基于情绪认知的问题解决策略在粘连性肠梗阻患者中的应用

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

周海燕¹ 

关键词: 情绪;    认知;    聚焦问题解决模式;    粘连性肠梗阻;    腹腔镜;    自我效能;   

DOI  :  10.11997/nitcwm.201702009

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the effect of emotion-based and cognitive-focused problem solving strategies on self-efficacy and complication in patients with adhesive ileus treated with laparoscopy.Methods A total of 84 patients with adhesive ileus treated with laparoscopy were randomly divided into the study group and the control group, with 42 cases in each group. Both two groups received routine nursing care during treatment, and the emotion-based and cognitive-focused problem solving strategies were provided in the study. The self-efficacy of patients was evaluated by self-efficacy questionnaire before and 4 weeks after intervention. The incidence of postoperative complications, postoperative ambulation time, gastrointestinal function recovery and length of hospital stay were compared between two groups.Results Patients in the study group achieved higher score in disease knowledge, awareness of unhealthy diet, treatment knowledge, self management knowledge and complication prevention knowledge compared with those in the control group, with significant difference(P<0.05). The complication rate was 9.5%(4/42)in the study group and was 30.9%(13/42)in the control group, with a significant difference(P<0.05). The postoperative ambulation time, gastrointestinal function recovery time and length of hospital stay were shorter in the study group than those in the control group, with significant difference(P<0.05).Conclusion For patients with adhesive ileus treated with laparoscopy, the introduction of emotion-based and cognitive-focused problem solving strategies can effectively improve the self-efficacy of patients and reduce the risk of complications.

【 授权许可】

CC BY-NC