首页|基于柔性管理理念的围手术期护理对剖宫产患者总体幸福感的影响研究

基于柔性管理理念的围手术期护理对剖宫产患者总体幸福感的影响研究

Study on the Influence of Perioperative Nursing Based on Flexible Management Concept on the Overall Well-being of Cesarean Section Patients

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目的:观察基于柔性管理理念下的围手术期护理在剖宫产术患者中的应用效果及对其总体幸福感的影响.方法:选取2021年1月—2022年5月郑州市第七人民医院136例行剖宫产术分娩的患者作为研究对象,经抽签法分为干预组和对照组,每组各68例.对照组仅实施常规围手术期护理,干预组实施基于柔性管理理念优化的围手术期护理方案,比较两组患者护理前后的心理状态、总体幸福感、心脏应激指标,护理后的并发症发生情况、机体功能康复情况及生活质量评分.结果:护理后,干预组的焦虑自评量表(SAS)、抑郁自评量表(SDS)低于对照组,总体幸福感量表(GWB)高于对照组,差异有统计学意义(t=3.789、4.322、3.707,P<0.05);护理后,干预组的同型半胱氨酸(HCY)、心率(HR)、平均动脉压(MAP)均低于对照组,差异有统计学意义(t=2.891、3.697、13.034,P<0.05);干预组的下床时间、恢复排气时间、首次进食时间及住院时间均低于对照组,差异有统计学意义(t=10.727、11.946、9.760、11.322,P<0.05);干预组的并发症发生率低于对照组,差异有统计学意义(x2=5.405,P<0.05);干预组生活质量综合评定问卷(GQOLI-74)各维度评分均高于对照组,差异有统计学意义(t=3.582、5.111、4.149、4.201、2.802,P<0.05).结论:基于柔性管理理论优化剖宫产术患者围手术期护理方案可显著改善其心理状态并增强总体幸福感,对改善患者心脏应激指标、降低术后并发症发生风险、促进机体功能康复并提升生活质量均有积极意义.
Objective:To observe the effect of perioperative nursing based on the concept of flexible management in patients undergoing cesarean section and its influence on their overall well-being.Methods:136 patients who were delivered by cesarean section in the hospital from January 2021 to May 2022 were selected as the research objects.After drawing lots,they were divided into intervention group and control group,with 68 cases in each group.The control group only carried out routine perioperative nursing.The intervention group received optimized perioperative nursing plan based on flexible management philosophy.The psychological status,overall well-being,and cardiac stress indicators,the occurrence of complications,recovery of body function and quality of life score of two groups after nursing were compared.Results:After nursing,SAS,SDS and GWB of intervention group were higher than control group,with statistically significant difference(t=3.789,4.322,3.707;P<0.05).HCY,MAP and HR in the intervention group were lower than those in the control group,with statistically significant difference(t=2.891,3.697,13.034;P<0.05).After nursing,the time of getting out of bed for the first time,resuming exhaust,taking food for the first time and the time of hospitalization in the intervention group were lower than those in the control group,with statistically significant difference(t=10.727,11.946,9.760,11.322;P<0.05).The incidence of complications was lower than that in the control group(x2=5.405;P<0.05).The GQOLI-74 scores in all dimensions were higher than those in the control group,with statistically significant difference(t=3.582,5.111,4.149,4.201,2.802;P<0.05).Conclusion:Based on the theoiy of flexible management,optimizing the perioperative nursing program for patients with cesarean section can significantly improve their psychological status and enhance their overall well-being,which is of positive significance for improving patients'cardiac stress indicators,reducing the risk of postoperative complications,promoting the recovery of body functions,and improving the quality of life.

Uterine birthPerioperative nursingFlexible management conceptOverall well-beingMentalityQuality of lifeCardiac stress

刘彬

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郑州市第七人民医院手术部,河南 郑州 450000

剖宫产 围手术期护理 柔性管理理念 总体幸福感 心理状态 生活质量 心脏应激

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(10)
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