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基于健康信念模式的护理在主动脉夹层术后患者中的应用效果

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目的:观察基于健康信念模式的护理在主动脉夹层(AD)术后患者中的应用效果.方法:回顾性分析 2020 年 1 月至2021 年 1 月该院收治的 96 例AD患者的临床资料,根据术后护理方法不同将其分成观察组和对照组各 48 例.对照组给予常规护理,观察组在对照组基础上给予基于健康信念模式的护理,比较两组康复时间、住院期间并发症发生率,护理前后负性情绪[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]评分、自我管理能力[成年人健康自我管理能力测评量表(AHSMSRS)]评分和健康生活方式[健康促进生活方式量表Ⅱ(HPLP Ⅱ)]评分.结果:观察组首次排气时间、首次下床活动时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为 2.08%(1/48),低于对照组的 16.67%(8/48),差异有统计学意义(P<0.05);护理后,观察组HAMD、HAMA评分均低于对照组,AHSMSRS、HPLP Ⅱ评分均高于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用基于健康信念模式的护理可提高AD术后患者自我管理能力评分和健康生活方式评分,缩短首次排气时间、首次下床活动时间和住院时间,降低并发症发生率和负性情绪评分,效果优于单纯常规护理.
Application effects of health belief model-based nursing in postoperative patients with aortic dissection
Objective:To observe application effects of health belief model-based nursing in postoperative patients with aortic dissection(AD).Methods:The clinical data of 96 patients with AD admitted to the hospital from January 2020 to January 2021 were retrospectively analyzed.According to different nursing methods,they were divided into observation group and control group,48 cases in each group.The control group was given routine nursing,while the observation group was given health belief model-based nursing on the basis of that of the control group.The rehabilitation time,the incidence of complications during hospitalization,the scores of negative emotions[Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)],the self-management ability[adult health self-management skill for reliability scale(AHSMSRS)],and the healthy lifestyle[health-promoting lifestyle profile II(HPLP II)]before and after the nursing were compared between the two groups.Results:The first exhaust time,the first out-of-bed time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.08% (1/48),which was lower than 16.67% (8/48)in the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of HAMD and HAMA in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the scores of AHSMSRS and HPLP II in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the health belief model-based nursing can improve the self-management ability scores and the healthy lifestyle scores of the postoperative patients with AD,shorten the first exhaust time,the first out-of-bed time and the hospitalization time,and reduce the incidence of complications and the negative emotion scores.Moreover,it is superior to single routine nursing.

Health belief model-based nursingAortic dissectionHealthy lifeSelf-management efficacyNegative emotionComplication

张青波

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河南省胸科医院 郑州大学附属胸科医院心外科,河南 郑州 450000

基于健康信念模式的护理 主动脉夹层 健康生活 自我管理效能 负性情绪 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(4)
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