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基于风险评估模型的护理干预对手术患者自我效能感和术后康复的影响。

Influence of Nursing Intervention Based on Risk Assessment Model on Self-Efficacy and Postoperative Rehabilitation of Surgical Patients.

机构信息

Department of Anesthesiology, Cangzhou Central Hospital, Cangzhou, Hebei, China.

出版信息

J Healthc Eng. 2022 Apr 13;2022:6750320. doi: 10.1155/2022/6750320. eCollection 2022.

Abstract

The study aims to explore the effect of nursing intervention based on risk assessment model on self-efficacy and postoperative rehabilitation of surgical patients. The study applied a risk assessment model to the behavioral intervention of rehabilitation exercise in patients after percutaneous coronary intervention (PCI). A total of 157 patients were selected from a certain hospital, with 52 cases in the experimental group and 55 cases in the control group. A comprehensive cardiac rehabilitation intervention strategy based on TTM is given by researchers trained with professional knowledge, including dividing the stages of behavior change, developing a rehabilitation exercise plan through exercise teaching and exercise training, diet and lifestyle guidance, and urging patients to take regular medication and regular follow-up. The stage of rehabilitation movement behavior change improved. The preexperiment health status was (35.39 ± 14.31), and the overall health of the control group was (32.59 ± 15.41). Overall health status and QOL scores were relatively low in both the groups. The intervention group scored higher than the control group. After coronary stent implantation, the heart restores its original pumping function, various organs and tissues receive effective blood perfusion, and the symptoms of myocardial infarction such as profuse sweating, dizziness, fatigue, and precordial discomfort are effectively relieved. The physical discomfort can gradually improve or even recover to the functional state before the onset of the disease. Before the intervention, the self-efficacy score of the intervention group was (23.68 ± 4.49). After the intervention, the self-efficacy score of the intervention group was (26.21 ± 4.09), while the self-efficacy score of the control group before the intervention was (22.21 ± 4.1). After the intervention, the self-efficacy score of the control group was (25.23 ± 4.41). Although the self-efficacy score of the control group was improved, the difference was small, and the intervention effect was not obvious. It indicates that risk assessment intervention can improve patients' self-efficacy level and quality of life of postoperative rehabilitation patients.

摘要

本研究旨在探讨基于风险评估模型的护理干预对手术患者自我效能感和术后康复的影响。本研究将风险评估模型应用于经皮冠状动脉介入治疗(PCI)后患者康复运动行为的干预中。研究人员采用 TTM 为患者提供了综合心脏康复干预策略,包括行为改变阶段的划分、通过运动教学和运动训练制定康复运动计划、饮食和生活方式指导,以及督促患者规律服药和定期随访。康复运动行为改变阶段有所改善。实验组的预实验健康状况为(35.39±14.31),对照组的整体健康状况为(32.59±15.41)。两组的整体健康状况和生活质量评分都相对较低。干预组的评分高于对照组。冠状动脉支架植入后,心脏恢复其原有的泵血功能,各器官和组织得到有效的血液灌注,心肌梗死引起的大量出汗、头晕、疲劳和心前不适等症状得到有效缓解。身体不适可逐渐改善甚至恢复到发病前的功能状态。干预前,干预组的自我效能评分(23.68±4.49)。干预后,干预组的自我效能评分(26.21±4.09),而干预前对照组的自我效能评分(22.21±4.1)。干预后,对照组的自我效能评分(25.23±4.41)。虽然对照组的自我效能评分有所提高,但差异较小,干预效果不明显。这表明风险评估干预可以提高患者的自我效能水平和术后康复患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d64/9020936/8920f734f322/JHE2022-6750320.001.jpg

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