基于格林模式的团队合作护理在胆囊手术中的应用效果

姜寒嫣; 吴可人

doi:10.16766/j.cnki.issn.1674-4152.003527

基于格林模式的团队合作护理在胆囊手术中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.003527

姜寒嫣^,,
吴可人

浙江中医药大学附属第一医院(浙江省中医院)手术室，浙江杭州 310018

基金项目:

国家自然科学基金项目 82074195

浙江省医药卫生科技计划项目 2018KY558

详细信息

通讯作者:
姜寒嫣，E-mail：jianghanyan11@126.com

中图分类号: R473.6 R657.4
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- 文章访问数: 127
- HTML全文浏览量: 57
- PDF下载量: 4
- 被引次数: 0
出版历程
- 收稿日期: 2023-07-31
- 网络出版日期: 2024-07-20

Effect of teamwork nursing based on the Green model in gallbladder surgery

JIANG Hanyan^,,
WU Keren

Operating Room, the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinses Medicine), Hangzhou, Zhejiang 310018, China

摘要

摘要: 目的探究格林模式的团队合作护理在胆囊手术中的应用价值，以期为临床胆囊手术护理方案选择提供理论指导。方法纳入浙江中医药大学附属第一医院2021年1月—2023年7月收治的胆囊疾病患者90例，其中8例为胆囊癌患者，所有患者均行胆囊手术治疗。根据随机数字表法将患者分为对照组(45例)与研究组(45例)，分别采用常规护理、常规护理+格林模式的团队合作护理。比较2组护理前后自我护理能力量表(ESCA)评分、营养指标水平[血清白蛋白(ALB)、转铁蛋白(TRF)与血清总蛋白(TSP)]与心理状态评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果护理前，2组ESCA各维度评分比较差异均无统计学意义(P>0.05)；护理后，2组ESCA各维度评分均较护理前升高(P＜0.05)，且研究组ESCA各维度评分均高于对照组(P＜0.05)。护理前，2组ALB、TSP、TRF比较差异均无统计学意义(P>0.05)；护理后，研究组ALB、TSP、TRF均高于对照组(P＜0.05)。护理前，2组SAS、SDS评分比较差异均无统计学意义(P>0.05)；护理后, 研究组SAS[(20.98±5.27)分]、SDS[(23.67±4.75)分] 低于对照组SAS、SDS[(33.04±6.94)分、(35.35±6.64)分, P＜0.05]。结论格林模式的团队合作护理能提升患者知信行水平，改善患者营养指标水平及负性心理状态，综合应用价值更高，建议临床推广使用。
- 格林模式 /
- 团队合作护理 /
- 胆囊手术 /
- 围手术期
Abstract: Objective To explore the application value of team collaboration nursing based on the Green model in gallbladder surgery, in order to provide theoretical guidance for the selecting clinical nursing plans for clinical gallbladder surgery. Methods A total of 90 patients with gallbladder diseases admitted to the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine from January 2021 to July 2023 were included in the study. Among them, 8 patients were diagnosed with gallbladder cancer, and all patients underwent gallbladder surgery. The patients were randomly divided into a control group (45 cases) and a study group (45 cases) using a random number table method. They received routine nursing in the control group, and routine nursing combined with team cooperation nursing following the Green model in the study group. The exercise of self-care agency scale (ESCA) scores, nutritional index levels serum albumin (ALB), transferrin (TRF), total serum protein (TSP), psychological state scores self-rating anxiety scale (SAS), and self-rating depression scale (SDS), were compared between the two groups before and after nursing. Results Before nursing, there was no statistically significant difference in the ESCA scores in all dimensions between the two groups (P>0.05). After nursing, both groups showed increased ESCA scores in all dimensions compared to before nursing (P<0.05), with the study group demonstrating higher scores than the control group (P<0.05). Before nursing, there was no statistically significant difference in ALB, TSP and TRF between the two groups (P>0.05). After nursing, the ALB, TSP and TRF in the study group were higher than those in the control group (P<0.05). Before nursing, there was no statistically significant difference in SAS and SDS scores between the two groups (P>0.05). After nursing, the study group had lower SAS [(20.98 ±5.27) points] and SDS [(23.67±4.75) points] compared to the control group SAS, SDS [(33.04±6.94) points, (35.35±6.64) points, P<0.05]. Conclusion The team collaboration nursing of the Green model can enhance the patient' s knowledge, belief and practice levels, improve their nutritional index levels and negative psychological states. It possesses significant comprehensive application value and is recommended for clinical promotion.
- Green' s model /
- Teamwork nursing /
- Gallbladder surgery /
- Perioperative period

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表 1 2组胆囊疾病患者基线资料比较

Table 1. Comparison of baseline characteristics between two groups of patients with gallbladder diseases

组别	研究组(n=45)	对照组(n=45)	统计量	P值
年龄(x±s，岁)	56.67±5.16	57.68±4.22	1.016^a	0.312
性别[例(%)]
女性	22(48.89)	23(51.11)	0.044^b	0.833
男性	23(51.11)	22(48.89)
BMI(x±s)	24.16±2.07	24.31±2.09	0.342^a	0.733
胆囊疾病类型[例(%)]
胆囊癌	4(8.89)	4(8.89)	0.194^b	0.660
胆囊结石	30(66.67)	28(62.22)
胆囊息肉	11(24.44)	13(28.89)
胆囊癌临床病理分期[例(%)]
Ⅱ期	1(25.00)	0	1.143^b	0.285
Ⅲa期	1(25.00)	2(50.00)
Ⅲb期	1(25.00)	1(25.00)
Ⅳ期	1(25.00)	1(25.00)
注：^a为t值，^b为χ²值。

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表 2 2组胆囊疾病患者护理前后ESCA评分比较(x±s，分)

Table 2. Comparison of ESCA scores before and after nursing care in two groups of patients with gallbladder disease (x±s, points)

组别	例数	自我责任感		t值	P值	自我概念		t值	P值	健康知识		t值	P值	自我护理技能		t值	P值
组别	例数	护理前	护理后	t值	P值	护理前	护理后	t值	P值	护理前	护理后	t值	P值	护理前	护理后	t值	P值
研究组	45	25.43±5.54	40.12±1.93	16.631	＜0.001	22.92±6.51	40.14±1.69	15.034	＜0.001	29.34±7.74	39.47±2.91	11.639	＜0.001	21.01±3.89	39.43±2.24	16.634	＜0.001
对照组	45	25.97±5.62	35.68±1.43	12.089	＜0.001	22.46±6.38	34.61±2.12	13.171	＜0.001	29.47±8.64	34.63±2.16	6.627	＜0.001	21.92±4.02	34.27±2.87	9.631	＜0.001
统计量		0.282^a	21.631^b			0.097^a	13.363^b			0.108^a	9.631^b			0.338^a	10.063^b
P值		0.702	＜0.001			0.857	＜0.001			0.823	＜0.001			0.671	＜0.001
注：^a为t值，^b为F值。

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表 3 2组胆囊疾病患者护理前后营养指标水平比较(x±s，g/L)

Table 3. Comparison of nutritional indicators in two groups of patients with gallbladder disease before and after nursing care (x±s, g/L)

组别	例数	ALB		t值	P值	TSP		t值	P值	TRF		t值	P值
组别	例数	护理前	护理后	t值	P值	护理前	护理后	t值	P值	护理前	护理后	t值	P值
研究组	45	22.63±5.13	35.61±3.68	13.022	＜0.001	41.36±5.63	58.63±6.70	9.634	＜0.001	1.02±0.30	2.49±0.23	10.098	＜0.001
对照组	45	22.46±5.30	33.09±4.21	11.967	＜0.001	41.66±5.27	55.31±6.69	6.634	＜0.001	1.03±0.27	1.93±0.26	9.671	＜0.001
统计量		0.155^a	6.631^b			0.088^a	4.036^b			0.091^a	22.639^b
P值		0.878	＜0.001			0.991	＜0.001			0.987	＜0.001
注：^a为t值，^b为F值。

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表 4 2组胆囊疾病患者护理前后SAS、SDS评分比较(x±s，分)

Table 4. Comparison of SAS and SDS scores before and after nursing care in two groups of patients with gallbladder disease (x±s, points)

组别	例数	SDS		t值	P值	SAS		t值	P值
组别	例数	护理前	护理后	t值	P值	护理前	护理后	t值	P值
研究组	45	51.31±5.34	23.67±4.75	12.634	＜0.001	57.57±6.08	20.98±5.27	17.634	＜0.001
对照组	45	50.87±6.18	35.35±6.64	9.582	＜0.001	58.01±6.57	33.04±6.94	12.034	＜0.001
统计量		0.361^a	16.631^b			0.330^a	14.631^b
P值		0.719	＜0.001			0.742	＜0.001
注：^a为t值，^b为F值。

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