavioral change intervention model in addition to the routine care.Psychological states[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],nursing satisfaction,and quality of life[Gastrointestinal Quality of Life Index(GIQOL)Scale]were compared between the two cohorts.Results revealed no significant differences in SAS and SDS scores at admission(P>0.05).On the day of surgery,both groups exhibited elevated SAS and SDS scores compared to admission;however,the observation group's scores were significantly lower than those of the control group.At discharge,SAS and SDS scores decreased in both groups relative to the day of surgery,with the observation group maintaining notably lower scores than the control group.Nursing satisfaction was significantly higher in the observation group.Post-intervention,GIQOL scores improved in both groups,with the observation group demonstrating superior gains compared to controls,differences were statistical significance(P<0.05).Conclusions The staged behavior change intervention model can effectively improve the anxiety and depression of patients with cholecystitis and gallbladder stones undergoing surgery,and enhance their nursing satisfaction and quality of life.

关 键 词：胆囊炎 胆囊结石 行为分阶段转变干预模式 心理状态 护理满意度 生活质量 

分 类 号：R473[医药卫生—护理学]