以互动达标理论为指导的延续性护理结合家庭参与式护理干预在胆囊结石合并肝外胆管结石行X线下ERCP+LC术后患者中的应用效果

Application effect of continuous nursing guided by interactive standard theory combined with family participatory nursing intervention in patients with gallbladder stones and extrahepatic bile duct stones after ERCP + LC surgery under X-ray

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中文摘要：目的探讨以互动达标理论为指导的延续性护理结合家庭参与式护理干预在胆囊结石合并肝外胆管结石行X线下经内镜逆行胰胆管造影术(ERCP)+腹腔镜胆囊切除术(LC)术后患者中的应用效果.方法选取2021年5 月至 2022 年 10 月收治的 120 例胆囊结石合并肝外胆管结石行X线下ERCP+LC术后患者作为研究对象,按护理方式差异将其分为对照组和观察组,各 60 例.对照组采用常规护理干预,观察组在常规护理基础上采用以互动达标理论为指导的延续性护理结合家庭参与式护理干预.比较两组的干预效果.结果干预后,观察组的健康行为能力自评量表(SRAHP)各维度评分高于对照组(P＜0.05).干预后,观察组的恐惧疾病进展简化量表(FoP-Q-SF)各维度评分均低于对照组(P＜0.05).观察组的远期并发症总发生率及结石复发率均低于对照组(P＜0.05).结论以互动达标理论为指导的延续性护理结合家庭参与式护理干预可提高胆囊结石合并肝外胆管结石行X线下ERCP+LC术后患者的健康行为,减轻疾病进展恐惧感,也能降低远期并发症发生率,预防结石复发,值得推广.

外文摘要：Objective To explore the application effect of continuous nursing guided by interactive standard theory combined with family participatory nursing intervention in patients with gallbladder stones and extrahepatic bile duct stones after encoscopic retrograde cholangio pancreatography(ERCP)+ laparoscopic cholecystectomy(LC)surgery under X-ray.Methods A total of 120 patients with gallbladder stones and extrahepatic bile duct stones who underwent ERCP + LC under X-ray from May 2021 to October 2022 were selected as the research objects.According to the difference of nursing methods,the patients were divided into control group and observation group,with 60 cases in each group.The control group was given routine nursing intervention,and the observation group was given continuous nursing guided by interactive standard theory combined with family participatory nursing intervention on the basis of routine nursing.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Self-Rated Abilities for Health Practices Scale(SRAHP)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of the Fear of Progression Questionnaire-Short Form(FoP-Q-SF)in the observation group were lower than those in the control group(P<0.05).The total incidence of long-term complications and stone recurrence rate in the observation group were lower than those in the control group(P<0.05).Conclusion The continuous nursing guided by interactive standard theory combined with family participatory nursing intervention can promote the health behavior of patients with gallbladder stones and extrahepatic bile duct stones after ERCP + LC surgery under X-ray,reduce the fear of disease progression,and also reduce the incidence of long-term complications and prevent the recurrence of stones,which is worthy of promotion.

外文关键词：

interactive standard theorycontinuous nursingfamily participatory nursinggallbladder stoneextrahepatic bile duct stoneendoscopic retrograde cholangio pancreatography

作者：

李庆荣、景晓芳、张亚静

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作者单位：

宝鸡高新医院,陕西宝鸡,721000

延安大学咸阳医院,陕西咸阳,712000

关键词：

互动达标理论延续性护理家庭参与式护理胆囊结石肝外胆管结石经内镜逆行胰胆管造影术

基金：

延安大学咸阳医院院内科学研究基金(2020)

项目编号：

2020ZX068

出版年：

2024

DOI：

10.19347/j.cnki.2096-1413.202402036

临床医学研究与实践

ISSN：

年,卷(期)：2024.9(2)

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