行为改变理论架构下的护理干预在腹壁子宫内膜异位症手术患者中的应用观察

Application observation of nursing intervention under the framework of behavior change theory in patients with abdominal wall endometriosis surgery

目的:分析行为改变理论架构下的护理干预在腹壁子宫内膜异位症手术患者中的应用效果。方法:选取2019年1月至2021年9月医院56例腹壁子宫内膜异位症手术患者,依据入院顺序分为研究组、参照组,各28例。参照组展开常规护理,研究组在常规护理基础上展开知信行模式下护理干预。比较两组术后疼痛程度、康复进程及术前、术后1d、2d生活自理能力评分(BI)、术前、术后2d抑郁评分(SDS)、焦虑评分(SAS)。结果:经干预,研究组术后24h、48h VAS评分低于参照组,术后恢复普食时间、住院时间短于参照组(P<0.05);研究组术后1d、2d BI评分高于参照组(P<0.05);研究组术后2d SDS、SAS评分低于参照组(P<0.05)。结论:行为改变理论架构下的护理干预应用于腹壁子宫内膜异位症手术患者可减轻术后疼痛感及负性情绪,促进术后康复。

Objective:To analyze the effect of nursing intervention under the theoretical framework of behavior change in patients with abdominal wall endometriosis surgery.Methods:From January 2019 to September 2021,56 patients with abdominal wall endometriosis surgery in the hospital were selected and divided into a study group and a reference group according to the order of admission,with 28 cases in each group.The reference group carried out routine nursing,and the research group carried out nursing intervention under the knowledge,belief,and behavior model on the basis of routine nursing.The postoperative pain level,rehabilitation process,preoperative,1 and 2d postoperative self-care ability score(BI),preoperative and postoperative 2d depression score(SDS),anxiety score(SAS)were compared between the two groups.Results:After intervention,the VAS score of the study group at 24h,and 48h after operation was lower than that of the reference group,and the postoperative recovery time and hospital stay were shorter than those of the reference group(P<0.05).The BI scores on d and 2d were higher than those in the reference group(P<0.05);the SDS and SAS scores in the study group 2d after operation were lower than those in the reference group(P<0.05).Conclusion:Nursing intervention under the theoretical framework of behavior change applied to patients with abdominal wall endometriosis surgery can reduce postoperative pain and negative emotions,promote postoperative recovery.