纽曼健康系统干预模式在异位妊娠病灶切除术患者中的应用效果

Application Effect of Neuman Health System Intervention Model in Patients Undergoing Ectopic Pregnancy Lesion Resection

目的:分析纽曼健康系统干预模式在异位妊娠病灶切除术患者中的应用效果。方法:纳入2020年9月—2023年9月于吉安市中心人民医院就诊的102例异位妊娠患者,进行前瞻性随机对照研究,按照随机数字表法分为对照组及研究组,各51例。对照组予以常规干预措施,研究组在对照组基础上结合纽曼健康系统进行干预,均干预至患者出院。观察两组心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、疾病不确定感[Mishel疾病不确定感成人量表(MUIS-A)]、疾病应对方式[应对方式问卷(CSQ)]及术后恢复情况。结果:干预后,两组HAMA、HAMD、MUIS-A评分均低于干预前,且研究组均低于对照组,差异均有统计学意义(P<0.05);干预后,两组解决问题、求助评分均高于干预前,自责、幻想、退避维度评分均低于干预前,且研究组上述维度评分均优于对照组,差异均有统计学意义(P<0.05);研究组术后首次肛门排气时间早于对照组,住院时间短于对照组,术后疼痛评分低于对照组,住院费用少于对照组,差异均有统计学意义(P<0.05)。结论:纽曼健康系统干预模式可提高异位妊娠病灶切除术患者积极应对能力,降低疾病不确定感,改善负面情绪,且有助于加速术后康复进程,减少住院费用。

Objective:To analyze the application effect of Neuman health system intervention model in patients with ectopic pregnancy lesion resection.Method:A total of 102 patients with ectopic pregnancy treated in Ji’an Central People's Hospital from September 2020 to September 2023 were included in the prospective randomized controlled study,and were divided into control group and study group according to random number table method,with 51 cases in each group.The control group was given routine intervention measures,and the study group was intervened with Neuman health system on the basis of the control group,until the patients were discharged.The psychological states[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],disease uncertainty[Mishel uncertainty in illness scale for adult(MUIS-A)],disease coping style[coping style questionnaire(CSQ)]and postoperative recovery of the two groups were observed.Result:After intervention,HAMA,HAMD and MUIS-A scores in both groups were lower than those before intervention,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of problem solving and help-seeking dimension in both groups were higher than those before intervention,the scores of self-blame,fantasy and withdrawal dimension were lower than those before intervention,and the scores of the above dimensions in the study group were better than those in the control group,the differences were statistically significant(P<0.05).The first postoperative anal exhaust time in the study group was earlier than that in the control group,and the length of hospitalization was shorter than that in the control group,the postoperative pain score was lower than that of the control group,and the hospitalization cost was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Neuman health system intervention model can improve the positive coping ability of patients undergoing ectopic pregnancy lesion resection,reduce disease uncertainty,improve negative emotions,and help accelerate postoperative recovery and reduce hospitalization costs.