知信行理论+时效性激励护理对胃癌手术患者希望水平及遵医行为的影响

Effect of Knowledge,Belief and Practice Theory+Timely Motivation Nursing on the Hope Level and Compliance Doctor Behavior of Gastric Cancer Surgery Patients

目的:探讨知信行理论+时效性激励护理对胃癌手术患者希望水平及遵医行为的影响。方法:选取2021年7月—2022年8月厦门大学附属第一医院收治的82例胃癌手术患者作为研究对象。根据系统随机化分配法将其分为对照组(n=41)和观察组(n=41)。对照组实施常规护理,观察组在对照组基础上实施知信行理论+时效性激励护理。比较两组护理前及护理3个月后希望水平,护理3个月后遵医行为及并发症。结果:护理3个月后,两组积极态度、行动态度、亲密关系评分及总分均上升,且观察组积极态度、行动态度、亲密关系评分及总分均明显高于对照组,差异有统计学意义(P<0.05)。护理3个月后,观察组定期复查、康复运动、按时按量用药及合理作息和饮食评分及总分均明显高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:对胃癌手术患者实施知信行理论+时效性激励护理可使患者的希望水平显著增强、遵医行为有效提升,降低术后并发症风险。

Objective:To explore the effect of knowledge,belief and practice theory+timely motivation nursing on the hope level and compliance doctor behavior of gastric cancer surgery patients.Method:A total of 82 patients with gastric cancer surgery treated in the First Affiliated Hospital of Xiamen University from July 2021 to August 2022 were selected as the study objects.They were divided into control group(n=41)and observation group(n=41)according to systematic randomization distribution method.The control group was given routine nursing,and the observation group was given knowledge,belief and practice theory+timely motivation nursing on the basis of the control group.Hope level before and after 3 months of nursing,compliance doctor behavior after 3 months of nursing and complications were compared between two groups.Result:After 3 months of nursing,the positive attitude,action attitude,intimate relationship score and total score of both groups increased,and the positive attitude,action attitude,intimate relationship score and total score of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).After 3 months of nursing,the regular review,rehabilitation exercise,medication on time and according to dosage,reasonable rest and diet scores and total scores of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The implementation of the knowledge,belief and practice theory+timely motivation nursing can significantly enhance the hope level of patients,effectively improve the compliance doctor behavior,and reduce the risk of postoperative complications.