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時機理論導(dǎo)向護(hù)理在異位妊娠患者腹腔鏡手術(shù)后康復(fù)中的應(yīng)用價值

來源:泰然健康網(wǎng) 時間:2026年03月14日 02:07

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時機理論導(dǎo)向護(hù)理在異位妊娠患者腹腔鏡手術(shù)后康復(fù)中的應(yīng)用價值

王縣歷,都君君,李愛敏

Application value of timing theory-oriented nursing in postoperative rehabilitation of ectopic pregnancy patients undergoing laparoscopic surgery

WANG Xianli, DU Junjun, LI Aimin

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目的  探討時機理論導(dǎo)向護(hù)理在異位妊娠患者腹腔鏡手術(shù)后康復(fù)中的應(yīng)用價值。方法  選取收治的114例行腹腔鏡手術(shù)治療的異位妊娠患者,采用隨機數(shù)字表法分為常規(guī)組和時機理論組,各57例。常規(guī)組采取常規(guī)護(hù)理模式,時機理論組在常規(guī)組基礎(chǔ)上采取時機理論導(dǎo)向護(hù)理。比較兩組的康復(fù)進(jìn)程,以及干預(yù)前后的負(fù)性情緒[漢密爾頓抑郁量表(Hamilton depression scale,HAMD)、漢密爾頓焦慮量表(Hamilton anxiety scale,HAMA)],自我管理能力[成年人健康自我管理能力測評量表(rating scale of health self-management skill for adults,AHSMSRS)]及健康行為。結(jié)果  與常規(guī)組相比,時機理論組患者的術(shù)后首次排氣時間、首次下床活動時間及住院時間更短,HAMD與HAMA評分更低,而自我管理(行為、認(rèn)知、環(huán)境)與健康行為(飲食、用藥、活動、情緒、日常)各項評分更高,且差異均有統(tǒng)計學(xué)意義(均P<0.05)。結(jié)論  時機理論導(dǎo)向護(hù)理能有效緩解異位妊娠腹腔鏡術(shù)后患者的負(fù)性情緒,提升其自我管理能力與健康行為水平,從而促進(jìn)術(shù)后快速康復(fù)。

Abstract

Objective  To explore the application value of timing theory-oriented nursing in the postoperative rehabilitation of ectopic pregnancy patients undergoing laparoscopic surgery. Methods  A total of 114 ectopic pregnancy patients who had undergone laparoscopic surgery were included, and randomly divided into a conventional group and a timing theory group using a random number table method, with 57 cases in each group. The conventional group received standard care, while the timing theory group received timing theory-oriented nursing in addition to the standard care. The rehabilitation progress, and negative emotions [Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA)], self-management ability [rating scale of health self-management skill for adults (AHSMSRS)] and health behaviors were compared between the two groups before and after the intervention. Results  Compared with the conventional group, the timing theory group showed significantly shorter time to first postoperative flatus, first ambulation, and hospital stays. Additionally, the timing theory group had significantly lower HAMD and HAMA scores, and significantly higher scores in self-management (behavior, cognition and environment) and health behaviors (diet, medication, activity, emotion and daily life). All these differences were statistically significant (all P<0.05). Conclusion  Timing theory-oriented nursing could effectively alleviate negative emotions, enhance self-management ability and health behavior levels, and thereby promote rapid postoperative recovery in ectopic pregnancy patients after laparoscopic surgery.

關(guān)鍵詞

異位妊娠 /時機理論 /腹腔鏡手術(shù) /術(shù)后康復(fù){{custom_keyword}} /

Key words

ectopic pregnancy /timing theory /laparoscopic surgery /postoperative rehabilitation{{custom_keyword}} /

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王縣歷, 都君君, 李愛敏.時機理論導(dǎo)向護(hù)理在異位妊娠患者腹腔鏡手術(shù)后康復(fù)中的應(yīng)用價值[J]. 實用心電與臨床診療, 2026, 35(1): 129-134 https://doi.org/10.13308/j.issn.2097-5716.xd20250233

WANG Xianli, DU Junjun, LI Aimin.Application value of timing theory-oriented nursing in postoperative rehabilitation of ectopic pregnancy patients undergoing laparoscopic surgery[J]. Practical Electrocardiology and Clinical Treatment, 2026, 35(1): 129-134 https://doi.org/10.13308/j.issn.2097-5716.xd20250233

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