基于症状管理理论的"症状-风险"双维干预模型在子宫内膜异位症腹腔镜术后患者中的构建及应用效果评价OA
Construction and application evaluation of a"symptom-risk"dual dimensional intervention model based on symptom management theory in patients after laparoscopic surgery for endometriosis
目的 探讨基于症状管理理论的"症状-风险"双维干预模型在子宫内膜异位症腹腔镜术后患者中的构建及应用效果.方法 选取2022年1月至2025年1月山东大学齐鲁医院收治的140例子宫内膜异位症腹腔镜术后患者进行研究对象,以随机数字表法将其分为对照组(n=70)和观察组(n=70).对照组接受常规护理,观察组在对照组的基础上接受基于症状管理理论的"症状-风险"护理,2组均护理至出院.比较2组的各指标恢复情况,比较2组护理前、护理7 d 后、出院前的性激素水平、生存质量测定量表简表(WHOQOL-BREF)评分,出院前比较2组的并发症发生率.结果 观察组的下床活动时间、排气时间、进食时间、排便时间、切口愈合时间及住院时间均早于或短于对照组(P 均<0.05).护理7 d后、出院前,观察组的血清促黄体生成素(LH)、卵泡刺激素(FSH)水平均高于对照组(P 均<0.05),雌二醇(E2)低于对照组(P<0.05);观察组 WHOQOL-BREF 的4个维度评分均高于对照组(P 均<0.05).观察组的并发症总发生率低于对照组(P<0.05).结论 基于症状管理理论的"症状-风险"双维干预模型在子宫内膜异位症腹腔镜术后患者中的应用效果良好,可有效调节患者术后性激素水平,加快康复进程,提升生活质量,同时降低术后并发症发生风险.
Objective To explore the construction and application effect of a"symptom-risk"dual dimensional intervention model based on symptom management theory in patients after laparoscopic surgery for endometriosis.Methods A total of 140 patients with endometriosis who underwent laparoscopic surgery at Qilu Hospital of Shandong University from January 2022 to January 2025 were selected and assigned into a control group(n=70)and an observation group(n=70)using a random number table.The control group received routine nursing,while the observation group received"symptom-risk"nursing based on symptom management theory in addition to the nursing given to the control group.Both groups received nursing until discharge.The postoperative recovery of various indicators was compared between the two groups.The sex hormone levels and the World Health Organization Quality of Life-BREF Scale(WHOQOL-BREF)score were compared before nursing,at 7 days after nursing,and before discharge.The incidence of complications before discharge was also compared between the two groups.Results The observation group had shorter time to ambulation,flatus passage,food intake,defecation,and wound healing,as well as length of hospital stay,than the control group(P<0.05).After 7 days of nursing and before discharge,the serum luteinizing hormone(LH)and follicle-stimulating hormone(FSH)levels in the observation group were higher than those in the control group(P<0.05),and the Estradiol(E2)levels were lower than those in the control group(P<0.05).The scores across four dimensions of the WHOQOL-BREF in the observation group were all higher than those in the control group(P<0.05).The overall incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The"symptom-risk"dual dimensional intervention model based on symptom management theory demonstrated good efficacy in patients after laparoscopic surgery for endometriosis,which can effectively adjust levels of postoperative sex hormones,accelerate recovery process,improve quality of life,and reduce the risks of postoperative complications.
李青;徐敏;周腾;石丛丛;刘朝霞;张燕;张艳玲
山东大学齐鲁医院,山东 济南,250000山东大学齐鲁医院,山东 济南,250000山东大学齐鲁医院,山东 济南,250000山东大学齐鲁医院,山东 济南,250000山东大学齐鲁医院,山东 济南,250000山东大学齐鲁医院,山东 济南,250000
医药卫生
子宫内膜异位症症状管理理论"症状-风险"护理生活质量性激素
endometriosissymptom management theory"symptom-risk"nursingquality of lifesex hormone
《中西医结合护理（中英文）》 2026 (6)
12-15,4
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