聚焦解决教育模式在改善腹股沟疝修补术患者负性情绪和生活质量
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摘要
目的:探讨聚焦解决教育模式在改善腹股沟疝修补术患者负性情绪和生活质量中的应用效果。方法:选取2017年10月-2018年5月我院收治的行腹腔镜腹股沟疝修补术患者186例作为研究对象,按照随机数字表法分为对照组(93例)与观察组(93例)。对照组患者在采取常规干预,观察组患者运用聚焦解决教育模式治疗,且均治疗1个月和结束后对比两组患者干预前后围术期各指标及疼痛评分、负性情绪和生活质量的变化情况。结果:两组患者手术时间及术中出血量比较无统计学意义(P>0.05);观察组患者的术后疼痛及住院时间、疼痛评分低于对照组(t=-118.821,-11.708,-14.141;P<0.001);两组干预前的抑郁及焦虑程度比较差异无统计学意义(P>0.05);两组干预后的不良情绪评分较干预前有所降低,观察组的抑郁及焦虑评分低于对照组(t=3.203,-5.397;P<0.01);两组干预后的自身健康状况得分比较无统计学意义(P>0.05),两组干预后的生活活力及社会关系、情感职能、精神健康得分水平比干预前高,且观察组患者干预后的生活活力及社会关系、情感职能、精神健康得分水平均明显高于对照组(t=-7.804,-12.953,-8.838,-7.479;P<0.001)。结论:对腹股沟疝修补术患者,采取聚焦解决教育模式干预治疗可有效的降低该类患者的围术期疼痛,并改善其的负性情绪,提高生活质量,减少住院时间,促进早日康复。
Objective:To investigate application of solution focused education model in improving negative emotion and quality of life of inguinal hernia repair patients.Methods:A total of 186 cases of laparoscopic inguinal hernia repair in our hospital from October 2017 to May 2018 were selected and divided into two groups according to the random number expression method,each with 93 cases.The control group was treated with routine intervention,while the observation group was treated with solution focused education model.1 mon later,the perioperative indexes,pain scores,negative emotions and quality of life were compared between the two groups.Results:There was no significant difference in the operation time and intraoperative blood loss between the two groups(P>0.05);Postoperative pain,hospitalization time,and pain score were lower in the observation group than in the control group(t=-118.821,-11.708,-14.141;P<0.001);The scores of depression and anxiety between the two groups before intervention had no difference(P>0.05),which were decreased after intervention,and were lower in the observation group than in the control group(t=3.203,-5.397;P<0.01).The self-health score between the two groups after intervention had no difference(P>0.05).The scores of vitality and social relationship,emotional function and mental health were increased after intervention,and were higher in the observation group than that in the control group(t=-7.804,-12.953,-8.838,-7.479;P<0.001).Conclusion:The application of solution focused education model can effectively ameliorate the perioperative pain,negative emotions,and quality of life,reduce hospital stay,and promote early recovery for inguinal hernia repair patients.
Objective:To investigate application of solution focused education model in improving negative emotion and quality of life of inguinal hernia repair patients.Methods:A total of 186 cases of laparoscopic inguinal hernia repair in our hospital from October 2017 to May 2018 were selected and divided into two groups according to the random number expression method,each with 93 cases.The control group was treated with routine intervention,while the observation group was treated with solution focused education model.1 mon later,the perioperative indexes,pain scores,negative emotions and quality of life were compared between the two groups.Results:There was no significant difference in the operation time and intraoperative blood loss between the two groups(P>0.05);Postoperative pain,hospitalization time,and pain score were lower in the observation group than in the control group(t=-118.821,-11.708,-14.141;P<0.001);The scores of depression and anxiety between the two groups before intervention had no difference(P>0.05),which were decreased after intervention,and were lower in the observation group than in the control group(t=3.203,-5.397;P<0.01).The self-health score between the two groups after intervention had no difference(P>0.05).The scores of vitality and social relationship,emotional function and mental health were increased after intervention,and were higher in the observation group than that in the control group(t=-7.804,-12.953,-8.838,-7.479;P<0.001).Conclusion:The application of solution focused education model can effectively ameliorate the perioperative pain,negative emotions,and quality of life,reduce hospital stay,and promote early recovery for inguinal hernia repair patients.
引文
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[9]张玲玲,魏素霞,高永平.聚焦解决模式在肺癌患者术前心理干预中的应用效果[J].中华现代护理杂志,2016,22(1):73-76
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[11]曾迎迎,任慧琳.聚焦解决模式在老年胸腰椎骨折经皮椎体成形术患者护理中的应用[J].西部中医药,2018,31(2):125-127
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[13]Ergonenc T,Beyaz S G,Ozocak H,et al.Persistent postherniorrhaphy pain following inguinal hernia repair:A cross-sectional study of prevalence,pain characteristics,and effects on quality of life[J].International Journal of Surgery,2017,15(7):374-376
[14]吴晖,汪珍.聚焦解决模式在老年骨质疏松性骨折患者护理中的应用[J].山西医药杂志,2017,46(7):847-849
[15]张玲玲,高永平,魏素霞.聚焦解决模式在肺癌手术患者健康教育中的应用[J].河北医科大学学报,2016,37(10):1174-1177
[16]徐小群,许多,吴蒸.聚焦解决模式在改善甲状腺癌手术患者围术期负性情绪和生活质量的应用效果[J].浙江医学,2016,38(17):1456-1459
[2]张芳,吴春明,张济周.聚焦解决模式对肝癌射频消融术患者生活质量及心理的影响[J].护士进修杂志,2016,31(15):1397-1399
[3]方宏,张莉.聚焦解决模式对经皮肾镜超声碎石术患者负性情绪的影响[J].中国医药导报,2017,14(1):150-153
[4]王菊子,刘朝华,任书葶.聚焦解决模式对肺癌术后化疗病人负性情绪及生活质量的影响[J].护理研究,2017,31(4):511-512
[5]陈志玲,江锦芳,曾珊,等.聚焦解决模式对癌症化疗患者负性情绪和应对方式的影响[J].实用临床医药杂志,2016,20(14):167-169
[6]杨艳秋.聚焦解决模式在改善眼球摘除患者负性情绪中的影响[J].中国实用护理杂志,2016,32(1):123-123
[7]刘微.聚焦解决模式对改善围术期食管癌患者焦虑抑郁的影响[J].中国健康心理学杂志,2017,25(10):1487-1491
[8]叶向柳,谢盈,蒋维连,等.聚焦解决模式对肺癌术后患者配偶积极感受及负性情绪的影响[J].护理管理杂志,2017,17(9):665-667
[9]张玲玲,魏素霞,高永平.聚焦解决模式在肺癌患者术前心理干预中的应用效果[J].中华现代护理杂志,2016,22(1):73-76
[10]赵艺寻,莹丹.心理干预对慢性心力衰竭患者负性情绪和生活质量的影响[J].中国健康心理学杂志,2017,32(12):1799-1802
[11]曾迎迎,任慧琳.聚焦解决模式在老年胸腰椎骨折经皮椎体成形术患者护理中的应用[J].西部中医药,2018,31(2):125-127
[12]Liem L,Mekhail N.Management of postherniorrhaphy chronic neuropathic groin pain:A role for dorsal root ganglion stimulation[J].Pain Practice,2016,15(7):486-488
[13]Ergonenc T,Beyaz S G,Ozocak H,et al.Persistent postherniorrhaphy pain following inguinal hernia repair:A cross-sectional study of prevalence,pain characteristics,and effects on quality of life[J].International Journal of Surgery,2017,15(7):374-376
[14]吴晖,汪珍.聚焦解决模式在老年骨质疏松性骨折患者护理中的应用[J].山西医药杂志,2017,46(7):847-849
[15]张玲玲,高永平,魏素霞.聚焦解决模式在肺癌手术患者健康教育中的应用[J].河北医科大学学报,2016,37(10):1174-1177
[16]徐小群,许多,吴蒸.聚焦解决模式在改善甲状腺癌手术患者围术期负性情绪和生活质量的应用效果[J].浙江医学,2016,38(17):1456-1459