5A护理模式对腹腔镜根治性子宫切除术患者围手术期心理状态及自我效能感的影响

Effect of 5A Nursing Intervention on Perioperative Psychological State and Self-Efficacy of Patients Undergoing Laparoscopic Radical Hysterectomy

目的探讨5A护理模式对腹腔镜根治性子宫切除术患者围手术期心理状态及自我效能感的影响。方法选取2020年6月至2022年3月于医院行腹腔镜根治性子宫切除术治疗的宫颈癌患者131例,根据护理方案的不同分为对照组(63例)和观察组(68例)。对照组接受常规护理,观察组在对照组基础上接受5A护理模式干预,比较两组手术时间、术中出血量、术后肛门排气时间和术后住院时间,以及干预前后的心理状态、自我效能感,并统计两组的护理满意度。结果两组手术时间、术中出血量、术后肛门排气时间和术后住院时间比较,差异均无统计学意义(P>0.05)。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,差异均无统计学意义(P>0.05);干预后,两组HAMA、HAMD评分均低于同组干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前,两组健康促进测量量表(SUPPH)各维度评分比较,差异均无统计学意义(P>0.05);干预后,两组SUPPH各维度评分均高于同组干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论5A护理模式有助于缓解腹腔镜根治性子宫切除术患者围手术期的焦虑、抑郁不良情绪,并可提高患者的自我效能感和护理满意度。

Objective The effect of 5A nursing intervention on perioperative psychological state and self-efficacy of patients undergoing laparoscopic radical hysterectomy was evaluated.Methods With selection of 131 cervical cancer patients who underwent laparoscopic radical hysterectomy in the hospital from June 2020 to March 2022,they were divided into control group(n=63)and observation group(n=68),according to different nursing plans.With the control group treated with routine nursing and the observation group treated with 5A nursing model intervention on the basis of the control group,the operation time,intraoperative bleeding volume,postoperative anal exhaust time and postoperative hospital stay,as well as the psychological state and self-efficacy before and after the intervention were compared between the two groups,and the nursing satisfaction of the two groups was also counted.Results There were no significant differences between the two groups in operation time,intraoperative bleeding,postoperative anal exhaust time and postoperative hospital stay(P>0.05).Before intervention,there were no statistically significant differences in the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)between the two groups(P>0.05);After intervention,the scores of HAMA and HAMD in the two groups were lower than those in the same group before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differences between the two groups in the scores of each dimension of the scale of strategies used by people to promote health(SUPPH)(P>0.05);After intervention,the scores of each dimension of SUPPH in the two groups were higher than that in the same group before intervention,and the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion 5A nursing model can help alleviate the anxiety and depression of patients with laparoscopic radical hysterectomy during the perioperative period,and improve their self-efficacy and nursing satisfaction.