首页|基于行为转变理论团体干预在胆囊炎合并胆囊结石术后患者中的应用

基于行为转变理论团体干预在胆囊炎合并胆囊结石术后患者中的应用

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目的:探讨基于行为转变理论团体干预在胆囊炎合并胆囊结石术后患者中的应用效果.方法:选取 2020 年 1 月—2022 年 12 月在九江学院附属医院拟行手术治疗的 60 例胆囊炎合并胆囊结石患者,采用随机数字表法分为两组,各 30 例.对照组术后实施常规护理,观察组在对照组基础上实施基于行为转变理论团体干预,两组均干预 1 个月.比较两组临床症状改善时间(术后肠鸣音恢复时间、术后首次下床活动时间、住院时间)、比较两组干预前后自我管理能力[成人健康自我管理能力量表(AHSMSRS)评估]、生活质量[生活质量综合评定问卷(GQOL-74)评估].结果:观察组术后肠鸣音恢复时间、首次下床活动时间及住院时间均短于对照组,差异均有统计学意义(P<0.05);干预后,两组健康自我管理行为、健康自我管理认知、健康自我管理环境评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05);干预后,两组躯体功能、社会功能、心理功能及物质生活评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05).结论:基于行为转变理论团体干预在胆囊炎合并胆囊结石术后患者中的应用效果较好,可有效促进患者术后恢复,提高自我管理能力,改善生活质量.
Application of Group Intervention Based on Behavioral Transformation Theory in Postoperative Patients with Cholecystitis Complicated with Gallstones
Objective:To explore the application effect of group intervention based on behavioral transformation theory in postoperative patients with cholecystitis complicated with gallstones.Method:Sixty patients with cholecystitis complicated with gallstones who were scheduled to undergo surgical treatment in Jiujiang University Affiliated Hospital from January 2020 to December 2022 were selected and randomly divided into two groups using a random number table method,with 30 patients in each group.The control group received routine nursing care after surgery,while the observation group received group intervention based on behavioral transformation theory on the basis of the control group.Both groups received one month of intervention.The improvement time of clinical symptoms between two groups(recovery time of postoperative bowel sounds,first time out of bed activity after surgery and hospitalization time),the self-management ability[adult health self-management scale(AHSMSRS)assessment]and quality of life[general quality of life questionnaire(GQOL-74)assessment]of the two groups before and after intervention were compared.Result:The recovery time of postoperative bowel sounds,time of getting out of bed activity for the first time and hospitalization time in the observation group were shorter than those in the control group,with statistical significant differences(P<0.05);after intervention,the scores of health self-management behavior,health self-management cognition and health self-management environment in both groups were higher than those before intervention,and those in the observation group were higher than those in the control group,with statistical significant differences(P<0.05);after intervention,the physical function,social function,psychological function and material life scores of both groups were higher than those before intervention,and those in the observation group were higher than those in the control group,with statistical significant differences(P<0.05).Conclusion:The application of group intervention based on behavioral transformation theory in postoperative patients with cholecystitis complicated with gallstones has a good effect,which can effectively promote postoperative recovery,improve self-management ability,and improve quality of life.

Cholecystitis complicated with gallstonesGroup intervention based on behavioral transformation theorySelf management abilityQuality of life

张娴、殷琪、周利红、汪霜

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九江学院附属医院肝胆外科 江西 九江 332000

胆囊炎合并胆囊结石 基于行为转变理论团体干预 自我管理能力 生活质量

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(6)
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