医-护-患沙龙模式对出院后子宫内膜异位症病人管理效果的影响

Effect of doctor-nurse-patient salon model on effect of management of patients with endometriosis after discharge

[目的]探讨医-护-患沙龙模式对出院后子宫内膜异位症病人管理效果的影响。[方法]选取2015年7月—2018年7月医院收治的158例经手术治疗的子宫内膜异位症病人为研究对象,采用随机数字表法分为观察组和对照组,每组79例。两组病人均给予常规院内护理,观察组在此基础上加以医-护-患沙龙模式护理,对两组病人出院后的复发率、妊娠率以及生活质量进行比较分析。[结果]观察组病人术后3个月的控制和无力感、情感健康以及子宫内膜异位症健康状况-30(EHP-30)核心问卷总分均明显低于对照组(P<0.05);术后3个月两组病人自我效能水平均较出院时明显提高(P<0.05),组间比较观察组术后3个月自我效能水平明显高于对照组(P<0.05);术后12个月妊娠率观察组明显高于对照组(P<0.05)。[结论]医-护-患沙龙模式可有效改善子宫内膜异位症病人出院后的生活质量,并提高病人的妊娠率。

Objective:To explore the effect of the doctor-nurse-patient salon model on the effect of management of patients with endometriosis after discharge.Methods:From July 2015 to July 2018,a total of 158 patients with endometriosis who received surgical treatment in the hospital were selected as the study objects.The patients were divided into observation group and control group by random number table method,with 79 cases in each group.Patients in both groups were given routine in-hospital nursing,and patients in the observation group were given doctor-nurse-patient salon nursing on the basis of routine in-hospital nursing.The recurrence rate,pregnancy rate and quality of life of patients were compared and analyzed between the two groups after discharge.Results:3 months after the operation,the scores of control and powerlessness,emotional health and total score of EHP-30 core questionnaire in the observation group were significantly lower than those in the control group(P<0.05).3 months after surgery,the level of self-efficacy of patients in both groups was significantly higher than that at discharge(P<0.05),and the level of self-efficacy of the observation group was significantly higher than that of the control group(P<0.05).12 months after surgery,the pregnancy rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusions:The doctor-nurse-patient salon model could effectively improve the quality of life of patients with endometriosis after discharge,and improve the pregnancy rate of patients.