目的 探讨以跨理论模型为指导的协同干预在腮腺肿瘤患者围手术期中的应用效果.方法 回顾性采集2021年1月至2022年12月信阳市中心医院收治的围手术期接受以跨理论模型为指导的协同干预的35例腮腺肿瘤患者临床资料,纳入干预组;采集同期围手术期接受协同干预的35例腮腺肿瘤患者临床资料,纳入对照组.分析两组临床资料,比较两组术前焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、一般自我效能感量表(GSES)评分、治疗依从性及术后并发症发生率.结果 两组术前1 d SAS评分、SDS评分均较入院第1天降低,且干预组术前SAS评分、SDS评分均低于对照组(P＜0.05);两组出院前1 d GSES评分均较入院第1天升高,且干预组高于对照组(P＜0.05);干预组治疗依从率高于对照组(P＜0.05);干预组术后并发症总发生率5.71％(2/35),对照组术后并发症总发生率22.86％(8/35),干预组总发生率低于对照组(P＜0.05).结论 以跨理论模型为指导的协同干预在腮腺肿瘤患者围手术期中的应用效果较佳,有利于改善患者术前焦虑、抑郁状态,提高自我效能感及治疗依从性,减少术后并发症的发生.
Application of Cross Theoretical Model Guided Collaborative Intervention in Perioperative Nursing of Parotid Gland Tumors
Objective To explore the application effect of collaborative intervention guided by cross theoretical models in the perioperative period of parotid gland tumor patients.Methods Retrospective collection of clinical data from 35 patients with parotid gland tumors admitted to Xinyang Central Hospital from January 2021 to December 2022 who underwent collaborative intervention guided by a cross theoretical model during the perioperative period,and included them in the intervention group.Clinical data of 35 patients with parotid gland tumors who underwent collaborative intervention during the perioperative period were collected and included in the control group.The clinical data of the two groups were analyzed,and the preoperative self-rating anxiety scale(SAS),self-rating depression scale(SDS),general self-efficacy scale(GSES),treatment compliance and postoperative complication rate were compared between the two groups.Results Both groups had lower preoperative SAS and SDS scores on the first day of admission compared to the first day of admission,and the intervention group had lower preoperative SAS and SDS scores than the control group(P＜0.05).The GSES scores of both groups increased on the first day before discharge compared to the first day of admission,and the intervention group was higher(P＜0.05).The treatment compliance rate of the intervention group was higher(P＜0.05).The total incidence of postoperative complications in the intervention group was 5.71％(2/35),while in the control group it was 22.86％(8/35),the total incidence of postoperative complications in the intervention group was lower(P＜0.05).Conclusion Collaborative intervention guided by cross theoretical models has a better application effect in the perioperative period of parotid gland tumor patients,which is beneficial for improving preoperative anxiety and depression,enhancing self-efficacy and treatment compliance,and reducing the occurrence of postoperative complications.
parotid gland tumorcross theoretical modelscollaborative interventionperioperative period
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