摘要
【目的】探讨家庭赋权理论联合生活希望计划在胃癌患者围术期功能锻炼中的干预效果。【方法】选取本院普外胃病区2019年11月至12月行择期胃癌手术的患者72例,采用随机数字表法分为对照组和试验组各36例;对照组实施常规的功能锻炼方案,试验组实施家庭赋权理论联合生活希望计划的功能锻炼方案,其他护理措施均按本科室护理常规实施。应用Herth希望量表、术后首次下床活动时间、每日功能锻炼时长、肛门首次排气时间、首次饮水时间、患者住院时间评价方案对患者的影响;应用照顾者积极感受量表评价方案对照顾者的影响。【结果】干预后患者术后首次下床活动时间、每日锻炼时长、术后胃肠蠕动恢复时间、首次饮水时间均优于对照组,住院时间小于对照组,差异具有统计学意义(P<0.05)。主要照顾者的积极感受总分、患者的希望水平评分(HHI)均高于对照组,差异有统计学意义(P<0.05)。【结论】家庭赋权理论联合生活希望计划的围术期功能锻炼方案有利于提高胃癌患者锻炼的效果,促进了患者的康复。
【Objective】To explore the intervention effect of family empowerment theory and life hope plan in perioperative functional exercise for gastric cancer patients.【Methods】A total of 72 cases with gastric cancer undergoing selective gastric cancer operation in the general stomach disease area of our hospital from November to December 2019 were divided into the control group and the experimental group by the random number table method,36 cases in each group.The patients in the control group were treated with the routine functional exercise program,and those in the experimental group were treated with the family empowerment theory combined with the functional exercise program of life hope plan,and other nursing measures were carried out according to our nursing routine.The Herth hope scale,the first time to get out of bed after operation,the length of daily functional exercise,the first anal exhaust time,the first time to drink water,the impact of the patient’s hospitalization time were used to evaluatethe effect of the program on the patients.The carer positive feeling scale was applied to evaluate the impact of the program on the carer.【Results】After intervention,the first time to get out of bed,the time of daily exercise,the time of recovery of gastrointestinal peristalsis and the time of drinking water for the first time were all better than those in the control group,and the hospitalization time was shorter than that in the control group,the difference was statistically significant(P<0.05).The total score of positive feeling and HHI of the main caregivers were higher than those in the control group(P<0.05).【Conclusion】The family empowerment theory combined with life hope plan can improve the compliance of gastric cancer patients with perioperative functional exercise and promote the rehabilitation of patients.
作者
侯慧
顾则娟
陈丽
江娟
HOU Hui;GU Ze-juan;CHEN Li;JIANG Juan(Department of Gastrointestinal Surgery,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《武警后勤学院学报（医学版）》
CAS
2020年第12期43-48,共6页
Journal of Logistics University of PAP（Medical Sciences）
基金
江苏省医学创新团队项目(CXTDA2017019)
关键词
胃癌围术期
功能锻炼
家庭赋权理论
生活希望计划
照顾者积极感受
Perioperativegastric cancer
Functional exercise
Family empowerment theory
Life hope plan
Carer positive feeling
作者简介
侯慧,硕士在读,主管护师,主要从事外科护理工作;通信作者:顾则娟,硕士,主任护师,主要从事护理管理工作。
