摘要
目的 探究格林模式的团队合作护理在胆囊手术中的应用价值,以期为临床胆囊手术护理方案选择提供理论指导.方法 纳入浙江中医药大学附属第一医院2021年1月-2023年7月收治的胆囊疾病患者90例,其中8例为胆囊癌患者,所有患者均行胆囊手术治疗.根据随机数字表法将患者分为对照组(45例)与研究组(45例),分别采用常规护理、常规护理+格林模式的团队合作护理.比较2组护理前后自我护理能力量表(ESCA)评分、营养指标水平[血清白蛋白(ALB)、转铁蛋白(TRF)与血清总蛋白(TSP)]与心理状态评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)].结果 护理前,2组ESCA各维度评分比较差异均无统计学意义(P＞0.05);护理后,2组ESCA各维度评分均较护理前升高(P＜0.05),且研究组ESCA各维度评分均高于对照组(P＜0.05).护理前,2组ALB、TSP、TRF比较差异均无统计学意义(P＞0.05);护理后,研究组ALB、TSP、TRF均高于对照组(P＜0.05).护理前,2组SAS、SDS评分比较差异均无统计学意义(P＞0.05);护理后,研究组SAS[(20.98±5.27)分]、SDS[(23.67±4.75)分]低于对照组 SAS、SDS[(33.04±6.94)分、(35.35±6.64)分,P＜0.05].结论 格林模式的团队合作护理能提升患者知信行水平,改善患者营养指标水平及负性心理状态,综合应用价值更高,建议临床推广使用.
Abstract
Objective To explore the application value of team collaboration nursing based on the Green model in gall-bladder surgery,in order to provide theoretical guidance for the selecting clinical nursing plans for clinical gallbladder surgery.Methods A total of 90 patients with gallbladder diseases admitted to the First Affiliated Hospital of Zhejiang U-niversity of Traditional Chinese Medicine from January 2021 to July 2023 were included in the study.Among them,8 pa-tients were diagnosed with gallbladder cancer,and all patients underwent gallbladder surgery.The patients were randomly divided into a control group(45 cases)and a study group(45 cases)using a random number table method.They re-ceived routine nursing in the control group,and routine nursing combined with team cooperation nursing following the Green model in the study group.The exercise of self-care agency scale(ESCA)scores,nutritional index levels serum al-bumin(ALB),transferrin(TRF),total serum protein(TSP),psychological state scores self-rating anxiety scale(SAS),and self-rating depression scale(SDS),were compared between the two groups before and after nursing.Re-sults Before nursing,there was no statistically significant difference in the ESCA scores in all dimensions between the two groups(P＞0.05).After nursing,both groups showed increased ESCA scores in all dimensions compared to before nursing(P＜0.05),with the study group demonstrating higher scores than the control group(P＜0.05).Before nursing,there was no statistically significant difference in ALB,TSP and TRF between the two groups(P＞0.05).After nursing,the ALB,TSP and TRF in the study group were higher than those in the control group(P＜0.05).Before nursing,there was no statistically significant difference in SAS and SDS scores between the two groups(P＞0.05).After nursing,the study group had lower SAS[(20.98±5.27)points]and SDS[(23.67±4.75)points]compared to the control group SAS,SDS[(33.04±6.94)points,(35.35±6.64)points,P＜0.05].Conclusion The team collaboration nursing of the Green model can enhance the patient's knowledge,belief and practice levels,improve their nutritional index levels and negative psychological states.It possesses significant comprehensive application value and is recommended for clini-cal promotion.
维普
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