摘要目的 探讨知信行护理模式在胆囊切除术患者中的应用价值。方法 选取2017年1月～2019年1月我院收治的60 例胆囊结石、胆囊炎患者作为研究对象，按照护理方式的不同分为对照组（n=30）与观察组（n=30）。对照组采用传统护理服务模式，观察组采用KABP 护理服务模式。比较两组术后肠鸣音恢复时间、术后恢复排气时间、术后恢复排便时间、术后进食时间、视觉模拟量表（VAS）评分、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、匹兹堡睡眠质量指数（PSQI）评分、护理干预前及干预后10 d 腹胀评分、恶心呕吐评分。结果 观察组术后肠鸣音恢复时间、术后恢复排气时间、术后恢复排便时间、术后进食时间短于对照组，差异均有统计学意义（P＜0.05）；观察组VAS、SAS、SDS、PSQI 评分低于对照组，差异均有统计学意义（P＜0.05）；两组干预10 d 后腹胀与恶心呕吐评分高于干预前，观察组干预10 d 后腹胀与恶心呕吐评分低于对照组，差异均有统计学意义（P＜0.05）。结论 为胆囊切除术患者选用KABP 护理服务模式显示较优护理效果，有助于患者术后机体恢复，减轻其疼痛，改善其焦虑、抑郁状况，改善其睡眠质量，缓解腹胀、恶心呕吐症状。
Abstract：Objective To explore the application value of knowledge attitude belief practice (KABP) mode in patients with cholecystectomy. Methods Sixty patients with gallstone,cholecystitis treated in our hospital from January 2017 to January 2019 were selected as the research subjects,and they were divided into the control group (n=30) and the observation group (n=30) according to the different nursing methods.In the control group,the traditional nursing service mode was used.In the observation group,KABP nursing mode was applied.The time of bowel sound recovery after surgery,the time to get exhausted after surgery,the time to recover from defecation after surgery,the time to take food after surgery,visual analogue scale (VAS) score,and self-rating anxiety scale (SAS) score,and self-depression rating scale (SDS) score,Pittsburgh sleep quality index (PSQI) score,and scores of abdominal distension and nausea and vomiting before and 10 days after nursing intervention were compared between two groups. Results The time bowel sound recovery after surgery,the time to get exhausted after surgery,the time to recover from defecation after surgery,the time to take food after surgery in the observation group were shorter than those of the control group,the differences were statistically significant (P<0.05).The VAS,SAS,SDS,and PSQI scores were lower in the observation group than that in the control group with statistical differences (P<0.05).The scores of abdominal distension and nausea and vomiting 10 days after intervention were higher than those before intervention,the scores of abdominal distension and nausea and vomiting 10 days after intervention were lower in the observation than those in the control group,with statistical differences (P<0.05).Conclusion The use of KABP nursing service mode for patients performed with cholecystectomy shows favorable nursing effect,which helps patients recover as soon as possible after surgery,alleviate their pain,improve their anxiety and depression,and sleep quality,and relieve abdominal distension and nausea and vomiting.
潘婕； 刘思思； 王康丽. 知信行护理模式在胆囊切除术患者中的应用[J]. 中国当代医药, 2020, 27(21): 228-230.
PAN Jie； LIU Si-si； WANG Kang-li. Application of knowledge attitude belief practice mode in cholecystectomy patients. 中国当代医药, 2020, 27(21): 228-230.
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