摘要
目的探讨基于问题导向的护理在原发性肝癌术后的应用效果。方法前瞻性纳入郑州大学第二附属医院2020年3月至2023年1月接受根治手术的60例原发性肝癌患者,按随机数字表法分为观察组和对照组,各30例。两组均接受介入术治疗,术后对照组接受常规护理,观察组接受基于问题导向的护理,护理3个月。护理前后分别采用一般自我效能感应量表(GSES)、健康信念量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)和视觉模拟评分量表(VAS)对患者自我效能、健康信念、心理状态进行评估;分别于护理前、护理2周、护理1个月使用视觉模拟评分法(VAS)评估疼痛程度。结果两组患者均顺利完成研究,无退出病例。护理结束,观察组和对照组患者GSES和健康信念量表评分均升高,且观察组比对照组高,SAS和SDS评分降低,且观察组比对照组低(P<0.05);护理各时点,两组VAS评分均降低,且观察组比对照组低(P<0.05)。结论基于问题导向护理应用于原发性肝癌术后护理能够提高患者自我效能和健康信念,改善患者心理状态,同时减轻患者术后疼痛感。
Objective To explore the effectiveness of problem-oriented nursing applied to postoperative nursing of primary liver cancer.Methods A prospective study was conducted on 60 patients with primary liver cancer admitted to the Second Affiliated Hospital of Zhengzhou University from March 2020 to January 2023.They were divided into observation group and control group by random number table method,with 30 patients in each group.Both groups received interventional therapy,the control group accepted routine care after surgery and the observation group accepted problem-oriented care for 3 months.Before and after nursing care,the general self-efficacy scale(GSES),health belief scale,self-rating anxiety scale(SAS),self-rating depression scale(SDS)and visual analog scale(VAS)were used to evaluate the self-efficacy,health belief and psychological state of patients.The visual analogue scale(VAS)score was used to evaluate the degree of pain before nursing,2 weeks of nursing and 1 month of nursing.Results Both groups of patients successfully completed the study without any withdrawal cases.Before nursing.After nursing,the scores of the GSES scale and the health belief scale of the two groups increased,and the observation group was higher than the control group,while the SAS and SDS scale scores decreased,the observation group was lower than the control group(P<0.05).At each nursing time point,the VAS scores of both groups decreased,and the observation group was lower than the control group(P<0.05).Conclusion The application of problem-oriented nursing model in postoperative care of primary liver cancer can improve patients’self-efficacy and health beliefs,improve their psychological state,and reduce postoperative pain.
作者
高华丽
武晓艳
曹丹丹
GAO Huali;WU Xiaoyan;CAO Dandan(Department of General Surgery,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
2023年第24期4576-4579,共4页
Henan Medical Research
关键词
原发性肝癌
介入手术
问题导向
护理
自我效能
健康信念
疼痛
primary liver cancer
interventional surgery
problem-oriented
nursing
self-efficacy
health beliefs
pain
