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时机理论导向护理在异位妊娠患者腹腔镜手术后康复中的应用价值

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2026-03-14 02:07

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王县历,都君君,李爱敏

Application value of timing theory-oriented nursing in postoperative rehabilitation of ectopic pregnancy patients undergoing laparoscopic surgery

WANG Xianli, DU Junjun, LI Aimin

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目的探讨时机理论导向护理在异位妊娠患者腹腔镜手术后康复中的应用价值。方法选取收治的114例行腹腔镜手术治疗的异位妊娠患者，采用随机数字表法分为常规组和时机理论组，各57例。常规组采取常规护理模式，时机理论组在常规组基础上采取时机理论导向护理。比较两组的康复进程，以及干预前后的负性情绪［汉密尔顿抑郁量表（Hamilton depression scale，HAMD）、汉密尔顿焦虑量表（Hamilton anxiety scale，HAMA）］，自我管理能力［成年人健康自我管理能力测评量表（rating scale of health self-management skill for adults，AHSMSRS）］及健康行为。结果与常规组相比，时机理论组患者的术后首次排气时间、首次下床活动时间及住院时间更短，HAMD与HAMA评分更低，而自我管理（行为、认知、环境）与健康行为（饮食、用药、活动、情绪、日常）各项评分更高，且差异均有统计学意义（均P＜0.05）。结论时机理论导向护理能有效缓解异位妊娠腹腔镜术后患者的负性情绪，提升其自我管理能力与健康行为水平，从而促进术后快速康复。

Abstract

Objective To explore the application value of timing theory-oriented nursing in the postoperative rehabilitation of ectopic pregnancy patients undergoing laparoscopic surgery. Methods A total of 114 ectopic pregnancy patients who had undergone laparoscopic surgery were included, and randomly divided into a conventional group and a timing theory group using a random number table method, with 57 cases in each group. The conventional group received standard care, while the timing theory group received timing theory-oriented nursing in addition to the standard care. The rehabilitation progress, and negative emotions ［Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA)］, self-management ability ［rating scale of health self-management skill for adults (AHSMSRS)］ and health behaviors were compared between the two groups before and after the intervention. Results Compared with the conventional group, the timing theory group showed significantly shorter time to first postoperative flatus, first ambulation, and hospital stays. Additionally, the timing theory group had significantly lower HAMD and HAMA scores, and significantly higher scores in self-management (behavior, cognition and environment) and health behaviors (diet, medication, activity, emotion and daily life). All these differences were statistically significant (all P<0.05). Conclusion Timing theory-oriented nursing could effectively alleviate negative emotions, enhance self-management ability and health behavior levels, and thereby promote rapid postoperative recovery in ectopic pregnancy patients after laparoscopic surgery.

关键词

异位妊娠 /时机理论 /腹腔镜手术 /术后康复{{custom_keyword}} /

Key words

ectopic pregnancy /timing theory /laparoscopic surgery /postoperative rehabilitation{{custom_keyword}} /

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王县历, 都君君, 李爱敏.时机理论导向护理在异位妊娠患者腹腔镜手术后康复中的应用价值[J]. 实用心电与临床诊疗, 2026, 35(1): 129-134 https://doi.org/10.13308/j.issn.2097-5716.xd20250233

WANG Xianli, DU Junjun, LI Aimin.Application value of timing theory-oriented nursing in postoperative rehabilitation of ectopic pregnancy patients undergoing laparoscopic surgery[J]. Practical Electrocardiology and Clinical Treatment, 2026, 35(1): 129-134 https://doi.org/10.13308/j.issn.2097-5716.xd20250233

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