Qiao Li, Zeng Shu-Qian, Zhang Ning
Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China.
World J Clin Cases. 2021 Mar 6;9(7):1610-1618. doi: 10.12998/wjcc.v9.i7.1610.
Gastrointestinal tumors have a high incidence rate. The application value of the cooperative nursing care system of medical care has received widespread attention in recent years. However, there are few studies on the value of the joint application of collaborative nursing care and self-efficacy education.
To explore the effect of cooperative nursing care management/self-efficacy education on postoperative infection and self-efficacy in gastrointestinal tumor surgery patients.
A total of 102 patients with gastrointestinal tumors treated in our hospital from October 2018 to February 2020 were selected and divided into a conventional group ( = 51) and a combined group ( = 51) according to the nursing plan. The routine group adopted routine nursing, and the joint group adopted the medical care cooperative responsibility system nursing management combined with self-efficacy education. The self-efficacy scores, coping style scores, self-experience burden scores, and postoperative complication rates of the two groups before and after intervention were counted.
After intervention, the daily life behavior management, cognitive symptom management, and disease management scores of the two groups were higher than those before the intervention, and those of the combined group were higher than those of the conventional group (all = 0.000). After the intervention, the positive response scores of the two groups were higher than those before the intervention, the negative response scores were lower than those before the intervention, and the combined group was better than the conventional group (all = 0.000). After the intervention, the two groups' emotional, economic, and physical factor scores were lower than those before the intervention, and the combined group was lower than the conventional group (all = 0.000). The incidence of infection in the combined group (1.96%) was lower than that in the conventional group (15.69%) ( = 0.036).
Cooperative nursing care management and self-efficacy education improved the physical and mental states of gastrointestinal cancer surgery patients, change the response to disease, and reduce the risk of postoperative infection.
胃肠道肿瘤发病率较高。近年来，医护合作护理体系的应用价值受到广泛关注。然而，关于协同护理与自我效能感教育联合应用的价值研究较少。
探讨协同护理管理/自我效能感教育对胃肠道肿瘤手术患者术后感染及自我效能感的影响。
选取2018年10月至2020年2月在我院接受治疗的102例胃肠道肿瘤患者，根据护理方案分为常规组（n = 51）和联合组（n = 51）。常规组采用常规护理，联合组采用医护合作责任制护理管理并结合自我效能感教育。统计两组干预前后的自我效能感得分、应对方式得分、自我体验负担得分及术后并发症发生率。
干预后，两组的日常生活行为管理、认知症状管理及疾病管理得分均高于干预前，且联合组高于常规组（均P = 0.000）。干预后，两组的积极应对得分高于干预前，消极应对得分低于干预前，且联合组优于常规组（均P = 0.000）。干预后，两组的情感、经济及身体因素得分均低于干预前，且联合组低于常规组（均P = 0.000）。联合组感染发生率（1.96%）低于常规组（15.69%）（P = 0.036）。
协同护理管理和自我效能感教育改善了胃肠道癌手术患者的身心状态，改变了对疾病的应对方式，降低了术后感染风险。
