行为转变阶段护理模式应用于外科手术患者的效果观察

Effect observation of behavioral change stage nursing model applied in surgical patients

目的探讨外科手术患者采用行为转变阶段模式管理的临床疗效。方法选取2013年2月~2014年4月期间我院接受治疗的122例患者,采用随机数表法分为观察组和对照组,各61例。对照组患者给予常规护理,观察组患者给予行为转变阶段模式护理,对比两组患者术后疼痛程度和恢复情况。结果观察组首次下床时间、肛门排气时间、住院时间均明显低于对照组,24 h睡眠时间、48 h睡眠时间长于对照组,差异具有统计学意义（P〈0.05）。观察组术后12 h、1 d、3 d、5 d VAS评分均明显低于对照组,差异具有统计学意义（P〈0.05）。结论行为转变阶段模式能明显改善外科手术患者生活质量,缓解术后疼痛,促进患者康复,可在临床上进一步推广和使用。

Objective To investigate the clinical efficacy of behavioral change stage model management applied in sur- gical patients. Methods All 122 patients who were treated in our hospital from February 2013 to April 2014 were se- lected and divided into the observation group and the control group using the random number table method, with 61 patients in each group. The control group was given conventional nursing, and the observation group was given behav- ioral change stage model nursing. The postoperative pain degree and recovery situation of the two groups were com- pared. Results The observation group was significantly lower than the control group in the first getting out-of-bed time, anal exhaust time and length of hospital stay, the 24-hour sleep time and 48-hour sleep time of observation group was higher than the control group, with statistically significant differences （P〈0.05）. The postoperative 12-hour, 1-day, 3-day and 5-day VAS scores of the observation group was significantly lower than the control group, with sta- tistically significant differences （P〈0.05）. Conclusion Behavioral change stage model can significantly improve surgical patients life quality, relieve postoperative pain and promote rehabilitation, thereby worthy of further promotion and ap- plication.