首页|认知行为护理联合动机访谈对腹腔镜手术治疗的子宫内膜异位症患者术后恢复及情绪状态的影响

认知行为护理联合动机访谈对腹腔镜手术治疗的子宫内膜异位症患者术后恢复及情绪状态的影响

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目的 探讨认知行为护理联合动机访谈对腹腔镜手术治疗的子宫内膜异位症(EMT)患者的影响.方法 选择2021 年10 月—2023 年 10 月菏泽市第六人民医院收治的 78 例EMT患者为研究对象,按随机数字表法将其分为对照组与观察组,各39 例.对照组实施常规护理,观察组实施认知行为护理联合动机访谈.对比两组患者术后恢复情况、情绪状态及自我管理行为.结果 观察组术后疼痛视觉模拟评分低于对照组,下床活动、住院时间均短于对照组,组间差异有统计学意义(P<0.05).干预前,两组自我管理行为评分对比,差异无统计学意义(P>0.05).术后 1个月,观察组焦虑自评量表评分为(46.92±5.10)分,抑郁自评量表评分为(45.89±5.11)分,均低于对照组的(50.84±5.77)分、(50.41±4.63)分,组间差异有统计学意义(P<0.05);观察组症状管理、情绪管理、日常生活管理、信息管理评分均高于对照组,组间差异有统计学意义(P<0.05).结论 认知行为护理联合动机访谈能够加快腹腔镜手术治疗的EMT患者术后恢复,改善患者情绪状态及自我管理行为.
The Impact of Cognitive Behavioral Nursing Combined with Motivational Interviews on Postoperative Recovery and Emotional Status of Patients with Endometriosis Undergoing Laparoscopic Surgery
Objective To explore the impact of cognitive behavioral nursing combined with motivational interviews on patients with endometriosis(EMT)undergoing laparoscopic surgery.Methods 78 patients with EMT treated in the Sixth People's Hospital of Heze City from October 2021 to October 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,39 cases in each group.The control group received routine nursing,and the observation group received cognitive behavioral nursing combined with motivation interview.Postoperative recovery,emotional state and self management behavior were compared between the two groups.Results The Visual Analogue Score of postoperative pain in the observation group was lower than that in the control group,and the activity of getting out of bed and length of hospital stay were shorter than that in the control group,with statistical significance(P<0.05).Before intervention,there was no significant difference in self management behavior scores between the two groups(P>0.05).1 month after surgery,the Self-Rating Anxiety Scale score and Self-Rating Depression Scale score in the observation group were(46.92±5.10)points and(45.89±5.11)points,both lower than(50.84±5.77)points and(50.41±4.63)points in the control group,and the differences between groups were statistically significant(P<0.05);the scores of symptom management,emotion management,daily life management and information management in the observation group were higher than those in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The combination of cognitive behavioral nursing and motivational interviews can accelerate the postoperative recovery of EMT patients undergoing laparoscopic surgery,improve their emotional state and self management behavior.

EndometriosisLaparoscopic surgeryCognitive behavioral nursingMotivational interviewsPostoperative recoveryEmotional stateSelf management behavior

李伟丹

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菏泽市第六人民医院妇科,山东菏泽 274000

子宫内膜异位症 腹腔镜手术 认知行为护理 动机访谈 术后恢复 情绪状态 自我管理行为

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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