首页|自我管理联合行为干预应用于妇科腹腔镜手术前后的效果观察

自我管理联合行为干预应用于妇科腹腔镜手术前后的效果观察

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目的 探讨妇科腹腔镜手术前后采用自我管理联合行为干预的效果.方法 选取160例妇科腹腔镜手术患者为研究对象,根据随机数字表法分为对照组和观察组,每组80例.对照组行常规干预,观察组采用自我管理联合行为干预,比较两组心理状态、自我效能感、自护能力及并发症发生率.结果 干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异均无统计学意义(P>0.05);干预后,观察组SAS、SDS评分均低于对照组(P<0.05);干预前,两组自我效能感评分比较差异无统计学意义(P>0.05);干预后,观察组自我效能感评分高于对照组(P<0.05);干预前,两组自护能力各维度评分比较差异均无统计学意义(P>0.05);干预后,观察组自护能力各维度评分均高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05).结论 妇科腹腔镜手术前后落实自我管理联合行为干预,可改善患者焦虑、抑郁情绪,提高患者自我效能感和自护能力,减少并发症发生率,值得临床推广与应用.
Effect observation of self-management combined with behavioral intervention before and after gynecological laparoscopic surgery
Objective To investigate the effect of self-management combined behavioral intervention before and after gynecological laparoscopic surgery.Methods A total of 160 cases of gynecological laparoscopic surgery patients were selected as the study objects,and were divided into control group and observation group according to random number table method,80 cases in each group.The control group received routine intervention,and the observation group received self-management combined behavioral intervention.The psychological state,self-efficacy,self-care ability and complication rate of the two groups were compared.Results Before intervention,there was no significant difference in self-rating anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores between the two groups(P>0.05).After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).Before intervention,there was no significant difference in self-efficacy scores between the two groups(P>0.05).After intervention,the self-efficacy score of observation group was higher than that of control group(P<0.05).Before intervention,there were no significant differences in scores of self-care ability between the two groups(P>0.05).After intervention,the scores of self-care ability in the observation group were higher than those in the control group(P<0.05).The complication rate of observation group was lower than that of control group(P<0.05).Conclusion Self-management combined with behavioral intervention before and after gynecological laparoscopic surgery can improve patients'anxiety and depression,improve patients'self-efficacy and self-care ability,and reduce the incidence of complications,which is worthy of clinical promotion and application.

Gynecological laparoscopic surgerySelf-managementBehavioral interventionMental stateSelf-efficacycomplication

王洁

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徐州市妇幼保健院 妇科,江苏 徐州 221000

妇科腹腔镜手术 自我管理 行为干预 心理状态 自我效能 并发症

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(10)
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