团队协作式照护策略联合舒适护理对巨大子宫肌瘤术后患者的影响

Effect of Teamwork Care Strategy Combined with Comfort Nursing on Patients with Giant Uterine Fibroids after Surgery

目的:探讨团队协作式照护策略联合舒适护理对巨大子宫肌瘤术后患者的影响。方法:选取2023年4月—2024年4月南昌市第一医院收治的80例巨大子宫肌瘤患者,随机分为两组,各40例,对照组行常规护理,观察组行团队协作式照护策略联合舒适护理。评估两组术后康复指标、疾病认知水平、心理状态、自我效能、自护能力。结果:观察组住院时间、下床活动时间、术后清醒时间、进食时间均优于对照组,差异均有统计学意义(P<0.05)。干预后,两组疾病认知水平、一般自我效能感量表(GSES)、自我护理能力测定量表(ESCA)各项评分均高于干预前,焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于干预前,且观察组疾病认知水平、GSES评分均高于对照组,SDS、SAS评分均低于对照组,差异均有统计学意义(P<0.05)。结论:团队协作式照护策略联合舒适护理可缓解子宫肌瘤患者术后情绪状态,加强患者的疾病知识水平,提升自护能力,改善患者的自我效能,有利于促进身体康复。

Objective:To explore the effect of teamwork care strategy combined with comfort nursing on patients with giant uterine fibroids after surgery.Method:A total of 80 patients with giant uterine fibroids admitted to Nanchang First Hospital from April 2023 to April 2024 were randomly divided into two groups,with 40 cases in each group.The control group received routine nursing and the observation group received teamwork care strategy combined with comfort nursing.Postoperative rehabilitation index,disease cognition level,mental state,selfefficacy,self-care ability and emotion between two groups were evaluated.Result:The hospitalization time,getting out of bed activity time,postoperative waking time and eating time of the observation group were better than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of disease cognition level,general self-efficacy scale(GSES)and exercise of self-care agency scale(ESCA)in both groups were higher than those before intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were lower than those before intervention,and the scores of disease cognition level and GSES in the observation group were higher than those in the control group,the scores of SDS and SAS were lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:Teamwork care strategy combined with comfort nursing can alleviate the emotional state of patients with uterine fibroids after surgery,enhance their disease knowledge,enhance their self-care ability,and improve their self-efficacy,which is conducive to promoting physical rehabilitation.