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Open Access Article

Journal of Advances in Clinical Nursing. 2024; 3: (10) ; 90-93 ; DOI: 10.12208/j.jacn.20240427.

The nursing intervention of empathy mode improves the psychological state after total hysterectomy for uterine fibroids
同理心模式的护理干预对子宫肌瘤全子宫切除术后心理状态的改善

作者: 左建军 *, 施应华

云南省普洱市人民医院 云南普洱

*通讯作者: 左建军,单位:云南省普洱市人民医院 云南普洱;

发布时间: 2024-10-30 总浏览量: 143

摘要

目的 观察分析对子宫肌瘤全子宫切除术患者实施同理心模式的护理干预的临床效果和应用价值。方法 采用回顾性研究方法,选择院内就诊的60例子宫肌瘤全子宫切除术患者(样本纳入例数:60例;样本纳入时间:2023年5月至2024年5月),以随机摸球为基础分组方式,分为对照、实验两个小组,观察例数高度一致。分别实施常规护理,同理心模式的护理干预。收集分析护理效果。结果 与对照组(常规护理)相比,实验组(同理心模式的护理干预)护理后的生活质量评分(角色功能/情绪功能/认知功能/社会功能/躯体功能)更高,负性情绪评分(SAS/SDS)更低,心理弹性评分(坚韧 /自强/乐观)更高,不良事件发生率更低,差异具有统计学意义(P<0.05)。结论 同理心模式的护理干预可以有效减少子宫肌瘤全子宫切除术患者不良事件发生率,提高心理弹性,改善负性情绪,促进生活质量提升,有较高应用价值。

关键词: 子宫肌瘤全子宫切除术;心理状态;同理心模式;护理效果

Abstract

Objective To observe and analyze the clinical effect and application value of empathy-based nursing intervention for patients with total hysterectomy for uterine fibroids.
Methods A retrospective study method was used to select 60 patients with total hysterectomy for uterine fibroids who were treated in the hospital (sample inclusion number: 60 cases; sample inclusion time: May 2023 to May 2024). The patients were divided into two groups, control and experimental, based on the random ball-touching method. The number of observation cases was highly consistent. Conventional nursing and empathy-based nursing intervention were implemented respectively. The nursing effects were collected and analyzed.
Results Compared with the control group (conventional nursing), the experimental group (empathy-based nursing intervention) had higher quality of life scores (role function/emotional function/cognitive function/social function/physical function) after nursing, lower negative emotion scores (SAS/SDS), higher psychological resilience scores (toughness/self-reliance/optimism), and lower incidence of adverse events. The differences were statistically significant (P<0.05).
Conclusion   The nursing intervention of empathy model can effectively reduce the incidence of adverse events in patients undergoing total hysterectomy for uterine fibroids, improve psychological resilience, improve negative emotions, and promote the improvement of quality of life, which has high application value.

Key words: Total hysterectomy for uterine fibroids; Psychological state; Empathy model; Nursing effect

参考文献 References

[1] 王燕,薛华.时间管理护理程序结合同理心干预对子宫肌瘤行子宫切除术后患者心理弹性及舒适感的影响[J].临床医学研究与实践,2024,9(13):162-165

[2] 刘胜.同理心+罗伊适应护理模式对腹腔镜子宫肌瘤切除术后患者应激反应、心理状态的影响[J].妇儿健康导刊,2023,2(5):136-138

[3] 王秀娟,徐云,李明,等.子宫肌瘤切除术围术期路径式护理措施对患者应激反应及舒适度效果[J].中国计划生育学杂志,2024,32(3):583-588

[4] 李贺蒙,周灵,王敏.基于“生物-心理-社会”的多维护理模式在腹腔镜下子宫切除术患者围术期中的应用[J].中国性科学,2023,32(12):95-99

[5] 占晓芳,盛丽琴.知信行护理模式对子宫肌瘤行经腹全子宫切除术患者心理状态及术后康复的影响[J].中国当代医药,2021,28(8):224-227

[6] 孔海燕.优质护理干预对子宫肌瘤经腹全子宫切除术患者术后心理状态及护理满意度的影响[J].实用妇科内分泌电子杂志,2020,7(20):85-86

[7] 谢月丹.应用同理心护理模式对子宫肌瘤全子宫切除术后生活质量的提升效果分析[J].中国全科医学,2020(S02):245-247

[8] 刘利,李钰,张晓凯,等.针对性心理护理干预在阴式全子宫切除术治疗子宫肌瘤患者中的应用效果及对患者心理健康的影响[J].临床医学研究与实践,2021,6(33):180-182

[9] 徐芬燕,赵航,朱佳丽,等.基于罗伊适应模式护理联合同理心干预对腹腔镜子宫肌瘤切除术后患者生理与心理应激的影响[J].现代实用医学,2021,33(12):1652-1653

[10] 金磊.基于同理心模式的护理干预对子宫肌瘤全子宫切除术后心理状态、生活质量的影响[J].妇儿健康导刊, 2023,2(2):153-155

引用本文

左建军, 施应华, 同理心模式的护理干预对子宫肌瘤全子宫切除术后心理状态的改善[J]. 临床护理进展, 2024; 3: (10) : 90-93.