基于计划行为理论的全过程管理对急性尾炎患者术后恢复的影响
1Emergency Intensive Care Unit, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China.
World journal of gastrointestinal surgery
|December 8, 2025
概括
基于计划行为理论 (TPB) 的全过程管理显著改善了急性尾炎患者的康复. 这种方法可以减少疼痛,并发症和住院时间,提高患者的整体结果和满意度.
科学领域:
- 手术护理 医疗护理 医疗护理
- 健康行为理论健康行为理论
- 患者恢复协议的患者恢复协议.
背景情况:
- 全程护理和计划行为理论 (TPB) 通常用于慢性疾病.
- 急性腹部疾病,如尾炎,由于紧急手术和有限的准备,具有独特的挑战.
- 患者和家人可能会低估术后康复在急性手术环境中的重要性.
研究的目的:
- 调查基于TPB的全过程管理对急性尾炎患者的有效性.
- 评估对术后康复和并发症率的影响.
- 探索TPB在急性外科护理中的应用.
主要方法:
- 180名急性尾炎患者被随机分为控制 (常规护理) 和实验 (TPB管理) 组.
- 实验组接受了全过程的TPB管理,而控制组接受了标准的护理.
- 术后恢复指标和并发症发生率在各组之间进行了比较.
主要成果:
- TPB组的恢复时间显著缩短 (排气,肠道声音,排便,行走,住院).
- 在TPB组中观察到疼痛减少 (视觉模拟尺度) 和更低的并发症率.
- 与对照组相比,TPB组的患者满意度更高,手术后焦虑减少.
结论:
- 基于TPB的全过程管理在加速急性尾炎的术后恢复方面是有效的.
- 这种方法有效地减少疼痛,并发症和焦虑,改善患者的治疗结果.
- TPB为管理急性手术患者提供了一个有价值的框架.
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