摘要
目的研究马斯洛需要层次理论的健康指导应用于子宫肌瘤术后患者的效果及对胃肠功能恢复情况、自理能力的影响。方法选择2018-09-01-2020-12-31郑州大学第二附属医院收治的子宫肌瘤术后患者93例,按照计算机分组法将其分为对照组(46例,常规护理模式)和观察组(47例,以马斯洛需要层次理论的健康指导的干预模式)。干预至出院并随访2个月观察2组胃肠功能恢复情况:首次排气、排便及住院时间;自理能力:自我护理能力量表(总分172分);心理弹性:心理弹性量表(总分100分),采用SPSS 23.0对数据进行统计学分析。结果干预后观察组首次排气、排便以及住院时间分别为(23.23±5.12)h、(55.90±5.52)h、(5.36±0.90)d均低于对照组(27.30±4.17)h、(62.51±6.13)h、(7.21±1.39)d,差异有统计学意义,均P<0.001;干预后观察组自我概念、健康知识水平、自护责任感、自护技能得分分别为(32.89±3.72)分、(35.83±3.41)分、(41.53±4.01)分、(40.31±2.71)分均高于对照组(30.45±3.64)分、(33.29±4.54)分、(38.69±3.84)分、(38.09±3.62)分,差异有统计学意义,均P<0.001;干预后观察组乐观性、坚韧性、力量性得分分别为(13.06±2.02)分、(43.22±4.17)分、(24.82±3.24)分高于对照组(12.11±2.37)分、(41.40±3.79)、(23.27±3.36)分,差异有统计学意义,均P<0.05。结论以马斯洛需要层次论为指导的健康干预应用于子宫肌瘤术后患者能促进胃肠功能恢复,提高自理能力和心理弹性水平。
Objective To study the effect of maslow’s hierarchy of needs theory on postoperative hysteromyoma patients and its effect on gastrointestinal function recovery and self-care ability.Methods Ninety-three patients with postoperative hysteromyoma admitted to the Second Affiliated Hospital of Zhengzhou University from September 1,2018 to December 31,2018 were selected and divided into control group(46 cases,routine nursing mode)and observation group(47 cases,maslow hierarchy of needs theory of health guidance intervention mode)according to the computer grouping method.The patients in the two groups received treatment intervention until they discharged and were followed up for 2 months to observe the recovery of gastrointestinal function,including the first exhaust and defecation,length of stay.Self-care ability:Self-care ability scale(total score:172);Mental resilience:The mental resilience scale(total score:100)was used for statistical analysis by SPSS 23.0.Results After intervention,the first exhaust,defecation and hospital stay in the observation group were(23.23±5.12)h,(55.90±5.52)h,(5.36±0.90)d,respectively,lower than those in the control group(27.30±4.17)h,(62.51±6.13)h,(7.21±1.39)d.The differences were statistically significant,all P<0.001;After intervention,the scores of self-concept,health knowledge,sense of self-care and self-care skills in the observation group were(32.89±3.72)points,(35.83±3.41)points,(41.53±4.01)points,(40.31±2.71)points,respectively,higher than those in the control group(30.45±3.64)points,(33.29±4.54)points.(38.69±3.84)points,(38.09±3.62)points,the difference was statistically significant,P<0.001;After intervention,the scores of optimism,tenacity and strength in the observation group were(13.06±2.02)points,(43.22±4.17)points and(24.82±3.24)points,respectively,higher than those in the control group(12.11±2.37)points,(41.40±3.79)points and(23.27±3.36)points,and the differences were statistically significant.P<0.05.Conclusion Health intervention guided by Maslow’s hierarchy of needs can promote gastrointestinal function recovery and improve self-care ability and mental resilience after uterine fibroids surgery.
作者
岳萌
霍佳讯
毛亚萍
YUE Meng;HUO Jia-xun;MAO Ya-ping(Department of Gynecology,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《社区医学杂志》
CAS
2022年第10期570-573,共4页
Journal Of Community Medicine
关键词
子宫肌瘤术后
马斯洛需要层次论
自理能力
心理弹性
postoperative uterine fibroids
Maslow’s hierarchy of needs
self-care ability
mental flexibility
