摘要
目的研究并观察Gibbs反思循环模式改善老年胃肠手术疾病不确定感、遵医行为的效果。方法选择2018年6月至2020年7月于北票市中心医院就诊的118例接受胃肠手术治疗的老年患者,按随机数字表法分为观察组和对照组,每组各59例。对照组接受常规护理干预,观察组应用Gibbs反思循环模式进行护理干预。比较两组患者干预期间的并发症总发生率、患者术后恢复情况、疾病不确定感、遵医行为表现及生活质量水平。结果观察组患者干预期间的并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组患者的术后肠鸣音恢复时间、排气及排便恢复时间、下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组干预后的疾病不确定感评分低于对照组,遵医行为及生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论Gibbs反思循环模式可改善老年胃肠手术患者的疾病不确定感、遵医行为以及生活质量,患者术后并发症较少发生,能够更快地恢复出院。
Objective To study and observe the effect of Gibbs reflection cycle mode on improving disease uncertainty and treatment compliance in the elderly undergoing gastrointestinal surgery.Methods A total of 118 elderly patients underwent gastrointestinal surgery in Beipiao Central Hospital were enrolled from June 2018 to July 2020.They were divided into the observation group and the control group according to random number table method,59 cases in each group.The control group was given routine nursing,while the observation group was given Gibbs reflection cycle mode for nursing intervention.The total incidence of complications during intervention,postoperative recovery,disease uncertainty,treatment compliance and quality of life were compared between the two groups.Results The total incidence of complications during intervention in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The recovery time of postoperative bowel sound,recovery time of exhaust and defecation,leaving bed time and hospitalization time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The score of disease uncertainty in the observation group was lower than that in the control group,and the scores of treatment compliance and quality of life in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Gibbs reflection cycle mode can improve disease uncertainty,treatment compliance and quality of life in elderly patients undergoing gastrointestinal surgery,and patients have fewer postoperative complications and can recover from hospital more quickly.
作者
张丽娟
ZHANG Lijuan(Department of Disinfection and Supply,Beipiao Central Hospital,Liaoning Province,Beipiao122100,China)
出处
《中国当代医药》
CAS
2022年第2期182-186,共5页
China Modern Medicine
关键词
Gibbs反思循环模式
老年
胃肠手术
疾病不确定感
遵医行为
Gibbs reflection cycle mode
Elderly
Gastrointestinal surgery
Disease uncertainty
Treatment compliance
