首页|保护动机下护理干预对肛瘘患者术后遵医行为及生活质量的影响分析

保护动机下护理干预对肛瘘患者术后遵医行为及生活质量的影响分析

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目的 分析保护动机下护理干预对肛瘘患者术后遵医行为及生活质量的影响.方法 随机选取解放军海军第905医院肛肠科于2021年10月—2023年10月期间收治的120例接受手术治疗的肛瘘患者作为研究对象,以随机数表法分为两组,各60例.对照组接受常规护理干预,观察组接受保护动机下护理干预.对比两组患者护理前后的生活质量、遵医行为、术后并发症发生率及护理满意度.结果 护理前两组生活质量及遵医行为评分比较,差异无统计学意义(P均>0.05);护理后,观察组的生活质量及遵医行为评分高于对照组,差异有统计学意义(P均<0.05).观察组的护理满意度为100.00%,高于对照组的93.33%,并发症总发生率低于对照组,差异有统计学意义(χ2=4.137、4.821,P均<0.05).结论 对肛瘘术后患者实施保护动机下的护理干预能够明显提高其术后遵医行为及生活质量,同时可降低患者术后并发症的发生率,患者满意度更高.
Analysis of the Effect of Nursing Intervention under Protection Motivation on Postoperative Compliance Behavior and Quality of Life in Patients with Anal Fistula
Objective To observe and analyze the impact of nursing interventions under protective motivation on post-operative compliance behavior and quality of life of anal fistula patients.Methods A total of 120 patients with anal fis-tula who underwent surgical treatment from October 2021 to October 2023 in the Anorectal Department of the 905th Hospital of the People's Liberation Army Navy were randomly selected as the research objects.They were divided into two groups by random number table method,with 60 cases in each group.The control group received routine nursing intervention,and the observation group received nursing intervention under protection motivation.The quality of life,compliance behavior,incidence of postoperative complications and nursing satisfaction were compared between the two groups before and after nursing.Results There were no significant differences in the scores of quality of life and compliance behavior between the two groups before nursing(both P>0.05);after nursing,the scores of quality of life and compliance behavior in the observation group were higher than those in the control group,and the differences were statistically significant(both P<0.05).The nursing satisfaction rate of the observation group was 100.00%,which was higher than 93.33%of the control group,and the total incidence of complications in the observation group was lower than that in the control group,the differences were statistically significant(χ2=4.137,4.821,both P<0.05).Con-clusion Implementing nursing interventions under protective motivation for postoperative patients with anal fistula can significantly improve their postoperative compliance behavior and quality of life,while reducing the incidence of post-operative complications and increasing patient satisfaction.

Protecting motivational careAnal fistulaMedical compliance behaviorQuality of life

彭玲丽、何孙凤

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解放军海军第905医院外科,上海 200052

保护动机护理 肛瘘 遵医行为 生活质量

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(18)
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