首页|时机理论围术期干预对子宫瘢痕妊娠手术患者术后心理状态及恢复的影响

时机理论围术期干预对子宫瘢痕妊娠手术患者术后心理状态及恢复的影响

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目的:观察基于时机理论的围术期干预对子宫瘢痕妊娠手术患者术后心理状态、恢复进程的影响.方法:选取2019年6月-2023年6月本院拟行子宫瘢痕妊娠手术患者96例,随机数字表法分为时机组(n=48)和对照组(n=48).参照组常规护理,时机组予以基于时机理论的围术期干预.比较两组恢复进程、心理状态、自护能力、术后并发症及护理满意度.结果:干预后,时机组术后恢复排卵时间(3.8±1.0月)、住院时间(5.8±1.8d)、血清人绒膜促性腺激素恢复时间(12.2±3.9d)均短于参照组(4.7±1.1月、7.0±2.0d、14.8±4.0d),抑郁自评量表(42.59±5.38分)、焦虑自评量表(43.85±4.38分)评分及术后并发症发生率(4.2%)均低于参照组(49.24±5.61分、48.02±4.50分、16.7%),自我护理责任感、技能、知识、自我概念评分及护理总满意度(93.8%)均高于参照组(75.5%)(均P<0.05).结论:基于时机理论的围术期干预能改善子宫瘢痕妊娠手术患者术后心理状态、自护能力,加快恢复进程,减少并发症,且利于提升护理满意度.
Effects of the perioperative intervention based on the timing theory for patients with uterine scar pregnancy surgery on their postoperative psychological state and recovery process
Objective:To observe the effects of the perioperative intervention based on the timing theory for patients with uterine scar pregnancy surgery on their postoperative psychological state and recovery process.Methods:From June 2019 to June 2023,96 patients with uterine scar pregnancy who wanted surgery in hospital were selected and were randomly divided into two groups(48 cases in each group)by random number table.The patients in group A were giv-en routine nursing,and the patients in group B were given perioperative intervention based on the timing theory.The postoperative recovery process,psychological state,self-care ability,complications rate and nursing satisfaction of the patients were compared between the two groups.Results:After intervention,the recovery time of ovulation(3.8±1.0 months),the hospital stay(5.8±1.8 days)and the time of serum human chorionic gonadotropin recovery(12.2±3.9 days)of the patients in group B were significantly shorter than those(4.7±1.1 months,7.0±2.0 days and 14.8±4.0 days)of the patients in group A.The scores of self-rating depression scale(42.59±5.38 points)and self-rating anxiety scale(43.85±4.38 points)and the incidence of postoperative complications(4.2%)of the patients in group B were sig-nificantly lower than those(49.24±5.61 points,48.02±4.50 points and 16.7%)of the patients in group A.The scores of self-care responsibility,skills,knowledge and self-concept of the patients in group B were significantly higher than those of the patients in group A.The total nursing satisfaction(93.8%)of the patients in group B was significantly higher than that(75.5%)of the patients in group A(all P<0.05).Conclusion:The perioperative intervention based on the timing theory for the patients with uterine scar pregnancy surgery can improve their postoperative psychological state and self-care ability,accelerate their postoperative recovery process,reduce their complications occurrence and improve their nursing satisfaction.

Scar uterus pregnancyPerioperative period interventionTiming theoryPsychological stateRecovery process

丁伟、王素平、王晓杰

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安徽省蒙城县中医院(233500)

安徽省合肥市第一人民医院

子宫瘢痕妊娠 时机理论 围术期干预 心理状态 恢复进程

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(7)