马斯洛需求层次理论驱动的多维度干预对子宫肌瘤患者围术期心理、疼痛及康复的影响OA

Objective:To explore the impact of an intervention program based on Maslow's hierarchy of needs theo-ry on the perioperative psychological state,pain management,and postoperative rehabilitation of patients with uterine fibroids.Methods:A total of 102 patients who underwent uterine fibroid surgery from January 2023 to December 2024 were selected and randomly divided into two groups:The control group and the observation group,with 51 pa-tients in each group.The control group received routine perioperative management,while the observation group re-ceived a multi-dimensional comprehensive intervention based on Maslow's hierarchy of needs theory on the basis of routine management.The following indicators were compared between the two groups:Pain intensity(assessed by Visual Analogue Scale,VAS)at T0(preoperation),T1(4th week after intervention),T2(12th week after interven-tion),and T3(24th week after intervention);Mental status(assessed by Self-Rating Anxiety Scale,SAS,and Self-Rating Depression Scale,SDS)and self-esteem level(assessed by Self-Esteem Scale,SES)at T0(preintervention),T1(24 hours postoperation),T2(72 hours postoperation),and T3(before discharge);Postoperative recovery status,including indicators such as postoperative defecation time and abdominal distension disappearance time.Results:Be-fore the intervention,there were no significant differences in all indicators between the two groups(P＞0.05).After the intervention,the SAS and SDS scores of the observation group were lower than those of the control group at the same time points at T1,T2,and T3(t=-3.217,-2.876,-5.894,-5.142,-8.326,-7.910;P＜0.05).Regarding self-es-teem level,at T1 and T2,the behavioral self-esteem score,social self-esteem score,appearance self-esteem score,and total score of the observation group were higher than those of the control group at the same time points,with statistically significant differences(t=3.421,3.789,3.125,3.956,6.872,7.153,6.540,8.274;P＜0.05),while there was no significant difference between the two groups at T3(P＞0.05).In terms of pain level,the pain scores of the observation group were lower than those of the control group at the same time points at T1 and T2,with statisti-cally significant differences(t=-4.783,-6.215;P＜0.05),and no significant difference was found between the two groups at T3(P＞0.05).In terms of postoperative rehabilitation,the postoperative defecation time,abdominal disten-sion disappearance time,anal exhaust time,out-of-bed activity time,and bowel sound recovery time of the obser-vation group were shorter than those of the control group(t=-11.442,-16.984,-10.093,-9.874,-5.382;P＜0.05).Conclusion:The multi-dimensional comprehensive intervention based on Maslow's hierarchy of needs theory can im-prove the perioperative psychological state,reduce pain,promote postoperative rehabilitation,and enhance the self-esteem level of patients with uterine fibroids,showing clinical application value.