疾病自我管理模式在乳腺纤维瘤患者术后的应用效果

Application Effect of Disease Self-Management Model in Patients with Breast Fibroma After Operation

目的观察疾病自我管理模式下的康复护理模式应用于乳腺纤维瘤患者的效果。方法选取郑州大学第一附属医院2019年1-9月收治的96例乳腺纤维瘤患者,均行外科手术,依据入院时间分为常规组(47例)、研究组(49例)。常规组采用常规护理模式,研究组采用疾病自我管理模式下的康复护理模式。比较两组干预前后心理状态、自护能力、生活质量、并发症发生率及护理满意度。结果干预3个月后,研究组STAI・S、STAI-T评分较常规组低,ESCA、GQOLI-74评分较常规组高(P<0.05);研究组并发症发生率(4.08%)较常规组(19.15%)低(P<0.05);研究组护理满意度(91.84%)较常规(68.09%)高(P<0.05).结论疾病自我管理模式下的康复护理模式应用于乳腺纤维瘤患者,可改善术后心理状态,增强自护能力,降低并发症发生率,提高生活质量,护理满意度较高。

Objective To observe the effect of rehabilitation nursing mode under the disease selfmanagement mode in patients with breast fibroma. Methods A total of 96 patients with breast fibroma in the First Affiliated Hospital of Zhengzhou University from January to September in 2019 were selected. They were all treated with surgical operation. According to the admission time, they were divided into routine group(47 cases) and study group(49 cases). The routine group adopted the routine nursing mode, and the study group adopted the rehabilitation nursing mode under the disease self-management mode. The psychological status, self-care ability, quality of life, incidence of complications and nursing satisfaction of the two groups before and after intervention were compared. Results After 3 months of intervention, the scores of STAI-S and STAI-T in the study group were lower than those in the conventional group, and the scores of ESCA and GQOLI-74 in the study group were higher than those in the conventional group(P< 0.05);the incidence of complications in the study group(4.08%) was lower than that in the conventional group(19.15%)(P<0.05);the nursing satisfaction in the study group(91.84%) was higher than that in the conventional group(68.09%)(P<0.05). Conclusion The rehabilitation nursing mode under the disease self-management mode applied to patients with breast fibroma can improve the postoperative psychological state, enhance self-care ability, reduce the incidence of complications, improve the quality of life, and have high nursing satisfaction.