|
|
|
| Application of case management model based on humanistic care in continuous care of patients undergoing total hysterectomy |
| XU Xiaoqiong1 GUO Ying2 HU Guiqiong3 |
| 1.Department of Anesthesiology, Chinese Academy of Sciences, Leshan Maternal and Child Health Care Hospital, Sichuan Province, Leshan 511102, China; 2.Department of Gynecology, Leshan Maternal and Child Health Care Hospital, Sichuan Province, Leshan 511102, China |
|
|
|
Abstract Objective To explore the application effect of case management model based on humanistic care in continuous care of patients undergoing total hysterectomy. Methods A total of 108 patients with total hysterectomy were selected from Leshan Maternal and Child Health Hospital of Sichuan Province from July 2019 to June 2020. According to the operation time, 57 patients were divided into the observation group (July to December 2019) and 51 patients were divided into the control group (January to Tune 2017). The control group was given routine continuity care, and the observation group was combined with case management based on humanistic care, they were followed up for six months, the negative emotions and coping styles of the two groups were compared. Results After six months of follow-up, the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in two groups were significantly lower than those in the same group at discharge, and the scores of SAS and SDS in observation group were significantly lower than those in control group (P ＜ 0.05). The scores of solving problems and seeking help were significantly higher than those of the same group at discharge (P ＜ 0.05), and the scores of self-blame and avoidance were significantly lower than those of the same group at discharge (P ＜ 0.05), the scores of problem solving and seeking help in the observation group were significantly higher than those in the control group, and the scores of self-blame and avoidance were significantly lower than those in the control group (P ＜ 0.05). Conclusion The continuous nursing of case management based on humanistic care can help to resolve the anxiety and depression of total hysterectomy patients, avoid negative coping behaviors such as self-blame and avoidance, and promote the development of positive coping methods such as solving problems and seeking help.
|
|
|
|
|
|
[1] 李亚林，谢吉玉，吴瑾.人文关怀联合信息支持对子宫全切术患者心理危机及应对方式的影响[J].医学临床研究，2019，36（5）：922-924.
[2] 王宇鹰，程彦如，荆仕翔.人文关怀对眼部手术患者术前负性情绪的影响[J].中华现代护理杂志，2018，24（6）：665-668.
[3] 魏革，郭涛，肖盛华.基于人文关怀视角下护理人员注意义务的思考[J].华南国防医学杂志，2019，33（4）：280-282.
[4] 彭翠娥，李赞，周波，等.以人文关怀为基础的个案管理模式在乳腺癌术后乳房重建患者中的应用[J].护士进修杂志，2018，33（3）：241-244.
[5] 张艳萍，刘秀珠，骆惠玉，等.基于病人主观体验及需求的肺癌手术个案管理方案构建与实践[J].护理研究，2020， 34（1）：134-139.
[6] 汪向东，王希林，马弘.心理卫生评定量表手册[J].中国心理卫生杂志，1999，12（增刊）：253-256.
[7] 肖计划，许秀峰.“应付方式问卷”信度与效度研究[J].中国心理卫生杂志，1996，10（4）：164-168.
[8] 张颖.宫腔镜下子宫肌瘤切除术的临床实践[J].中华肿瘤防治杂志，2019，26（S1）：124，126.
[9] 李芳兵，张丹丹，高琴，等.不同途径全子宫切除术对女性焦虑抑郁及性生活质量的影响[J].中国性科学，2017， 26（7）：60-62.
[10] 蓝婷婷，郑燕彩，朱瑞茹.中医情志护理在腹腔镜全子宫切除中的应用[J].国际护理学杂志，2020，39（20）：3765-3769.
[11] 刘俊，韩燕.温馨关爱服务计划对子宫切除术后疼痛、情绪及生活质量的影响[J].中国计划生育和妇产科，2017， 9（10）：70-73.
[12] 唐维兵.加速康复外科与医学人文关怀[J].医学与哲学，2020，41（18）：49-52.
[13] 刘淑红，刘敏.人文关怀以及心理护理应用于宫颈癌患者中的效果观察[J].山西医药杂志，2019，48（16）：2060-2062.
[14] 路信，李敏，赵玉洁，等.心理干预与人文关怀护理应用于脑卒中后抑郁患者的临床观察[J].齐齐哈尔医学院学报，2018，39（17）：2066-2067.
[15] 刘珍竹，栾华，袁大军，等.临床诊疗过程中人文关怀的要点分析——以急性心肌梗死患者为例[J].医学与哲学，2020，41（18）：50-54.
[16] 王蕾，张英瑞.脑卒中患者三阶段个案管理的效果评价[J].中华护理教育，2019，16（6）：437-441.
[17] 杨桂华，袁玮，梁亚慧，等.个案管理模式的应用现状与启示[J].中华护理教育，2021，18（1）：92-96.
[18] 王旭，孙融，许志新.多维支持性心理干预对子宫全切除术后患者的影响[J].齐鲁护理杂志，2020，26（14）：80-83.
[19] 刘红梅，齐秀丽.个案管理在乳腺癌改良根治术患者康复训练中的应用[J].海军医学杂志，2019，40（6）：108-110.
[20] 邓娟，纪玉桂，罗青，等.从脑卒中患者管理现状看个案管理师介入空间[J].医学与哲学，2018，39（20）：73-77.
[21] 张惠婷，张慧珍，钟巧玲，等.个案管理模式对乳腺癌患者术后患肢淋巴水肿的效果研究[J].中国实用护理杂志，2019，35（33）：2605-2611.
[22] 区悦霞，刘彩霞，吕丽琼.个案管理模式对子宫切除术后患者生活质量的影响[J].护理实践与研究，2017，14（8）：56-58.
[23] 王彩芳，陈北秀，邹文花，等.广泛全子宫切除术后患者性生活质量影响因素及延续护理服务需求调查[J].中国护理管理，2017，17（8）：1131-1135.
[24] 徐志鑫，耿坤，白云，等.同伴支持对农村2型糖尿病患者干预效果评估[J].中华流行病学杂志，2018，39（12）：1560-1564.
[25] 罗崤瑕，吴佳蔚.慢性牙周炎患者负性情绪与应对方式及社会支持的相关性[J].中国健康心理学杂志，2018， 26（12）：1805-1808. |
|
|
|
