自我效能感对子宫肌瘤患者术前焦虑及手术配合的影响

The Effect of Self Efficacy on Preoperative Anxiety and Operation Coordination in Patients with Uterine Leiomyoma

目的研究子宫肌瘤患者加入自我效能感护理对其术前焦虑和手术配合所产生的影响。方法选用我院于2014年7月至2015年7月收治的136例子宫肌瘤患者进行研究分析,将患者分为护理组和对照组。对照组采用常规护理干预,护理组在对照组的基础上加入自我效能感护理干预,观察两组患者护理前1 d和护理后第4天的焦虑程度改善情况、术后疼痛情况和手术配合度情况,比较两组患者对护理工作的满意度。结果护理组患者护理后焦虑程度改善情况明显好于对照组,护理组患者术后疼痛得分低于对照组,且本组患者手术配合度为100%高于对照组的88%,护理护理满意度达98%,高于对照组的75%,两组综合比较,差异明显P<0.05。结论在临床护理中加入自我效能感护理干预能够有效增强患者疾病治愈的信心,改善患者术前焦虑程度,提升患者的手术配合度,且患者对护士的满意度高,值得临床推广应用。

Objective To study the effect of self efficacy of patients with uterine fibroids on the preoperative anxiety and postoperative care. Method Choose our hospital from July 2014 to July 2015 were 136 cases of patients with uterine fibroids were analyzed. Patients were divided into nursing group and control group. Patients in control group were treated with routine nursing intervention, the nursing group on the basis of the control group with self-efficacy sense of nursing intervention, nursing care of the patients in the two groups were the day before and nursing observation after the fourth day of anxiety to improve the situation, postoperative pain and operation coordination degree, compared two groups of patients to nursing work satisfaction. Results Improvement in anxiety level of nursing care of patients after treatment was significantly better than that of the control group; nursing care of patients with pain scores than the control group and this group of patients operation cooperation for 100% higher than 88% in the control group, nursing satisfaction reached 98%, 75% higher than the control group, comprehensive comparison of the two groups, significant difference P〈0.05. Conclusion In the clinical nursing to join the self-efficacy sense of nursing intervention can effectively enhance the confidence of cure disease, improve the preoperative anxiety, improve patients operation cooperation, and high patient satisfaction for nurses, it is worthy of clinical application.