流程化管理联合自我效能理论护理模式在上消化道出血消化内镜治疗中的应用分析
Analysis of process management combined with self-efficacy theory nursing model in digestive endoscopic treatment of upper gastrointestinal bleeding
张秀霞 1梁肖兰 1陈石慧 1李凤英1
作者信息
- 1. 南宁市第二人民医院消化内科,广西南宁 530033
- 折叠
摘要
目的 探讨流程化管理结合自我效能理论护理模式在上消化道出血(UGIB)消化内镜治疗患者中的应用效果.方法 选取2023 年1 月至2024 年3 月在我院进行消化内镜治疗的160 例上消化道出血患者作为研究对象,随机分为对照组(n=80)和观察组(n=80).对照组采用常规护理,观察组在对照组的基础上实施流程化管理联合自我效能理论护理模式,比较两组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,采用自我护理能力量表(ESCA)评价自护意识,采用健康调查简表(SF-36)评估患者健康状态和生活质量,比较两组患者的凝血功能和临床指标改善情况.结果 护理后,观察组的SAS和SDS评分均较护理前明显降低,且低于对照组,差异均有统计学意义(均P＜0.05).观察组的ESCA、SF-36 评分均较护理前及对照组明显升高,差异均有统计学意义(均P＜0.05).两组患者的凝血功能指标比较,观察组的PT、APTT均较对照组明显降低,PTA较对照组明显升高,差异均有统计学意义(均P＜0.05).两组患者的临床指标比较,观察组的血红蛋白恢复＞110 g/L时间、上消化道持续出血时间和住院时间均明显短于对照组,差异均有统计学意义(均P＜0.05).结论 流程化管理联合自我效能理论的护理模式用于UGIB消化内镜治疗患者的效果显著,可降低患者焦虑抑郁情绪,改善凝血功能指标,提高患者的生活质量,值得临床应用.
Abstract
Objective To explore the application effect of the combination of process management and self-efficacy nursing model in patients with digestive endoscopy treatment of upper gastrointestinal bleeding(UGIB).Methods 160 patients with upper gastro-intestinal hemorrhage who underwent digestive endoscopy treatment in our hospital from January 2023 to March 2024 were selected as the study objects,and were randomly divided into control group(n=80)and observation group(n=80).The control group was treated with routine nursing,and the observation group was treated with the combination of process management and self-efficacy theoretical nursing model on the basis of the control group.Self rating anxiety scale(SAS)and Self rating depression scale(SDS),the Exercise of Self Care Agency Scale(ESCA)was used to evaluate the sense of self-care.The MOS 36 item short from health survey(SF 36)was used to evaluate the health status and quality of life of the patients,and the improvement of coagulation function and clinical indicators of the two groups were compared.Results After nursing,the SAS and SDS scores of the observation group were significantly lower than those of the control group,and the differences were statistically significant(all P＜0.05).The scores of ESCA and SF 36 in obser-vation group were significantly higher than those before care and control group,with statistical significance(all P＜0.05).Compared with the control group,PT and APTT in the observation group were significantly lower than those in the control group,and PTA was sig-nificantly higher,with statistical significance(all P＜0.05).Compared with the clinical indicators of the two groups,the time of hemo-globin recovery＞110 g/L,the duration of upper gastrointestinal bleeding and the length of hospital stay in the observation group were significantly lower than those in the control group,and the differences were statistically significant(all P＜0.05).Conclusion The nursing mode of process management combined with self-efficacy theory in UGIB digestive endoscopy has a significant effect on pa-tients,which can reduce patients'anxiety and depression,improve coagulation function index and improve patients'quality of life,and is worthy of clinical application.
关键词
流程化管理/自我效能理论/上消化道出血/消化内镜治疗Key words
Process management/Self-efficacy theory/Upper gastrointestinal bleeding/Endoscopic digestive treatment引用本文复制引用
出版年
2024
NETL
NSTL
万方数据