[1]曾惠玲,杨 珊.基于Roy适应模式的强化宣教护理对子宫肌瘤手术患者康复及自护能力的影响[J].医学信息,2026,39(10):183-187.[doi:10.3969/j.issn.1006-1959.2026.10.035]
　ZENG Huiling,YANG Shan.Effects of Intensive Health Education Nursing Based on the Roy Adaptation Model on Rehabilitationand Self-care Ability of Patients Undergoing Uterine Fibroid Surgery[J].Journal of Medical Information,2026,39(10):183-187.[doi:10.3969/j.issn.1006-1959.2026.10.035]
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基于Roy适应模式的强化宣教护理对子宫肌瘤手术患者康复及自护能力的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年10期
页码:
183-187
栏目:
照护实践信息
出版日期:
2026-05-15

文章信息/Info

Title:
Effects of Intensive Health Education Nursing Based on the Roy Adaptation Model on Rehabilitationand Self-care Ability of Patients Undergoing Uterine Fibroid Surgery
文章编号:
1006-1959（2026）10-0183-05
作者:
曾惠玲1; 杨 珊2
永丰县人民医院妇产科1，手术室2，江西 永丰 331500
Author(s):
ZENG Huiling1;  YANG Shan2
Department of Obstetrics and Gynecology1, Operating Room2, Yongfeng County People′s Hospital, Yongfeng 331500, Jiangxi, China
关键词:
Roy适应模式; 强化宣教护理; 子宫肌瘤手术; 自护能力
Keywords:
Roy adaptation mode;  Intensive health education nursing;  Uterine fibroid surgery;  Self-care ability
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2026.10.035
文献标志码:
A
摘要:
目的 探讨基于Roy适应模式的强化宣教护理对子宫肌瘤手术患者康复及自护能力的影响。方法 选取2022年1月-2024年11月永丰县人民医院收治的子宫肌瘤手术患者60例作为研究对象，按照随机数字表法将其分为对照组和研究组，每组30例。对照组实施常规护理，研究组在对照组基础上实施基于Roy适应模式的强化宣教护理。比较两组术后康复情况（下床活动时间、肛门排气时间、住院时间、首次排便时间、肠鸣音恢复时间）、自护能力（主动应对、个体动机、知识储备、自我价值感）、心理状态[焦虑自评量表（SAS）、抑郁自评量表（SDS）]、术后并发症发生率（切口感染、肺部感染、深静脉血栓形成、尿潴留）。结果 研究组下床活动时间、肛门排气时间、住院时间、首次排便时间、肠鸣音恢复时间均较对照组缩短（P＜0.05）。与对照组护理后自护能力、心理状态比较，研究组自护能力各维度评分更高，SAS评分、SDS评分更低（P＜0.05）；在术后并发症发生率方面，研究组（0）低于对照组（13.33%）（P＜0.05）。结论 基于Roy适应模式的强化宣教护理能有效改善子宫肌瘤手术患者的术后康复情况，提高自护能力，减轻焦虑、抑郁情绪，降低术后并发症发生率。
Abstract:
Objective To assess the effects of intensive health education nursing based on the Roy adaptation model on rehabilitation and self-care ability of patients undergoing uterine fibroid surgery. Methods Sixty patients who underwent uterine fibroid surgery at Yongfeng County People′s Hospital from January 2022 to November 2024 were enrolled in this study and randomly assigned via a random number table method to either a control group or a study group, with 30 patients in each group. Patients in the control group received routine nursing, whereas those in the study group received intensive health education nursing based on the Roy adaptation model in addition to the routine nursing. The two groups were compared regarding postoperative rehabilitation indexes (ambulation time, time to first flatus, length of hospital stay, time to first defecation, and time to bowel sound recovery), self-care ability (active coping, individual motivation, knowledge reserve, and self-worth), psychological status [the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS)], and the incidence of postoperative complications (incision infection, pulmonary infection, deep vein thrombosis, and urinary retention). Results The ambulation time, time to first flatus, length of hospital stay, time to first defecation, and time to bowel sound recovery in the study group were shorter than those in the control group (P<0.05). Compared with the self-care ability and psychological state of the control group after nursing, the scores of each dimension of self-care ability in the study group were higher, and the scores of SAS and SDS were lower (P<0.05). In terms of the incidence of postoperative complications, the study group (0) was lower than the control group (13.33%) (P<0.05). Conclusion Intensive health education nursing based on the Roy adaptation model effectively promotes postoperative rehabilitation, improves self-care ability, relieves anxiety and depressive symptoms, and decreases the rate of postoperative complications among patients undergoing uterine fibroid surgery.

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更新日期/Last Update: 1900-01-01