授权理论指导的5E护理在肝癌切除术患者中的应用

Application of 5E nursing guided by empowerment theory in patients undergoing liver cancer resection

目的探讨授权理论指导的5E护理在肝癌切除术患者中的应用效果。方法采用目的抽样法,选取于2020年7月—2022年7月在驻马店市中心医院接受治疗的88例行肝癌切除术的患者作为研究对象,采用随机数字表法将其分为对照组(n=44)和观察组(n=44)。对照组给予5E护理,观察组给予授权理论指导的5E护理。通过肛门首次排便时间、肛门首次排气时间及肠鸣音恢复时间比较两组肝癌切除术患者胃肠功能改善情况,采用视觉模拟评分法(VAS)评估术后疼痛情况,采用自我效能感量表(GSES)评估自我效能,采用Herth希望量表(HHI)评估希望水平,并于治疗结束后比较两组患者的依从性及消化道不适症状发生情况。结果观察组患者肛门首次排便时间、肛门首次排气时间及肠鸣音恢复时间均少于对照组(P<0.05);术后48 h观察组患者术后疼痛评分低于对照组(P<0.05);护理后观察组患者GSES、HHI、依从性评分均高于对照组(P<0.05);观察组消化道不适症状发生率低于对照组(P<0.05)。结论授权理论指导的5E护理可有效提高肝癌切除术患者依从性、自我效能及希望水平,减轻疼痛,促进术后恢复,降低消化道不适症状发生率。

Objective To explore the application effect of 5E nursing guided by empowerment theory in patients undergoing liver cancer resection.Methods Using the purposive sampling method,a total of 88 patients who underwent liver cancer resection surgery in Zhumadian Central Hospital from July 2020 to July 2022 were selected as the research objects.They were divided into the control group(n=44)and the observation group(n=44)by the random number table method.The control group was given 5E nursing,while the observation group was given 5E nursing guided by empowerment theory.The improvement of gastrointestinal function between the two groups was compared by the first anal defecation time,the first anal exhaust time and the recovery time of bowel sound.Visual Analogue Scale(VAS)was used to evaluate postoperative pain,General Self-Efficacy Scale(GSES)was used to evaluate self-efficacy,and hope level was assessed by Herth Hope Index(HHI).After treatment,the compliance and occurrence of digestive tract discomfort were compared between the two groups.Results The first anal defecation time,first anal exhaust time and bowel sound recovery time in observation group were less than those in control group(P<0.05).Postoperative pain score of observation group was lower than that of control group 48 hours after operation(P<0.05).After nursing,the GSES,HHI and compliance scores of the observation group were higher than those of the control group(P<0.05),and the incidence of gastrointestinal discomfort symptoms in the observation group was lower than that in the control group(P<0.05).Conclusions The 5E nursing guided by empowerment theory can effectively improve the compliance,self-efficacy and hope level of liver cancer resection patients,reduce pain,promote postoperative recovery and reduce the incidence of gastrointestinal discomfort symptoms.