基于需要层次理论的术后康复干预模式在卵巢囊肿患者中的应用

Effects of postoperative rehabilitation model based on hierarchy of needs theory in patients with ovarian cyst

目的探讨基于需要层次理论的术后康复干预模式在卵巢囊肿患者中的应用效果。方法采用便利抽样法,选取2018年2月—2020年7月阜阳市肿瘤医院收治的151例卵巢囊肿患者作为研究对象。采用随机数字表发将其分为对照组(n=72)和观察组(n=79),对照组行常规术后护理,观察组行基于需要层次理论的术后康复干预模式。比较两组患者的下床、排气、排便、住院时间,干预前后的生活事件量表(LES)、Frankl依从性量表及自我护理能力测定量表(ESCA)评分。结果观察组患者下床、排气、排便及住院时间均短于对照组,差异有统计学意义(P<0.01)。观察组患者干预后LES评分低于对照组,Frankl依从性量表评分高于对照组,差异均有统计学意义(P<0.01)。观察组患者干预后ESCA的自我概念、健康知识水平、自我护理技能及自护责任感维度评分均高于对照组,差异有统计学意义(P<0.01)。结论基于需要层次理论的术后康复干预模式,有助于加快卵巢囊肿患者的身体恢复时间,缓解精神压力,提高治疗依从性及自护能力。

Objective To explore the effect of the postoperative rehabilitation model based on the hierarchy of needs theory in patients with ovarian cysts.Methods From February 2018 to July 2020,convenience sampling was used to select 151 patients with ovarian cysts in Fuyang Cancer Hospital as the research object.The patients were divided into the control group(n=72)and the observation group(n=79)by the random number table.The control group conducted routine postoperative nursing,and the observation group implemented postoperative rehabilitation model based on the hierarchy of needs theory.The two groups of patients were compared in terms of getting out of bed,exhausting gas,defecation,hospital stay,and scores of the Life Events Scale(LES),Frankl Compliance Scale(FCS)and Exercise of Self-Care Agency Scale(ESCA)before and after the intervention.Results The time of getting out of bed,exhausting gas,defecation and hospital stay in the observation group were shorter than that in the control group,and the differences were statistically significant(P<0.01).After intervention,the LES score of the observation group was lower than that of the control group,and the FCS score was higher than that of the control group,with statistical differences(P<0.01).The ESCA scores of self-concept,health knowledge,self-care skills and self-care responsibility in the observation group were higher than those in the control group after intervention,and the differences were statistically significant(P<0.01).Conclusions The postoperative rehabilitation model based on the hierarchy of needs theory helps to speed up the physical recovery of ovarian cyst patients,relieve mental stress,and improve treatment compliance and self-care ability.