基于赋能理论的无缝隙护理在卵巢囊肿手术患者中的应用效果  

Application effects of seamless nursing based on empowerment theory in patients undergoing ovarian cyst surgeries

作　　者：吴晓涵[1] WU Xiaohan(Department of Obstetrics and Gynecology of Sanmenxia Central Hospital,Sanmenxia 472000 Henan,China)

机构地区：[1]三门峡市中心医院妇产科,河南三门峡472000

出　　处：《中国民康医学》2025年第9期190-193,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:基于赋能理论的无缝隙护理在卵巢囊肿手术患者中的应用效果。方法:选取2022年9月至2023年2月该院收治的98例卵巢囊肿手术患者进行前瞻性研究,按照随机数字表法将其分为对照组与观察组各49例。对照组给予常规护理,观察组在对照组基础上给予基于赋能理论的无缝隙护理。比较两组围手术期指标(胃蠕动恢复时间、首次下床活动时间、尿管拔除时间、住院时间)水平,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自护能力[自我护理能力量表(ESCA)]评分,术后疼痛程度[视觉模拟评分法(VAS)]评分。结果:观察组肠胃蠕动恢复时间、首次下床活动时间、尿管拔除时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);术后2、3 d,两组VAS评分均低于术后1 d,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于赋能理论的无缝隙护理可提高卵巢囊肿手术患者自护能力评分,缩短术后康复进程,以及降低负性情绪和疼痛程度评分的效果优于单纯常规护理。Objective:To explore application effects of seamless nursing based on empowerment theory in patients with ovarian cyst surgeries.Methods:A prospective study was conducted on 98 cases of ovarian cyst surgeries admitted to this hospital from September 2022 to February 2023.According to the random number table method,they were divided into control group and observation group,49 cases in each group.The control group was given routine nursing,while the observation group was given seamless nursing based on empowerment theory on the basis of that of the control group.The levels of perioperative related indexes(gastrointestinal peristalsis recovery time,first out-of-bed time,catheter removal time,hospitalization time),and the scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-care ability[exercise of self-care agency(ESCA)]before and after the nursing and postoperative pain degree[visual analogue scale(VAS)]were compared between the two groups.Results:The gastrointestinal peristalsis recovery time,the first out-of-bed time,the catheter removal time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ESCA scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Further,2 and 3 days after the surgery,the VAS scores of the two groups were lower than those 1 day after the surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the seamless nursing based

关 键 词：赋能理论 无缝隙护理 卵巢囊肿 负性情绪 自护能力 疼痛程度 并发症 

分 类 号：R473.71[医药卫生—护理学]