5A护理模式联合精细化护理管理对子宫肌瘤围手术期自我效能感及生活质量的影响
Effect of 5A nursing mode combined with fine nursing management on perioperative self-efficacy and living quality of hysteromyoma.
作者信息
He Meng, Tong Ling, Zou Yongping, Li Zhenge
机构信息
Department of Gynecology, Hainan General Hospital Haikou 570311, Hainan, China.
出版信息
Am J Transl Res. 2021 Sep 15;13(9):10737-10743. eCollection 2021.
OBJECTIVE
In this study, we investigated the effects of 5A nursing mode combined with fine nursing management on perioperative self-efficacy and living quality of hysteromyoma.
METHODS
116 hysteromyoma patients admitted to our hospital during August 2018 to August 2020 were enrolled as the research objects, and divided into control group and observation group by random-number-table method. Each group contained 58 cases. The control-group patients were treated with conventional basic nursing, while the observation-group patients received combined treatment of 5A nursing mode and fine nursing management. Subsequently, the changes of self-efficacy, living quality of the two groups of patients before and after interventions, and the occurrence of postoperative complications in both groups were recorded and compared.
RESULTS
The self-efficacy scores of both groups after intervention were markedly higher than those before intervention (), and the score of the observation-group after intervention was obviously higher than that of control-group (). The scores of the quality of life of the two groups after intervention were remarkably higher than those before intervention (), and the score of observation group after intervention was substantially higher than that of control group (). In addition, the incidence of complications in observation group was notably lower than that in control group, and the difference was statistically significant (10.34%, 29.31%, = 6.5619, = 0.0104).
CONCLUSION
The combined treatment of 5A nursing mode and fine nursing management has showed good nursing concept and standard nursing methods. It can effectively improve the self-efficacy and quality of life in hysteromyoma patients during perioperative period.
目的
本研究探讨5A护理模式联合精细化护理管理对子宫肌瘤患者围手术期自我效能感及生活质量的影响。
方法
选取2018年8月至2020年8月在我院收治的116例子宫肌瘤患者作为研究对象，采用随机数字表法分为对照组和观察组，每组各58例。对照组患者采用常规基础护理，观察组患者采用5A护理模式联合精细化护理管理。随后，记录并比较两组患者干预前后自我效能感、生活质量的变化以及两组术后并发症的发生情况。
结果
两组干预后的自我效能感评分均显著高于干预前（），且观察组干预后的评分明显高于对照组（）。两组干预后的生活质量评分均显著高于干预前（），且观察组干预后的评分显著高于对照组（）。此外，观察组并发症发生率显著低于对照组，差异具有统计学意义（10.34%，29.31%，=6.5619，=0.0104）。
结论
5A护理模式联合精细化护理管理体现了良好的护理理念和规范的护理方法。它能有效提高子宫肌瘤患者围手术期的自我效能感和生活质量。
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