摘要
目的:探究基于目标执行理念的针对性干预对主动脉夹层(AD)开胸手术患者术后康复情况及生活质量的影响。方法:采用随机数字表法将某院自2021年2月至2023年10月收治的80例行AD开胸手术的患者分为观察组和对照组,各40例。对照组接受常规AD开胸手术护理干预,在此基础上,观察组接受基于目标执行理念的针对性干预,比较两组患者术后康复情况、自我护理能力、护理满意度以及生活质量。结果:观察组患者术后首次下床活动时间、住院天数均短于对照组(t=5.140,5.780;P<0.05),干预后,观察组疼痛程度低于对照组(t=3.232,P<0.05);干预后,观察组患者自我护理能力总分高于对照组(t=22.731,P<0.05);观察组护理满意度总分显著高于对照组(t=9.347,P<0.05);出院3个月后,观察组生活质量各项及总分高于对照组(t=10.457,11.525,10.499,8.243,7.720,6.516,10.027,19.004;P<0.05)。结论:目标执行理念的针对性干预AD开胸手术患者能有效促进患者术后康复,对患者疼痛程度、生活质量、自我护理能力改善作用显著,且临床护理满意度高。
Objective:To explore the effect of targeted intervention on the postoperative rehabilitation and quality of life of patients with aortic dissection(AD).Methods:A total of 80 patients from February 2021 to 20 October 2023 were divided into 40 observation and control groups.The control group received the routine AD thoracotomy surgery nursing intervention,and on this basis,the observation group received the targeted intervention based on the concept of target implementation,comparing the postoperative rehabilitation,self-care ability,nursing satisfaction,and quality of life between the two groups.Results:The postoperative time and hospital days of the observation group were significantly shorter than the control group(t=5.140,5.780;P<0.05).The degree of pain in the observation group was significantly lower(t=3.232,P<0.05).After the intervention,the self-care scores of the control group was significantly higher(t=22.731,P<0.05).the total score of the observation group was significantly higher(t=9.347,P<0.05).Three months after discharge,the quality of life of the observation group was significantly higher than that of the control group(t=10.457,11.525,10.499,8.243,7.720,6.516,10.027,19.004;P<0.05).Conclusion:Targeted intervention based on the concept of goal execution can effectively promote the postoperative rehabilitation of patients with AD thoracotomy,improve the patients'pain degree,quality of life and self-care ability,and have high clinical nursing satisfaction.
作者
沙丽
张海燕
魏彦慧
SHA Li;ZHANG Haiyan;WEI Yanhui(Ward 1,Cardiovascular Surgery Department,Henan Chest Hospital,Zhengzhou 450000,China)
出处
《中国健康心理学杂志》
2024年第7期1012-1016,共5页
China Journal of Health Psychology
基金
2019河南省医学科技攻关计划联合共建项目(编号:LHGJ20190731)。
关键词
主动脉夹层开胸手术
目标执行理念
针对性干预
生活质量
Aortic dissection thoracotomy
Objective execution concept
Targeted intervention
Quality of life
