摘要
目的 探究基于保护动机理论的综合干预对重度子宫脱垂全子宫切除术老年患者的护理效果及对其健康行为的影响。方法 选取2019年1月至2020年12月在皖西卫生职业学院附属医院接受全子宫切除术治疗的68例重度子宫脱垂老年患者作为研究对象,采用随机数字表法分为观察组(n=33)和对照组(n=35)。对照组患者采用常规护理,观察组患者在对照组基础上联合基于保护动机理论的综合干预。对比两组患者术后恢复指标、健康行为能力、术后并发症发生情况及生活质量水平。结果 观察组患者住院、排气、恶露干净、下床活动时间均短于对照组(P<0.05),术后并发症总发生率低于对照组(P<0.05)。观察组干预后健康行为评分量表和生活质量综合评定问卷(GQOL-74)总分均高于对照组(P<0.05)。结论 基于保护动机理论的综合干预可有效促进重度子宫脱垂老年患者子宫切除术后的健康行为,降低并发症发生率,加快康复。
Objective To explore the nursing effect of comprehensive intervention based on protective motivation theory in elderly patients undergoing total hysterectomy for severe uterine prolapse,and the influence on their health behaviors.Methods A total of 68 elderly patients with severe uterine prolapse who underwent total hysterectomy in Affiliated Hospital of Wanxi Health Vocational College from January 2019 to December 2020 were selected as the study subjects.They were divided into observation group(n=33) and control group(n=35) by random number table method.The control group received routine nursing,while the observation group was combined comprehensive intervention based on protective motivation theory.The postoperative recovery indicators,health behavior ability,postoperative complications and quality of life were compared between the two groups.Results The length of hospital stay,exhaust time,lochia emptying time and ambulation time of the observation group were shorter than those of the control group(P<0.05),and the total incidence of postoperative complications was lower than that in the control group(P<0.05).After intervention,the total scores of the health behavior rating scale and the Generic Quality of Life Inventory-74(GQOL-74) in the observation group were higher than those in the control group(P<0.05).Conclusions Comprehensive intervention based on protective motivation theory can effectively promote health behaviors of elderly patients with severe uterine prolapse after total hysterectomy,reduce the incidence of complications,and accelerate recovery.
作者
鲍丙琴
周群英
李亚萍
BAO Bingqin;ZHOU Qunying;LI Yaping(Department of Gynecology,Affiliated Hospital of Wanxi Health Vocational College,Lu′an 237008,Anhui,China)
出处
《中国性科学》
2022年第9期85-89,共5页
Chinese Journal of Human Sexuality
基金
安徽高校自然科学研究项目(KJ2020A0956)。
关键词
重度子宫脱垂
全子宫切除术
保护动机理论
健康行为
并发症
Severe uterine prolapse
Total hysterectomy
Protective motivation theory
Health behavior
Complication
