量化目标管理在子宫内膜癌根治术患者加速康复护理中的应用

Application of quantitative target management in fast track surgery nursing of patients with endometrial cancer undergoing radical hysterectomy

目的探讨量化目标管理的模式对加速康复子宫内膜癌根治术患者术后康复及自我效能的影响。方法80例行子宫内膜癌根治术的患者,以随机数字表法分为对照组和观察组,各40例。对照组参考妇科快速康复指南进行护理,观察组是将量化目标管理的模式运用到快速康复当中进行护理。比较两组患者的临床指标及自我效能评分。结果观察组首次进食时间、首次下床活动时间、术后首次肛门排气时间分别为(5.48±0.85)、(11.24±1.04)、(16.88±2.94)h,均短于对照组的(7.00±1.21)、(14.38±2.43)、(20.22±3.20)h,差异有统计学意义(P<0.05)。干预后,观察组正性态度、缓解压力、自我决策评分均高于对照组,差异有统计学意义(P<0.05)。结论量化目标管理在子宫内膜癌根治术患者加速康复护理中可有效提升患者快速康复依从性、提高子宫内膜癌患者的自我效能水平,值得临床推广。

Objective To discuss the effect of quantitative target management in fast track surgery nursing on the postoperative rehabilitation and self-efficacy of patients with endometrial cancer undergoing radical hysterectomy.Methods A total of 80 patients with endometrial cancer undergoing radical hysterectomy were divided into control group and observation group according to random numerical table,with 40 cases in each group.The control group referred to the gynecological rapid rehabilitation guidelines for nursing,and the observation group applied the quantitative target management model to fast track surgery nursing.The clinical indicators and self-efficacy score of the two groups were compared.Results The first feeding time,first off-bed activity time and first anal exhaust time after operation of the observation group were(5.48±0.85),(11.24±1.04),(16.88±2.94)h,which were shorter than(7.00±1.21),(14.38±2.43),(20.22±3.20)h of the control group,and the difference was statistically significant(P<0.05).After intervention,the positive attitude,stress relief and self decision score of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Quantitative target management in fast track surgery nursing can effectively improve the compliance and self-efficacy of patients with endometrial cancer undergping radical hysterectomy.It is worthy of clinical promotion.