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保护动机理论护理在甲状腺结节手术患者中的应用效果

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目的:观察保护动机理论护理在甲状腺结节手术患者中的应用效果.方法:选取 2020 年 5 月至 2022 年 9 月该院收治的 109 例甲状腺结节患者进行前瞻性研究,按随机数字表法将其分为对照组 54 例和观察组 55 例.对照组实施常规围术期护理,观察组在对照组基础上实施保护动机理论护理.比较两组术后住院时间、视觉模拟评分法(VAS)评分,护理前后自我管理能力评分、应对方式[中文版医学应对方式问卷(MCMQ)]评分,以及并发症发生率.结果:观察组术后住院时间短于对照组,VAS评分低于对照组,差异均有统计学意义(P<0.05);护理后,两组症状管理、情绪管理、自我效能、信息管理、日常生活管理等自我管理能力评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组面对评分均高于护理前,且观察组高于对照组;两组回避、屈服评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05).结论:在常规围术期护理基础上采用保护动机理论护理可提高甲状腺结节手术患者自我管理能力评分,改善应对方式评分,缩短术后住院时间,降低VAS评分,其效果优于单纯常规围术期护理.
Application effects of protection motivation theory nursing in patients undergoing thyroid nodule surgery
Objective:To observe application effects of protection motivation theory nursing in patients undergoing thyroid nodule surgery.Methods:A prospective study was conducted on 109 patients with thyroid nodules admitted to the hospital from May 2020 to September 2022.According to the random number table method,they were divided into control group(54 cases)and observation group(55 cases).The control group was given routine perioperative nursing,while the observation group was given the protection motivation theory nursing on the basis of that of the control group.The postoperative hospitalization time,the visual analogue scale(VAS)score,the self-management ability scores,the coping style[Chinese version of medical coping modes questionnaire(MCMQ)]score before and after the nursing,and the incidence of complications were compared between the two groups.Results:The postoperative hospitalization time of the observation group was shorter than that of the control group,the VAS score was lower than that of the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of self-management ability such as symptom management,emotional management,self-efficacy,information management and daily life management in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the facing scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the avoidance and yield scores in the two groups were lower than those before the nursing,and those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:On the basis of the routine perioperative nursing,the protective motivation theory nursing can improve the self-management ability scores,improve the coping style scores,shorten the postoperative hospitalization time and reduce the VAS scores of the patients undergoing thyroid nodule surgery.Moreover,it is superior to simple routine perioperative nursing.

Protection motivation theory nursingThyroid noduleSurgerySelf-management abilityCoping styleSelf-management ability

金小霞、金贵浩、金小清、张佳宁、李苗

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南阳医学高等专科学校第一附属医院小儿外科甲状腺乳腺外科,河南 南阳 473000

保护动机理论护理 甲状腺结节 手术 自我管理能力 应对方式 自我管理能力

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(17)