摘要
目的:探讨腹腔镜肝切除术患者应用基于授权理论的5E干预模式对其自我效能及希望水平的影响。方法:选取蚌埠医科大学第一附属医院2021年3月—2024年9月收治的80例拟行腹腔镜肝切除术患者作为研究对象,采用随机数字表法分组。对照组(n=40)予以常规干预,观察组(n=40)在对照组的基础上予以基于授权理论的5E干预模式。比较两组术后恢复指标[首次肛门排气时间、首次排便时间及肠鸣音恢复时间]、自我效能[一般自我效能感量表(GSES)]、希望水平[Herth希望指数(HHI)]及并发症发生情况。结果:观察组首次肛门排气时间、首次排便时间及肠鸣音恢复时间均较对照组早,差异均有统计学意义(P<0.05)。入院后1 d,两组患者GSES、HHI评分比较,差异均无统计学意义(P>0.05);出院前,两组患者GSES、HHI评分均升高,且观察组均较对照组高(P<0.05)。观察组并发症总发生率为5.00%(2/40),低于对照组的22.50%(9/40),差异有统计学意义(P<0.05)。结论:腹腔镜肝切除术患者应用基于授权理论的5E干预模式能有效促进患者术后康复,提升自我效能及希望水平,降低术后并发症发生率。
Objective:To explore the effects of 5E intervention model based on authorization theory on self-efficacy and hope level of patients undergoing laparoscopic hepatectomy.Method:A total of 80 patients who were scheduled to undergo laparoscopic hepatectomy and admitted to the First Affiliated Hospital of Bengbu Medical University from March 2021 to September 2024 were selected as the research subjects and grouped by the random number table method.The control group(n=40)was given conventional intervention,and the observation group(n=40)was given the 5E intervention model based on the authorization theory on the basis of the control group.The postoperative recovery indexes[time of first anal exhaust,time of first defecation and recovery time of bowel sounds],self-efficacy[general self-efficacy scale(GSES)],hope level[Herth hope index(HHI)]and the occurrence of complications were compared between the two groups.Result:The time of first anal exhaust,time of first defecation and recovery time of bowel sounds in the observation group were earlier than those in the control group,the differences were statistically significant(P<0.05).1 day after admission,there were no statistically significant differences in the GSES and HHI scores between the two groups of patients(P>0.05).Before discharge,the GSES and HHI scores of both groups increased,and those in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was 5.00%(2/40),which was lower than 22.50%(9/40)in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of the 5E intervention model based on authorization theory in patients undergoing laparoscopic hepatectomy can effectively promote postoperative recovery,enhance self-efficacy and hope level,and reduce the incidence of postoperative complications.
作者
胡蓓蓓
HU Beibei(Department of Hepatobiliary Pancreatic SurgeryⅠWard,the First Affiliated Hospital of Bengbu Medical University,Bengbu 233000,China)
出处
《中国医学创新》
2025年第17期84-88,共5页
Medical Innovation of China
关键词
腹腔镜肝切除术
授权理论
5E干预模式
自我效能
希望水平
Laparoscopic hepatectomy
Authorization theory
5E intervention mode
Self-efficacy
Hope level
