纽曼系统干预模式对肝胆管结石手术患者主观舒适度及不良情绪的影响  

Influence of Newman system intervention model on subjective comfort and negative emotions in patients with hepatolithiasis surgery

作　　者：王卫丽[1] 卢沛[1] 陈丽娜 王聪 董亚东[1] WANG Weili;LU Pei;CHEN Li'na;WANG Cong;DONG Yadong(Henan Provincial People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院肝胆胰腺外科,郑州450003

出　　处：《中国健康心理学杂志》2025年第5期737-742,共6页China Journal of Health Psychology

基　　金：2023年度河南省医学科技攻关计划项目(编号:LHGJ20230006)。

摘　　要：目的:探究纽曼系统干预模式对肝胆管结石手术患者主观舒适度及不良情绪的影响。方法:选取2023年1月至2024年1月期间在某院肝胆胰腺外科接受肝胆管结石手术的150例患者。采用随机数字表法将患者分为对照组和干预组,各75例。对照组接受常规护理,干预组则在对照组基础上实施纽曼系统干预模式,两组均持续干预15天。比较两组患者的主观舒适度[视觉模拟评分(VAS)]、不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量(SF-36量表)、护理满意度(PSQ量表)及术后并发症。结果:两组患者的VAS评分在组间、各时间点以及交互作用上的差异均有统计学意义(F_(组间)=32.27,106.90,4.27;P<0.01)。术前12h,干预组和对照组VAS评分无明显差异(P>0.05),干预组在术后24h、干预7天及干预15天的VAS评分显著低于对照组(P<0.05)。干预后,两组患者SAS和SDS评分均降低,且干预组SAS评分和SDS评分显著低于对照组(t=-12.563,-11.102;P<0.05)。干预后,干预组SF-36各维度评分较对照组显著提升(t=8.514,3.874,5.312,3.329,8.292,5.173,8.029,6.549;P<0.05)。干预组PSQ各维度评分较对照组明显升高(t=10.036,9.181,8.341,9.728,8.461;P<0.05)。干预组术后并发症发生率较对照组显著降低(χ^(2)=4.509,P<0.05)。结论:纽曼系统干预模式显著提升了肝胆管结石患者的主观舒适度,减轻了术后不良情绪和应激反应,降低了疼痛和并发症。Objective:To explore the influence of Newman system intervention model on subjective comfort and negative emotions in patients undergoing hepatolithiasis surgery.Methods:From January 2023 to January 2024,150 patients who received hepatolithiasis surgery in department of hepatobiliary pancreatic surgery of the hospital were selected.The patients were divided into control group and intervention group(75 cases in each group)by random number table method.The control group received routine nursing,while the intervention group received Newman sys-tem intervention model on the basis of the control group,and both groups continued to intervene for 15 days.The subjective comfort level[visual analogue scale(VAS)],negative emotions[self-rating anxiety Scale(SAS),self-rating depression scale(SDS)],quality of life(SF-36 scale),nursing satisfaction(PSQ scale)and postoperative complications were compared between two groups.Results:There was a statistical difference in VAS score from the aspects of between-group,time-point and interaction effect(F=32.27,106.90,4.27;P<0.01).No significant difference in VAS score was shown between the intervention group and the control group at 12 hours before surgery(P>0.05).The VAS scores in the intervention group at 24 hours,7 days and 15 days after intervention were significantly lower than those in the control group(P<0.05).SAS score and SDS score were decreased in both groups after intervention,and the scores were significantly lower in the intervention group than those in the control group(t=-12.563,-11.102;P<0.05).After intervention,the scores of dimensions of SF-36 in the intervention group were significantly enhanced than those in the control group(t=8.514,3.874,5.312,3.329,8.292,5.173,8.029,6.549;P<0.05).The scores of various dimensions of PSQ were significantly risen in the intervention group than those in the control group(t=10.036,9.181,8.341,9.728,8.461;P<0.05).The incidence of postoperative complications in the intervention group was significantly declined compared to the control gr

关 键 词：纽曼系统干预模式 肝胆管结石手术 主观舒适度 不良情绪 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]