HBM健康教育结合延续护理在垂体瘤患者术后康复中的应用

Application of HBM health education combined with continuous nursing in the postoperative rehabilitation of patients with pituitary tumor

目的探讨健康信念模式(HBM)健康教育结合延续护理在垂体瘤患者术后康复中的应用效果。方法回顾性选择2021年2月至2022年2月在联勤保障部队第九〇〇医院行手术治疗的垂体瘤患者资料进行研究,共计102例。根据不同的护理方法分为对照组和观察组,每组51例。对照组接受常规护理,观察组在此基础上接受HBM健康教育结合持续护理。比较2组患者的肺功能、术后症状困扰、不良情绪及并发症等。结果出院6个月后,2组的肺活量(VC)、第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC及最大通气量(MVV)均明显大于入院时,症状困扰调查问卷各项评分和总分,以及汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分均低于入院时(P均<0.05);观察组的以上指标或评分均明显优于对照组(P均<0.05)。观察组患者的并发症总发生率低于对照组(P<0.05)。结论HBM健康教育与延续护理相结合,可以有效改善垂体瘤患者的术后肺功能与不良情绪,减少术后症状困扰与并发症的发生。

Objective To explore the application effect of health education of health belief model(HBM)combined with continuous nursing in the postoperative rehabilitation of patients with pituitary tumor.Methods A total of 102 pituitary tumor patients who underwent surgical treatment at the 900th Hospital of Joint Service Support Force from February 2021 to February 2022 were included and retrospectively analyzed.They were allocated into a control group and an observation group according to different nursing methods,with 51 cases in each group.The control group received routine nursing,and the observation group additionally received HBM health education combined with continuous nursing.The pulmonary function,postoperative symptom distress,negative emotions,and complications of two groups were compared.Results At 6 months after discharge,the vital capacity(VC),forced expiratory volume in 1 second(FEV_(1)),forced vital capacity(FVC),FEV_(1)/FVC,and maximal voluntary ventilation(MVV)of the two groups were significantly higher than those at admission.The various item scores and the total score of the symptom distress questionnaire,as well as the scores of the Hamilton Anxiety Rating Scale(HAMA)and the Hamilton Depression Rating Scale(HAMD)were lower than those at admission(all P<0.05).The above indicators and scores of the observation group were significantly better than those of the control group(all P<0.05).The total complication rate of the observation group was significantly lower than that of the control group(P<0.05).Conclusion The HBM health education combined with continuous nursing can effectively improve the postoperative pulmonary function and negative emotions of patients with pituitary tumor,reduce the postoperative symptom distress,and reduce the complications.