基于时机理论的延续护理对异位妊娠患者术后焦虑、抑郁及自我护理能力的影响

Effects of continuing care based on timing theory on postoperative anxiety,depression and self-care ability of patients with ectopic pregnancy

目的探讨基于时机理论指导的延续护理在异位妊娠患者术后康复中的应用效果。方法采用便利抽样法,于2018年11月—2020年11月选取安徽省第二人民医院妇产科收治的86例异位妊娠患者为研究对象,按照随机数字表法将患者分为观察组和对照组,各43例,对照组患者给予常规护理与随访,观察组患者在对照组基础上实施以时机理论为指导的延续护理方案。分别于患者入院时、出院后1个月比较两组患者自我护理能力评分、不良情绪评分、护理满意度以及并发症发生率。结果观察组患者自我护理能力测定量表各维度得分均高于对照组患者,差异有统计学意义(均P<0.05);观察组患者焦虑自评量表、抑郁自评量表评分均低于对照组患者,差异有统计学意义(均P<0.05);观察组患者并发症发生率为4.65%(2/43),低于对照组的18.60%(8/43),差异有统计学意义(P<0.05);观察组患者护理满意度为95.35%(41/43),高于对照组的81.40%(35/43),差异有统计学意义(P<0.05)。结论对异位妊娠术后患者实施基于时机理论指导下的延续护理取得良好的康复效果,增强患者自我护理能力,值得临床推广。

Objective To explore the effect of continuing care based on timing theory in the postoperative rehabilitation of patients with ectopic pregnancy.Methods Using the convenient sampling method,a total of 86 patients with ectopic pregnancy who were admitted to Department of Obstetrics and Gynecology of the Anhui No.2 Provincial People's Hospital were selected as the research objects from November 2018 to November 2020.According to the random number table method,they were divided into the observation group and the control group,with 43 cases in each group.The patients in the control group were given routine care and follow-up,and patients in the observation group implemented the continuing care based on timing theory on the basis of the control group.The Exercise of Self-Care Agency Scale(ESCA),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores,nursing satisfaction and the incidence of complications were compared between the two groups at the time of admission and one month after discharge.Results The scores of all dimensions in the ESCA of the observation group were higher than those of the control group,and the differences were statistically significant(all P<0.05).The SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was 4.65%(2/43),which was lower than 18.60%(8/43)in the control group,and the difference was statistically significant(P<0.05).The satisfaction of nursing care of patients in the observation group was 95.35%(41/43),which was higher than 81.40%(35/43)of the control group,and the difference was statistically significant(P<0.05).Conclusions The implementation of transitional care under the guidance of timing theory for patients after ectopic pregnancy can achieve good rehabilitation effects and improve the self-care ability of patients,which is worthy of clinical promotion.