以行为计划理论为基础的护理模式对声带息肉手术患者自我管理能力的影响

Effect of Nursing Model Based on Behavior Planning Theory on Self-management Ability of Patients Undergoing Vocal Cord Polyp Surgery

目的:探讨以行为计划理论为基础的护理模式对声带息肉手术患者自我管理能力的影响。方法:选取2020年7月—2021年6月福建医科大学附属第一医院收治的74例声带息肉患者作为研究对象,按照随机数表法分为实验组和对照组,每组各37例。对照组予以常规护理,实验组在常规护理基础上实施以行为计划理论为基础的护理模式。比较两组患者干预前后的应对方式、自我管理能力及声带功能。结果:干预后两组患者的简易应对方式量表(SCSQ)中消极应对评分较干预前明显降低,积极应对评分较干预前明显升高,且实验组患者的降低或升高幅度较对照组更大,差异有统计学意义(t=-9.173、4.263,P<0.05;t=-10.904、-13.471,P<0.05)。干预后两组患者的自我管理能力量表(ESCA) 4个维度及总评分均较干预前明显升高,且实验组患者的升高幅度较对照组更大,差异有统计学意义(P<0.05)。干预后两组患者的嗓音学指标最大发声时间(MPT)、谐噪比(H/N)、频率微扰商(FPQ)、振幅微扰商(APQ)均较干预前明显改善,且实验组患者的H/N、MPT较对照组改善更显著,差异有统计学意义(P<0.05)。结论:以行为计划理论为基础的护理模式可改变声带息肉手术患者应对方式,提高患者的自我管理能力,改善患者的声带功能。

Objective: To explore the effect of nursing model based on behavior planning theory on self-management ability of patients undergoing vocal cord polyp surgery. Methods: A total of 74 patients with vocal cord polyps admitted to the hospital from July 2020 to June 2021 were selected as the research objects, and divided into experimental group and control group according to the random number table method, with 37 cases in each group. The control group was given routine nursing, and the experimental group implemented the nursing model based on behavior planning theory on the basis of routine nursing. The coping style, selfmanagement ability and vocal cord function of the two groups were compared before and after intervention. Results: After the intervention, the negative coping scores in the Simple Coping Style Scale(SCSQ) of the two groups of patients were significantly lower than those before the intervention, and the positive coping scores were significantly higher than those before the intervention, and the decrease or increase in the experimental group was greater than that in the control group, and the difference was statistically significant(t=-9.173, 4.263, P<0.05, t=-10.904,-13.471, P<0.05). After the intervention, the four dimensions and total score of the Self-Management Ability Scale(ESCA) in the two groups were significantly increased compared with those before the intervention, and the increase in the experimental group was greater than that in the control group, and the difference was statistically significant(P<0.05). After the intervention, the phonological indicators of the two groups of patients were significantly improved compared with those before the intervention, and the maximum vocalization time(MPT), harmonic-to-noise ratio(H/N), frequency perturbation quotient(FPQ) and amplitude perturbation quotient(APQ) in the experimental group were significantly improved, and the H/N and MPT of the patients in the experimental group were improved more significantly than those in the control group, and the difference was statistically significant(P<0.05). Conclusion: The nursing model based on behavioral planning theory can change the coping style of patients with vocal cord polyp surgery, improve the patients’ self-management ability, and improve the patients’ vocal cord function.