一病一品模式在腹腔镜下全子宫切除术中的应用效果

Application effect of one disease one product model in patients with laparoscopic total hysterectomy

目的探讨一病一品模式在腹腔镜下全子宫切除术患者中的应用效果。方法选取62例行腹腔镜下全子宫切除术患者,按照随机数字表法分为对照组与干预组,每组31例。对照组实施常规护理,干预组实施一病一品模式干预。比较两组干预前后心理状态、生活质量、并发症发生情况及护理满意度。结果干预前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);干预后,两组HAMA、HAMD评分均明显低于干预前,且干预组HAMA评分(8.21±2.09)分、HAMD评分(7.88±1.52)分均低于对照组的(15.54±2.14)、(14.08±2.23)分,差异有统计学意义(P<0.05)。干预前,两组健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);干预后,两组SF-36评分高于干预前,且干预组高于对照组,差异具有统计学意义(P<0.05)。干预组并发症发生率为6.45%,明显低于对照组的25.81%,差异有统计学意义(P<0.05)。干预组护理满意度为100%,明显高于对照组的80.65%,差异有统计学意义(P<0.05)o结论一病一品模式能够缓解腹腔镜下全子宫切除术患者的不良情绪,提高生活质量,降低并发症发生率,提升护理满意度,具有临床应用价值。

Objective To explore the application effect of one disease one product model in laparoscopic total hysterectomy.Methods 62 patients undergoing laparoscopic total hysterectomy were selected and divided into control group and intervention group according to random number table method,with 31 patients in each group.The control group carried out routine nursing,the intervention group carried out one disease one product mode intervention.Psychological status,quality of life,complications and nursing satisfaction were compared between the two groups before and after intervention.Results Before intervention,there was no significant difference in the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)between the two groups(P>0.05).After intervention,HAMA and HAMD scores in both groups were significantly lower than before intervention,and HAMA scores in the intervention group(8.21±2.09)and HAMD scores(7.88±1.52)were lower than those in the control group(15.54±2.14)and(14.08±2.23),the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in SF-36 score between the two groups(P>0.05).After intervention,the SF-36 score of the two groups was higher than before,and the intervention group was higher than the control group,the difFerence was statistically significant(P<0.05).The incidence of complications in the intervention group was 6.45%,which was significantly lower than that in the control group(25.81%),with statistical significance(P<0.05).Nursing satisfaction in the intervention group was 100%,significantly higher than that in the control group(80.65%),and the difference was statistically significant(P<0.05).Conclusion The one-disease one-product model can relieve the adverse mood of patients undergoing laparoscopic total hysterectomy,improve the quality of life,reduce the incidence of complications,improve nursing satisfaction,and has clinical application value.