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基于跨理论模型行为模式干预对经皮椎间孔镜手术患者自我管理水平、应对方式及生活质量的影响 被引量:1

The influence of cross-theoretical model behavioral intervention on the self-management level,response and quality of life of patients with percutaneous laminectomy
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摘要 目的探讨基于跨理论模型行为模式干预对经皮椎间孔镜手术患者自我管理水平、应对方式及生活质量的影响。方法选取2018年9月至2019年6月东莞市滨海湾中心医院收治的经皮椎间孔镜手术患者80例为研究对象,采用住院编号奇偶数字排列法将其均分为对照组和观察组各40例。对照组给予常规术后护理,观察组在基础上给予基于跨理论模型行为模式干预。观察并比较两组干预前后的自我管理水平、应对方式及生活质量情况。结果实施基于跨理论模型行为模式干预后,观察组患者的自我管理水平各指标评分明显高于对照组;观察组积极应对方式评分显著高于对照组,消极应对方式评分低于对照组;观察组生活质量各评分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论基于跨理论模型行为模式干预可显著提升经皮椎间孔镜手术患者自我管理水平,增强积极应对方式,降低消极应对方式,提升生活质量,为患者获取良好预后具有重要意义。 Objective:To explore the effects of a cross-theoretical model-based behavioral model intervention on self-management levels,coping styles,and quality of life in patients undergoing percutaneous laminectomy.Methods:A total of 80 patients with percutaneous endoscopic surgery in this hospital from September 2018 to June 2019 were selected for the study,and divided into control and observation groups.The control group was given conventional postoperative care,while the observation group was given a trans-theoretical model-based behavioral model intervention on top of that.The self-management level,coping style and quality of life of the two groups were observed and compared before and after the intervention.Results:After intervention-based cross-theoretical model behavioral intervention,self-management score was significantly higher than control(P<0.05),positive response scores were significantly higher than control;negative response scores were significantly lower than control(P<0.05),and quality of life score was significantly higher than control(P<0.05).Conclusions:Behavioral model interventions based on the cross-theoretical model can significantly improve self-management of patients undergoing percutaneous laminectomy,enhance positive coping styles,reduce negative coping styles,and improve quality of life,which is important for patients to obtain a good prognosis.
作者 欧阳珍 邓燕霞 周少华 Ouyang Zhen;Deng Yanxia;Zhou Shaohua(Pain Department of Dongguan Marina Bay Central Hospital,529300,China)
出处 《国际护理学杂志》 2022年第23期4320-4324,共5页 international journal of nursing
关键词 跨理论模型 经皮椎间孔镜手术 自我管理 应对方式 生活质量 Cross-theoretical model Percutaneous laminectomy Self-management Coping methods Quality of life
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