Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2024; 3: (8) ; 10.12208/j.jacn.20240303 .
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南京医科大学眼科医院 江苏南京
*通讯作者: 吕洁,单位:南京医科大学眼科医院 江苏南京;
目的 分析在眼科患者手术室护理过程中应用行为改变模式(BCW)理论辅助健康教育的临床效果。方法 择2022年1月-2023年1月100例眼科手术患者作为研究对象,由于患者临床护理存在差异性,故根据护理措施将患者分组,采用常规手术室护理者纳入参照组(50例),采用BCW理论辅助健康教育者纳入研究组(50例),对比护理效果,统计患者负性情绪评分(SAS、SDS)、对疾病知识的掌握情况(疾病知识、手术知识、遵医行为、日常保健)、患者依从性、术后恢复情况(视力、住院时间)、护理满意度两组数据,通过数据统计后对比来判定护理措施的有效性。结果 患者负性情绪评分、对疾病知识的掌握情况、患者依从性、术后恢复情况、护理满意度各项数据统计后对比,两组具有明显差异,且研究组优于参照组(P<0.05)。结论 在眼科患者手术室护理过程中应用行为改变模式(BCW)理论辅助健康教育的临床效果理想,可明显缓解患者负性情绪,同时增强患者对疾病知识的掌握程度,提高患者临床治疗依从性,促进术后视力恢复,促使患者尽早出院,护理措施得到患者满意,具有广泛应用价值。
Objective To analyze the clinical effect of applying the behavior change model (BCW) theory to health education in the operation room nursing of eye patients. Methods 100 patients with eye surgery from January 2022 to January 2023 were selected as the study objects. Due to the differences in clinical nursing of patients, patients were divided into groups according to nursing measures, with routine operating room nurses included in the reference group (50 cases) and health educators assisted by BCW theory included in the study group (50 cases), and nursing effects were compared. Patients' negative emotion score (SAS, SDS), mastery of disease knowledge (disease knowledge, surgical knowledge, compliance behavior, daily health care), patient compliance, postoperative recovery (vision, length of stay), and nursing satisfaction were counted and compared to determine the effectiveness of nursing measures. Results After statistical comparison, there were significant differences between the two groups in negative emotion score, mastery of disease knowledge, patient compliance, postoperative recovery and nursing satisfaction, and the study group was superior to the reference group (P < 0.05). Conclusion The application of behavior change model (BCW) theory in the nursing process of ophthalmic patients in the operating room has ideal clinical effect, which can significantly alleviate patients' negative emotions, enhance patients' grasp of disease knowledge, improve patients' clinical treatment compliance, promote postoperative visual recovery, promote patients to leave hospital as soon as possible, and obtain patients' satisfaction with nursing measures. It has wide application value.
[1] 宁雪琴,王怡,廉莲. BCW理论辅助健康教育在眼科患者手术室护理过程中的作用[J]. 中国当代医药,2022, 29 (20): 189-192,196.
[2] 胡思乐,吴孟波. 基于BCW理论的健康教育模式在眼科患者中的应用效果[J]. 临床医学研究与实践,2021, 6(22): 153-156.
[3] 叶菁菁,张咏梅,谢倩倩,等. 基于行为改变轮理论的健康教育与康复锻炼对全髋关节置换术后患者髋关节功能恢复的影响[J]. 现代预防医学,2021,48(6):1132-1135, 1148.
[4] 彭于娇,万阳阳,饶治嫦. 分阶段改变理论的匹配护理模式在老年急性髓系白血病患者中的临床应用[J]. 老年医学与保健,2023,29(2):314-318,341.
[5] 杨柳. 眼科护理风险的原因分析及防范措施[J]. 养生大世界,2021(2):123,125.
[6] 韩树芬. 糖尿病视网膜病变的眼科整体护理效果分析[J]. 实用医技杂志,2020,27(6):807-808.
[7] 邓婕. 心理护理联合健康教育对于老年眼科手术患者的影响[J]. 国际精神病学杂志,2019,46(6):1134-1136, 1143.
[8] 张海林. 探究规范化健康教育在眼科手术患者护理中的应用效果[J]. 母婴世界,2019(18):258.
[9] 梁永霞,李玫. 针对性护理措施对高龄白内障并青光眼围手术期患者影响研究[J]. 现代中西医结合杂志,2019, 28(3):331-334.
[10] 孙俊华,张经慧,马金玉. 基于行为改变理论的健康教育模式在乳腺癌内分泌治疗患者护理中的应用效果[J]. 保健医学研究与实践,2022,19(8):147-150.