Application of perioperative nursing guided by knowledge behavior model in patients undergoing colorectal cancer surgery
Objective To explore the value of perioperative nursing model guided by knowledge behavior model in patients undergoing colorectal cancer surgery.Methods A total of 90 patients with colorectal cancer surgery admitted to the Department of General Surgery,Xi'an Jiaotong University Affiliated Honghui Hospital from August 2020 to August 2023 were selected by the simple random sampling method,and were divided into two groups by the random number table method,after excluding the patients who fell off,with 44 cases in each group.In the control group,there were 24 males and 20 females,aged(60.86±7.60)years.In the observation group,there were 26 males and 18 females,aged(60.23±6.08)years.The control group received conventional perioperative nursing,and the observation group received perioperative nursing model guided by knowledge behavior model on the basis of the control group.Both groups were intervened from the next day of admission to the day before discharge.The psychological state and self-management ability on the next day of admission and the day before discharge,efficiency of postoperative functional recovery,and complication rate were compared between the two groups.Statistical methods used were x2 test and t test.Results There were no statistically significant differences in the score of psychological stress scale or self-management scale of cancer patients on the next day of admission between the two groups(both P＞0.05).The scores of psychological stress scale of cancer patients of both groups on the day before discharge were lower than those on the next day of admission,and the scores of self-management scale of cancer patients were higher than those on the next day of admission(all P＜0.05).On the day before discharge,the psychological stress scale score of cancer patients in the observation group was lower than that of the control group[(39.68±6.74)points vs.(46.14±5.70)points],and the self-management scale score of cancer patients was higher than that of the control group[(140.39±10.99)points vs.(125.68±11.86)points],with statistically significant differences(t=4.853 and-6.033,both P＜0.001).The exhaust time,feeding time,extubation time,and hospital stay in the observation group were shorter than those in the control group[(1.32±0.49)d vs.(1.89±0.51)d,(2.19±0.40)d vs.(2.60±0.48)d,(2.82±0.89)d vs.(3.33±0.83)d,(5.08±1.08)d vs.(5.88±1.22)d],with statistically significant differences(t=5.397,P＜0.001;t=4.378,P＜0.001;t=2.777,P=0.007;t=3.243,P=0.002).There was no statistically significant difference in the incidence of complications between the two groups(x2=1.980,P=0.159).Conclusion The perioperative nursing guided by knowledge behavior model can alleviate the adverse psychological state in patients undergoing colorectal cancer surgery,improve the self-management ability,and promote the postoperative functional recovery.
Colorectal cancerPerioperative nursingKnowledge behavior model
万方数据
维普
