基于互动达标理论的重症监护室床旁康复干预对肝癌患者术后康复情况的影响

Influence of intensive care unit bedside rehabilitation intervention based on interactive and goal attainment theory on postoperative rehabilitation status in patients with liver cancer

目的探讨基于互动达标理论的重症监护室床旁康复干预对肝癌患者术后康复情况的影响。方法将53例肝癌患者根据干预方式的不同分为研究组(n=27)和对照组(n=26),对照组接受常规康复干预,研究组接受基于互动达标理论的重症监护室床旁康复干预。比较两组患者的依从性、术后康复指标、并发症发生情况、希望水平[Herth希望量表(HHI)]及出院准备度[出院准备度量表(RHDS)]。结果研究组患者依从性优于对照组,术后肛门排气时间、术后引流管拔除时间、住院时间均短于对照组,差异均有统计学意义(P﹤0.05)。两组患者术后各并发症发生率比较,差异均无统计学意义(P﹥0.05)。术后7天,两组患者HHI评分均较术前1天上升,且研究组患者HHI评分高于对照组,差异均有统计学意义(P﹤0.05)。术后7天,研究组患者RHDS评分明显高于对照组,差异有统计学意义(P﹤0.01)。结论基于互动达标理论的重症监护室床旁康复干预可促进肝癌患者术后康复,提高患者依从性、希望水平及出院准备度。

Objective To investigate the influence of intensive care unit bedside rehabilitation intervention based on interactive and goal attainment theory on postoperative rehabilitation status in patients with liver cancer.Method A total of 53 patients with liver cancer were divided into study group(n=27)and control group(n=26)according to the different intervention methods.The control group received routine rehabilitation intervention,and the study group received intensive care unit bedside rehabilitation intervention based on interactive and goal attainment theory.The compliance,postoperative rehabilitation indicators,complications,hope level[Herth hope index(HHI)]and discharge readiness[readiness for hospital discharge scale(RHDS)]of the two groups were compared.Result The compliance of the study group was better than that of the control group,and the time of postoperative anal exhaust,drainage tube removal and hospital stay were shorter than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the incidences of postoperative complications between two groups(P>0.05).Seven days after surgery,the scores of HHI in both groups increased compared with one day before surgery,and the score of HHI in the study group was higher than that in the control group,the differences were statistically significant(P<0.05).Seven days after surgery,the score of RHDS in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.01).Conclusion Intensive care unit bedside rehabilitation intervention based on interactive and goal attainment theory can promote postoperative rehabilitation of patients with liver cancer,improve patients’compliance,hope level and discharge readiness.