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授权理论指导的5E护理在胆囊结石手术患者中的应用分析

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目的 分析授权理论指导的 5E护理在胆囊结石手术患者中的应用。方法 选入东莞市南城医院 2023 年 1 月至 2023 年 12 月患者(96 例)为研究样本,以奇数、偶数抽签法划分组别,48 例单数入对照组,术后进行常规护理;另外 48 例双数者入研究组,在常规护理基础上应用授权理论指导的 5E护理。对比术后排气时间、住院总时长、术后疼痛评分、护理前后负性情绪评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)]及生存质量评分(SF-36)。结果 研究组术后排气时间、住院总时长均短于对照组,差异有统计学意义(P<0。05);术后 1 d、2 d、3 d研究组疼痛评分均低于对照组,差异有统计学意义(P<0。05);护理前两组SDS、SAS评分对比差异无统计学意义(P>0。05),护理后两组SDS、SAS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0。05);护理前两组SF-36 评分对比差异无统计学意义(P>0。05),护理后两组生理功能、精神、社会、总体健康等 8 个维度评分均高于护理前,且研究组护理后各维度评分均高于对照组,差异有统计学意义(P<0。05)。结论 授权理论指导的 5E护理在胆囊结石术患者中可取得较理想的护理效果,可加速术后康复,缓解术后疼痛,改善负性情绪,提升生活质量,值得应用。
Application Analysis of 5E Nursing Guided by Empowerment Theory in Patients Undergoing Gallbladder Stones Surgery
Objective To analyze the application of 5E nursing guided by empowerment theory in patients undergoing gallbladder stones surgery.Methods A total of 96 patients treated at Nancheng Hospital,Dongguan,from January 2023 to December 2023 were selected as study samples.They were divided into two groups using an odd-even randomization method,with 48 odd-numbered patients in the control group receiving conventional nursing care post-surgery,and 48 even-numbered patients in the study group receiving 5E nursing guided by empowerment theory in addition to conventional care.Postoperative gas expulsion time,total hospital stay,pain scores,negative emotional scores before and after nursing care[Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)],and quality of life scores(SF-36)were compared between the two groups.Results The study group had significantly shorter postoperative gas expulsion time and overall hospital stay compared to the control group(P<0.05).The pain scores on postoperative days 1,2,and 3 in the study group were lower than those in the control group,with statistically significant differences(P<0.05).Before nursing care,there was no significant difference between the two groups in SDS and SAS scores(P>0.05);however,after nursing care,both groups had lower SDS and SAS scores compared to before,and the study group scores were lower than those in the control group,with significant differences(P<0.05).There were no significant differences in SF-36 scores before nursing care(P>0.05),but after nursing,the scores in all eight dimensions(physical function,mental health,social function,overall health,etc.)increased compared to before,and the scores for the study group after nursing were higher than those for the control group,with significant differences(P<0.05).Conclusion 5E nursing guided by empowerment theory can achieve satisfactory nursing outcomes in patients undergoing gallbladder stones surgery.It can accelerate postoperative recovery,alleviate pain,improve negative emotions,and enhance quality of life,making it a valuable approach to apply.

empowerment theory5E nursinggallbladder stones surgerynegative emotionsquality of life

张小玲、叶锡银、陈利芳、梁婉红

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东莞市南城医院 护理部,广东 东莞 523071

东莞市南城医院 外科,广东 东莞 523071

东莞市南城医院 行政办公室,广东 东莞 523071

授权理论 5E护理 胆囊结石术 负性情绪 生活质量

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(12)