行为分阶段改变理论护理在胆囊切除术患者中的应用效果

Application effect of behavior phased change theory nursing in patients undergoing cholecystectomy

目的探讨行为分阶段改变理论护理在胆囊切除术患者中的应用效果。方法选取2019年1月至2020年1月在我院接受胆囊切除术的200例患者为研究对象,根据护理方式的不同将其分为常规组(101例,常规护理干预)和观察组(99例,常规护理干预+行为分阶段改变理论护理干预)。比较两组的干预效果。结果观察组的住院时间、术后首次排气时间、术后首次下床时间短于常规组,并发症总发生率及复发率低于常规组,差异具有统计学意义(P<0.05)。干预后,两组的自我管理能力各项评分均升高,且观察组高于常规组,差异具有统计学意义(P<0.05)。干预后,两组的胃肠道生活质量指数(GIQLI)各维度评分均升高,且观察组高于常规组,差异具有统计学意义(P<0.05)。结论行为分阶段改变理论护理可促进胆囊切除术患者康复,降低并发症发生率及复发率,提高自我管理能力及生活质量。

Objective To explore the application effect of behavior phased change theory nursing in patients undergoing cholecystectomy.Methods A total of 200 patients received cholecystectomy in our hospital from January 2019 to January 2020 were selected as the research objects,and the patients were divided into conventional group(101 cases,conventional nursing intervention)and observation group(99 cases,conventional nursing intervention+behavior phased change theory nursing intervention)according to different nursing methods.The intervention effects between the two groups were compared.Results The hospital stay,postoperative first exhaust time and postoperative first time to get out of bed in the observation group were shorter than those in the conventional group,the total incidence of complications and recurrence rate were lower than those in the conventional group,and the differences were statistically significant(P<0.05).After intervention,the scores of self-management ability in the two groups increased,those in the observation group were higher than the conventional group,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of Gastrointestinal Quality of Life Index(GIQLI)in the two groups increased,those in the observation group were higher than the conventional group,and the differences were statistically significant(P<0.05).Conclusion Behavior phased change theory nursing can promote the rehabilitation of patients undergoing cholecystectomy,reduce the incidence of complications and recurrence rate,and improve the self-management ability and quality of life.