基于保护动机理论的护理模式对肛瘘患者术后遵医行为及生活质量的影响

Influence of Protection Motivation Theory-based Nursing Modes on The Postoperative Treatment Compliance and Life Quality for Anal Fistula Patients

目的分析以保护动机理论为基础护理模式用于肛瘘患者对其术后遵医行为和生活质量的影响。方法选取2021年1月至2022年12月期间在三门峡市中心医院收治的肛瘘手术患者总共84例进行研究,经随机数字表法分成对照组(按常规提供各项护理措施)和观察组(在前组基础上采取以保护动机理论为基础护理模式)各42例,观察两组术后遵医行为、干预前后简明生活质量量表(SF-36)得分及护理满意度情况。结果观察组术后遵医率(97.62%)高于对照组(85.71),差异有统计学意义(P<0.05)。干预前,两组简明生活质量量表(生理职能、生理功能、躯体疼痛、社会功能、活力、情感职能、精神健康和总体健康)评分比较,差异无统计学意义(P>0.05);干预后,两组简明生活质量量表评分均有所提高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度(97.62%)高于对照组(83.33%),差异有统计学意义(P<0.05)。结论以保护动机理论为基础护理模式用于肛瘘患者能改善其术后遵医行为,提升其生活质量和满意度,值得采用。

Objective To study the influence of protection motivation theory-based nursing modes on the postoperative treatment compliance and life quality for anal fistula patients.Methods A total of 84 anal fistula patients treated from January 2021 to December 2022 in Sanmenxia Central Hospital were investigated.According to random number table,patients were divided into control group(routine nursing measures)and observation group(routine nursing measures and protection motivation theory-based nursing modes),with 42 cases each.The postoperative treatment compliance,the Mos 36-item Short Form Health Survey(SF-36)scores and nursing satisfaction were compared.Results The postoperative treatment compliance in the observation group(97.62%)was significantly higher than control group(85.71%),the difference was statistically significant(P<0.05);before intervention,there were no significant between-group differences about SF-36 scores of role physical,physical function,bodily pain,social function,vitality,role emotional and general health(P>0.05);after intervention,SF-36 scores for two groups were higher than before;after intervention,SF-36 scores in the observation group were significantly higher than control group,the difference was statistically significant(P<0.05);the nursing satisfaction in the observation group(97.62%)was significantly higher than control group(83.33%),the difference was statistically significant(P<0.05).Conclusion The protection motivation theory-based nursing modes can improve the postoperative treatment compliance,life quality and nursing satisfaction for anal fistula patients,and is worthy of adoption.