基于跨理论模型的家庭关怀干预对子宫肌瘤全子宫切除术患者出院准备度的影响OA
Impact of family care intervention based on the transtheoretical model on discharge readiness in patients undergoing total hysterectomy for uterine fibroids
目的 探讨基于跨理论模型(TTM)的家庭关怀干预对子宫肌瘤全子宫切除术患者出院准备度的影响.方法 以 2023 年 7 月至 2025 年 6 月在厦门大学附属中山医院行子宫肌瘤全子宫切除术的 94 例患者为研究对象,采用随机数字表法分为观察组及对照组,各 47 例.对照组给予常规干预,观察组在对照组的基础上给予基于TTM的家庭关怀干预.比较2 组的干预效果.结果 干预5 d后和出院前,观察组的血清醛固酮、去甲肾上腺素、血管紧张素Ⅱ水平以及日常生活能力和焦虑自评量表评分均低于对照组,自我护理能力量表各维度评分和生活质量测试卷评分均高于对照组(P均<0.05),且2 组均优于干预前(P均<0.05).出院前,观察组的出院准备度量表评分高于对照组(P<0.05).结论 基于TTM的家庭关怀干预可提高子宫肌瘤全子宫切除术后患者的自我护理能力、生活质量、日常生活能力、出院准备度,减轻应激反应,降低焦虑程度.
Objective To explore the impact of family care intervention based on the transtheoretical model(TTM)on discharge readiness in patients undergoing total hysterectomy for uterine fibroids.Methods A total of 94 patients who underwent total hysterectomy for uterine fibroids at Zhongshan Hospital Xiamen University from July 2023 to June 2025 were enrolled and randomly divided into an observation group and a control group by the use of a random number table,with 47 cases in each group.The control group received routine intervention,while the observation group additionally received family care intervention based on the TTM.The intervention effects were compared between the two groups.Results After 5 days of intervention and before discharge,the observation group showed lower levels of serum aldosterone,norepinephrine,and angiotensin Ⅱ,as well as lower scores on the Activities of Daily Living Scale and Self-Rating Anxiety Scale,compared with the control group.The observation group also exhibited higher scores on all dimensions of the Exercise of Self-Care Agency and Quality of Life Questionnaire(P<0.05).Both groups showed improvements compared with pre-intervention levels(P<0.05).Before discharge,the observation group had a higher score on the Readiness for Hospital Discharge Scale than the control group(P<0.05).Conclusion Family care intervention based on the TTM can improve self-care ability,quality of life,activities of daily living,and discharge readiness,while reducing stress responses and anxiety levels in patients after total hysterectomy for uterine fibroids.
吴幼清;张秦豫;陈小芳
厦门大学附属中山医院,福建 厦门,361001厦门大学附属中山医院,福建 厦门,361001厦门大学附属中山医院,福建 厦门,361001
医药卫生
子宫肌瘤全子宫切除术跨理论模型家庭关怀干预出院准备度自我护理能力
total hysterectomy for uterine fibroidstranstheoretical modelfamily care interventiondischarge readinessself-care ability
《中西医结合护理（中英文）》 2026 (2)
9-12,4
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