基于罗森塔尔效应的护理干预在非小细胞肺癌患者围术期的应用效果观察

Observation on the application effect of nursing intervention based on Rosenthal effect in perioperative period of non-small cell lung cancer patients

目的观察基于罗森塔尔效应的护理干预在非小细胞肺癌(NSCLC)患者围术期的应用效果。方法选取2020年10月—2022年10月医院收治的拟行胸腔镜手术治疗的NSCLC患者84例,按照组间基本特征具有可比性的原则分为观察组和对照组,每组42例。对照组实施常规护理,观察组在对照组基础上实施基于罗森塔尔效应的护理干预,两组均干预至患者出院。统计两组患者的首次下床活动时间、住院时间及术后并发症。干预前后,采用正性负性情绪量表(PANAS)、中文版癌症自我管理效能感量表(SUPPH)、健康促进生活方式量表(HPLP)修订版、自我护理能力测定量表(ESCA)评估情绪状态、自我管理效能感、健康促进行为及自护能力。干预后通过自制调查问卷评估对各项护理工作的满意情况。结果两组患者的首次下床活动时间差异无统计学意义(P>0.05),观察组患者住院时间短于对照组,组间比较差异有统计学意义(P<0.05);观察组患者术后并发症总发生率低于对照组,组间比较差异有统计学意义(P<0.05);干预后,观察组患者正性情绪评分高于对照组,负性情绪评分低于对照组,组间比较差异有统计学意义(P<0.05);观察组患者干预后HPLP、ESCA及SUPPH量表各项评分均高于对照组,组间比较差异有统计学意义(P<0.05);干预后观察组患者对各项护理工作的满意程度评分均高于对照组,组间比较差异有统计学意义(P<0.05)。结论基于罗森塔尔效应的护理干预有助于改善患者情绪状态,增强其自我效能感,提升健康促进行为及自护能力,且能降低术后并发症发生率,缩短康复进程,患者对各项护理工作的满意程度也更高。

Objective To observe the application effect of nursing intervention based on Rosenthal effect in perioperative period of non-small cell lung cancer(NSCLC)patients.Methods To select 84 NSCLC patients who were admitted to the hospital for thoracoscopic surgery from October 2020 to October 2022,they were divided into an observation group and a control group based on the principle of comparability of basic characteristics between groups,with 42 patients in each group.The control group received routine care,while the observation group received nursing interventions based on the Rosenthal effect on the basis of the control group.Both groups intervened until the patient was discharged.We counted the first time of ambulation,hospital stay,and postoperative complications of two groups of patients.Before and after intervention,positive and negative affect scale(PANAS),Chinese-version strategies used by people to promote health(SUPPH),revised health promoting lifestyle profi le(HPLP),and exercise of self-care agency scale(ESCA)were used to evaluate emotional status,selfmanagement efficacy,health promotion behavior,and self-care ability.After intervention,the satisfaction with various nursing work was evaluated through a self-made survey questionnaire.Results There was no statistically significant difference in the time of fi rst getting out of bed between the two groups(P>0.05).The hospitalization in the observation group was shorter than that in the control group,the difference between the groups was statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,the difference between the groups was statistically significant(P<0.05).After intervention,the positive emotion score in the observation group was higher than that in the control group,the negative emotion score was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the HPLP,ESCA and SUPPH scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the score of patients'satisfaction with various nursing work in the observation group was higher than that in the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion Nursing interventions based on the Rosenthal effect can help improve patients'emotional state,enhance their self-efficacy,enhance health promotion behavior and self-care ability,reduce the incidence of postoperative complications,shorten the rehabilitation process,and increase patients'satisfaction with various nursing work.