基于SERVQUAL模型的护理在直肠前突患者中的应用效果

Application effects of nursing based on SERVQUAL model in patients with rectocele

目的:观察基于SERVQUAL模型的护理在直肠前突患者中的应用效果。方法:选取2020年10月至2022年6月该院收治的82例直肠前突患者进行前瞻性研究,按随机数字表法将其分为对照组与观察组各41例。对照组采取常规护理,观察组在对照组基础上采取基于SERVQUAL模型的护理,比较两组围术期相关指标水平、疼痛程度[视觉模拟评分法(VAS)]评分、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分、舒适度[简化舒适状况量表(GCQ)]评分、并发症发生率和护理满意度。结果:观察组术后首次排便时间、单次排便所用时间、住院时间均短于对照组,差异有统计学意义(P<0.05);术后1、3 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);护理后,两组SDS、SAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组生理、心理、社会文化、环境等GCQ评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,护理满意度高于对照组,差异均有统计学意义(P<0.05)。结论:在常规护理基础上采用基于SERVQUAL模型的护理可提高直肠前突患者舒适度评分和护理满意度,改善围术期相关指标水平,降低VAS评分、负性情绪评分和并发症发生率,其效果优于单纯常规护理。

Objective:To observe application effects of nursing based on SERVQUAL model in patients with rectocele.Methods:A prospective study was conducted on 82 patients with rectocele admitted to this hospital from October 2020 to June 2022.They were divided into control group and observation group according to the random number table method,41 cases in each group.The control group was received routine nursing,while the observation group was received the nursing based on SERVQUAL model on the basis of that of the control group.The levels of perioperative related indicators,the pain level[visual analogue scale(VAS)]score,the negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]scores,the comfort[general comfort questionnaire(GCQ)]score,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:The first defecation time,the single defecation time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At 1 and 3 days after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SDS and SAS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GCQ scores of physiology,psychology,social culture and environment in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the nursing satisfaction of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the nursing based on SERVQUAL model can improve the comfort scores and the nursing satisfaction of the patients with rectocele,and reduce the levels of perioperative related indicators,the VAS scores,the negative emotion scores and the incidence of complications.Moreover,it is superior to single routine nursing.