The Effect Of The Self-Management Oriented 5a Nursing Model On The Qol And Early Movement Compliance Of Patients With Cervical Carcinoma After Surgery

Xiaowen Zhu,Zhihuan Zhou, Chunbin Luo, Haoran Wang

INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE(2020)

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摘要
Objective: This study was designed to explore the effect of the self-management oriented 5a nursing model on the QOL and early movement compliance of patients with cervical carcinoma after surgery. Methods: 84 patients who underwent surgery for cervical carcinoma in our hospital were included and divided into a control group (n=42) and an observation group (n=42) and retrospectively analyzed. Both groups were routinely nursed, and for the observation group, a self-management oriented 5A nursing model was additionally adopted. The two groups were compared in terms of QOL, early movement compliance, self-efficacy, VAS, SAS, and SDS scores, and the incidence of complications. Results: After nursing, both groups were improved in terms of QOL, their overall health condition scores, and VAS at 4 h, 12 h, 24 h, and 48 h, which were more significant in the observation group (P<0.05). In addition, the observation group excelled over the control group in early movement compliance (P<0.05) and self-efficacy scores after an elevation, but no significant change was observed in the control group (P<0.05), the SAS and SDS scores (P<0.05), or the incidence of complications after surgery (P<0.05). Conclusion: The self-management oriented 5A nursing model can improve QOL, early movement compliance, and the self-management ability of patients with cervical carcinoma after surgery, and can reduce the pain, anxiety, depression, and complications they suffer.
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关键词
Cervical carcinoma, postoperative, 5A nursing model, self-management, QOL, movement compliance
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