首页|认知-态度-信念-行为理论为重点的护理模式在腹腔镜胆囊切除术后患者中的应用

认知-态度-信念-行为理论为重点的护理模式在腹腔镜胆囊切除术后患者中的应用

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目的 探析认知-态度-信念-行为理论为重点的护理模式在腹腔镜胆囊切除术后患者中的应用效果.方法 方便选取2022年8月—2023年8月济南市济阳区人民医院收治的88例行腹腔镜胆囊切除术患者为研究对象,依据随机抽签法分为两组,每组44例.A组实施常规围术期护理;B组实施认知-态度-信念-行为理论为重点的护理模式.比较两组术后恢复指标及护理满意度.结果 B组术后恢复指标首次下床、首次肛门排气、排便时间均短于A组,差异有统计学意义(P均<0.05).出院时,B组疼痛评分低于A组,差异有统计学意义(P<0.05).B组疾病知识掌握率为 95.45%,高于A组的 77.27%,差异有统计学意义(χ2=6.175,P<0.05).B组并发症发生率为4.54%,低于A组的18.18%,差异有统计学意义(P<0.05).B组的护理满意率为93.18%,高于A组的77.27%,差异有统计学意义(P<0.05).结论 对腹腔镜胆囊切除术后开展认知-态度-信念-行为理论为重点的护理模式,效果理想,能促进患者术后恢复,降低疼痛感,提高疾病知识掌握率、护理满意度,减少并发症的发生.
Application of Cognitive-attitude-belief-behavior Theory Focused Nurs-ing Model in Patients after Laparoscopic Cholecystectomy
Objective To explore the application effect of cognitive-attitude-belief-behavior nursing model in pa-tients after laparoscopic cholecystectomy.Methods Eighty-eight patients undergoing laparoscopic cholecystectomy treated in Jiyang District People's Hospital of Jinan City from August 2022 to August 2023 were conveniently selected as the study objects,and were divided into two groups according to random drawing method,with forty-four cases in each group.Group A received routine perioperative nursing;group B implemented cognitive-attitude-belief-behavior theory as the focus of nursing model.The postoperative recovery indexes and nursing satisfaction were compared be-tween the two groups.Results The time of first getting out of bed,first anal exhaust and defecation in group B were shorter than those in group A,and the differences were statistically significant(all P<0.05).At discharge,the pain score of group B was lower than that of group A,and the difference was statistically significant(P<0.05).The mastery rate of disease knowledge in group B was 95.45%,which was higher than that in group A(77.27%),the difference was statistically significant(χ2=6.175,P<0.05).The incidence of complications in group B was 4.54%,which was lower than that in group A(18.18%),and the difference was statistically significant(P<0.05).The nursing satisfaction rate of group B was 93.18%,which was higher than that of group A(77.27%),and the difference was statistically sig-nificant(P<0.05).Conclusion After laparoscopic cholecystectomy,cognitive-attitude-belief-behavior theory focused nursing mode has ideal effect,which can promote postoperative recovery of patients,reduce pain,improve disease knowledge mastery rate,nursing satisfaction and reduce complications.

Cognitive-attitude-belief-behavior theoryLaparoscopic cholecystectomyNursing intervention

张含华、赵慧娟、朱新霞

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济南市济阳区人民医院手术室,山东 济南 251400

认知-态度-信念-行为理论 腹腔镜胆囊切除术 护理干预

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(17)