摘要
目的:观察基于认知-态度-信念-行为(KABP)理论的护理在腹腔镜胆囊切除术(LC)患者中的应用效果。方法:选取2019年9月至2021年9月该院收治的98例行LC的患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各49例。对照组采用常规护理,观察组在对照组基础上采用基于KABP理论的护理,比较两组术后康复指标水平、护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、疼痛程度[视觉模拟评分法(VAS)]评分、并发症发生率和护理满意度。结果:观察组首次肛门排气时间、首次下床活动时间、排便时间及住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);出院时,两组VAS评分均低于术后1 d,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组操作技术、健康指导、服务态度和心理疏导等护理满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于KABP理论的护理可降低LC患者康复指标水平、负性情绪评分、疼痛程度评分和并发症发生率,提高护理满意度,其效果优于单纯常规护理。
Objective:To observe application effects of knowledge-attitude-belief-behavior(KABP)theory-based nursing on patients undergoing laparoscopic cholecystectomy(LC).Methods:A prospective study was conducted on 98 patients who underwent LC treatment in the hospital from September 2019 to September 2021.They were divided into control group and observation group according to the random number table method,49 cases in each.The control group was given routine nursing,while the observation group was given the KABP theory-based nursing on the basis of that of the control group.The postoperative rehabilitation index levels,the negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,the pain degree[visual analogue scale(VAS)]score,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:The first anal exhaust time,the first ambulation time,the defecation time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SAS and SDS scores of the two groups were lower than those before the nursing,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).At discharge,the VAS scores of the two groups were lower than those at 1 day after the operation,that of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction scores of operation technology,health guidance,service attitude and psychological counseling in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the KABP theory-based nursing can r
作者
周倩
ZHOU Qian(Biliary Ward of Department of General Surgery of Nanyang Central Hospital,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2023年第8期151-154,共4页
Medical Journal of Chinese People’s Health
