基于行为动机转换理念的康复护理对急性化脓性阑尾炎患者术后恢复及预后的影响.docxVIP

基于行为动机转换理念的康复护理对急性化脓性阑尾炎患者术后恢复及预后的影响 　　[摘要]目的探討行为动机转换理念的康复护理对急性化脓性阑尾炎患者术后恢复及预后的影响，为临床护理提供指导。方法选取2017年8月～2018年7月我院收治的120例急性阑尾炎患者作为研究对象，按照简单随机分组法分为观察组和对照组。对照组进行常规护理，观察组则施行系统化的康复护理，对患者的行为动机进行干预。对比两组患者的下床活动时间、初次肛门排气时间、住院时间、并发症发生率和护理满意度。结果观察组患者下床活动时间、初次肛门排气时间、住院时间明显短于对照组，并发症发生率明显低于对照组，且护理满意度明显高于对照组，差异均具有统计学意义（p0.05）。结论行为动机转换理念的综合性康复护理有助于急性化脓性阑尾炎患者术后的恢复，可显著缩患者的住院时间，降低术后并发症的发生率，有良好的推广价值。 　　[关键词]行为动机转换理念;康复护理;急性化脓性阑尾炎;术后恢复;预后 　　[中图分类号]r473.6[文献标识码]b[文章编号]1673-9701（2019）35-0151-04 　　effectofrehabilitationnursingbasedonbehavioralmotiveconversionconceptonpostoperativerecoveryandprognosisofpatientswithacutesuppurativeappendicitis 　　caiyufei 　　emergencydepartment，xiamenlianhuahospital，xiamen361100，china 　　[abstract]objectivetoexploretheeffectofrehabilitationnursingbasedonbehavioralmotiveconversionconceptonthepostoperativerecoveryandprognosisofpatientswithacutesuppurativeappendicitisinordertoprovideguidanceforclinicalnursing.methodsatotalof120patientswithacuteappendicitisadmittedtoourhospitalfromaugust2017tojuly2018wereenrolledinthestudyanddividedintotheobservationgroupandthecontrolgroupaccordingtothesimplerandomgroupingmethod.conventionalnursingwasimplementedinthecontrolgroupwhilesystematicrehabilitationnursingwasimplementedintheobservationgroupandthepatientsbehavioralmotivationwasintervened.thetimeofgettingoutofbed，timeofinitialanalexhaust，lengthofhospitalstay，incidenceofcomplicationsandnursingsatisfactionratewerecomparedbetweenthetwogroups.resultsintheobservationgroup，thetimeofgettingoutofbed，timeofinitialanalexhaustandlengthofhospitalstayweresignificantlyshorterthanthoseofthecontrolgroup，theincidenceofcomplicationswassignificantlylowerthanthatofthecontrolgroup，andthenursingsatisfactionratewassignificantlyhigherthanthatofthecontrolgroup，withstatisticallysignificantdifferences（p0.05）.conclusionthecomprehensiverehabilitationnursingbasedonbehavioralmotivationconversionconceptishelpfulforthepostoperativerecoveryofpatientswithacutesuppurativeappendicitis