文章摘要

知信行模式干预下自护行为对胃癌根治术后恢复的影响

作者: 1胡汉美, 1周红玉, 1沈政, 1陈家琴, 1仲悦萍
1 南通大学医学院附属医院胃肠外科一病区 江苏 南通 226001
通讯: 仲悦萍 Email: zyp13912276272@163.com
DOI: 10.3978/j.issn.2095-6959.2020.08.038

摘要

目的:探究知信行模式干预下自护行为对胃癌根治术后恢复的影响,为患者临床护理提供参考。方法:回顾性分析我院2019年1月至2019年9月间收治的行胃癌根治术患者180例临床诊疗情况。根据患者术后护理干预方式不同,将其分为观察组和对照组,各90例。对照组患者术后采取常规护理干预,观察组在对照组的基础上联合知信行模式干预,分析两组患者干预后自护行为评分、知信行各维度得分、术后并发症发生情况、住院时间以及满意程度。结果:观察组患者干预后自护技能、自护责任感、自我感念、健康知识以及自护能力总分评分均明显高于对照组,差异有统计学意义(P<0.05);观察组患者干预后自我效能评分明显高于对照组,差异有统计学意义(P<0.05);观察组患者术后并发症发生率明显低于对照组,患者住院时间明显短于对照组,患者护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:知信行模式对行胃癌根治术患者自护行为干预效果明显,有助于提高患者知信行行为,降低并发症发生率,加快患者术后康复。
关键词: 胃癌根治术;知信行;护理;自护行为;满意度;自我效能

Effect of self-care behavior on the recovery of gastric cancer after radical operation under the intervention of the knowledge belief practice model

Authors: 1HU Hanmei, 1ZHOU Hongyu, 1SHEN Zheng, 1CHEN Jiaqin, 1ZHONG Yueping
1 First Ward of Gastrointestinal Surgery, Affiliated Hospital of Medical College of Nantong University, Nantong Jiangsu 226001, China

CorrespondingAuthor: ZHONG Yueping Email: zyp13912276272@163.com

DOI: 10.3978/j.issn.2095-6959.2020.08.038

Abstract

Objective: To explore the effect of self-care behavior on the recovery of gastric cancer after radical intervention under the intervention of the knowledge belief practice model, and to provide a reference for clinical care of patients. Methods: The clinical diagnosis and treatment of 180 patients who underwent radical gastrectomy from January 2019 to September 2019 were analyzed retrospectively. According to the different postoperative nursing intervention methods, the patients were divided into observation group and control group, with 90 cases each. The patients in the control group received routine nursing intervention after operation, and the observation group combined with knowledge belief practice model intervention on the basis of the control group. The self-care behavior score, knowledge, trust and behavior scores, postoperative complications, length of stay and satisfaction of the patients in the two groups were analyzed. Results: The scores of self-care skills, self-care responsibility, self-consciousness, health knowledge, and self-care ability of the observation group were significantly higher than those of the control group after intervention, and the differences were statistically significant (P<0.05). The self-efficacy score of patients in the observation group was significantly higher than that in the control group after intervention, and the difference was statistically significant (P<0.05). The incidence of postoperative complications was significantly lower in the observation group than in the control group, and the hospital stay was significantly shorter than that in the control group. The patient satisfaction was significantly higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion: The knowledge-to-exercise model has a significant effect on the self-care behavior of patients undergoing radical gastrectomy, which is helpful to improve patients' knowledge-to-exercise behavior, reduce the incidence of complications, and speed up postoperative recovery.
Keywords: radical gastrectomy; knowledge and action; nursing; self-care behavior; satisfaction; self-efficacy