Effectiveness of evidence-based care model based on the need satisfaction theory in postoperative care of patients with intraspinal tumors
10.3760/cma.j.cn115682-20250226-00927
- VernacularTitle:基于需求满足理论的循证照护模式在椎管内肿瘤患者术后护理中的应用
- Author:
Yan WANG
1
;
Zhihan LIU
;
Xiuzhen CHEN
;
Yingpu FENG
Author Information
1. 河南省人民医院神经外科，河南省护理医学重点实验室，郑州大学人民医院，郑州 450000
- Publication Type:Journal Article
- Keywords:
Resection of intraspinal tumors;
Postoperative period;
Need satisfaction theory;
Evidence-based care model;
Psychological status
- From:
Chinese Journal of Modern Nursing
2025;31(31):4310-4315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of evidence-based care model based on the need satisfaction theory in postoperative care of patients with intraspinal tumors.Methods:From August 2022 to August 2024, convenience sampling was used to select 150 patients with intraspinal tumors who underwent surgical treatment at Henan Provincial People's Hospital as research subjects. Patients enrolled from August 2022 to August 2023 were assigned to control group ( n=72), while those enrolled from September 2023 to August 2024 were assigned to intervention group ( n=78). Control group received routine postoperative care for intraspinal tumors, while intervention group received an evidence-based care model intervention based on the need satisfaction theory. Patients were surveyed using the Numerical Rating Scale (NRS), Chinese version of the Connor-Davidson Resilience Scale (CD-RISC), Self-Perceived Burden Scale (SPBS), and Nursing Satisfaction Scale. Two groups of patients were compared in terms of the time to first ambulation after surgery, time to bowel movement recovery, hospital stay, pain levels at 1, 3, and 5 days postoperatively, psychological status, self-perceived burden, and patient satisfaction. Results:After intervention, patients in intervention group demonstrated shorter times to first ambulation after surgery, shorter times to bowel movement recovery, and shorter hospital stays compared to control group. Patients in intervention group had lower NRS scores than those in control group on both postoperative days 3 and 5. Patients in intervention group had higher CD-RISC scores across all dimensions and higher total scores compared to control group. Intervention group scored lower than control group on all dimensions of the SPBS and on the total score. Patients in intervention group reported higher satisfaction with nursing than those in control group. All differences were statistically significant ( P<0.05) . Conclusions:Evidence-based care model based on the need satisfaction theory accelerate postoperative recovery, alleviate postoperative pain, improve psychological status, reduce self-perceived burden in patients with intraspinal tumors, and enhance patient satisfaction.
