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转变理论护理对刮宫术患者术后康复的影响

Effect of Transforming Theory Nursing on Postoperative Rehabilitation of Patients Undergoing Curettage
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摘要 目的探讨基于转变理论的护理模式对刮宫术患者术后康复的影响。方法选择2016年1月—2018年8月于医院行刮宫术的稽留流产患者58例,采用随机数字表法将患者分为试验组(n=29)与常规组(n=29),常规组患者接受传统护理模式干预,试验组患者接受基于转变理论的护理模式干预,比较两组患者的干预效果。结果试验组患者干预后的HAS、HDS评分明显比常规组患者更低,SSRS评分明显比常规组患者更高,差异有统计学意义(P<0.05)。试验组患者稽留流产认知度、生殖健康知识掌握度、刮宫术认知度、再次妊娠信心评分均明显比常规组患者更高,阴道流血时间及月经复潮时间均明显比常规组患者更短,差异有统计学意义(P<0.05)。试验组患者干预后的家庭功能评分明显比常规组患者更低,差异有统计学意义(P<0.05)。结论基于转变理论的护理模式干预能够有效提高行刮宫术患者对稽留流产的认知度,提高患者的社会支持水平,改善患者的负面情绪,促进术后快速康复,提高再次妊娠信心,提高患者的家庭功能,护理效果显著。 Objective To explore the effect of nursing mode based on transformation theory on the postoperativere habilitation of curettage patients. Methods 58 cases of missed abortion who underwent curettage in the hospital from January 2016 to August 2018 were selected. The patients were divided into the experimental group (n=29) and the conventional group (n=29) by random number table method. The conventional group was received traditional nursing mode intervention, while the experimental group was received nursing mode intervention based on transformation theory. The intervention effects of the two groups were compared. Results The HAS and HDS scores of the experimental group after intervention were significantly lower than those of the conventional group, and the SSRS scores were significantly higher than those of the conventional group, the difference was statistically significant (P < 0.05). The cognitive level of missed abortion, knowledge of reproductive health, knowledge of curettage and confidence score of second pregnancy in the experimental group were significantly higher than those in the conventional group, and the time of vaginal bleeding and menstrual revival were significantly shorter than those in the conventional group, the difference was statistically significant (P <0.05). The family function score of the experimental group was significantly lower than that of the conventional group, the difference was statistically significant (P < 0.05). Conclusion Nursing model intervention based on transformation theory can effectively improve the patients' awareness of missed abortion, improve their social support level, improve their negative emotions, promote rapid recovery after operation, improve their confidence in pregnancy again, improve their family function, and the nursing effect is remarkable.
作者 刘姣 LIU Jiao(Department of Gynaecology,Xuzhou Maternity and Child HealthCare Hospital,Xuzhou Jiangsu 221003,China)
出处 《中国继续医学教育》 2019年第19期170-172,共3页 China Continuing Medical Education
关键词 稽留流产 刮宫术 基于转变理论的护理模式 术后康复 疾病认知 社会支持 家庭功能 missed abortion curettage nursing mode based on transformation theory post-operative rehabilitation disease recognition social support family function
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