基于Snyder希望理论的阶段性护理在原发性肝癌病人术前护理中的应用

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AbstractObjective：ToobservetheefectofstagednursingbasedonSnyder'stheoryofhopeonthepreoperativefraltyanddespair levelsofprimarylivercancerpatients.Methods：Atotalof14patientswithprimarylivercancerhounderwentsurgical teatmetiur hospitalfromDecember222toDecember2O23wereselected，ndwererandomlydividedintoacontrolgroupandahopegroup，with 70casesineachgroup.Bothgroupsreceivedroutineperioperativecare.Thepatientsincontrolgroupreceivedconventionalpsychological intervention.Thepatients inhopegroupadoptedstagedcarebasedonSnyderstheoryofhope.Thescoresof theChineseversionof EdmontoFrail Scale（EFS），Mini-Mental State Examination（MMSE）and Beck Hopelessness Scale（BHS）of twogroupsof patients beforeandaftertheoperationwerecompared.Results：TeEFSscoresofthepatientsinthehopegrouponthedayofsurgeryandthe third day after surgery were all lower than those in the control groupe ..-0.05， ，the MMSE scores were higher than those in the control group（ P<0.05） .Three daysaftertheoperation，the total scoreofBHSand the scoresof alldimension in the hope group were lower than thoseatadmissioAndtepereptioftefutureexpectatiosfortefutureandtetotalscoreinteopegroupwereallowertan those in the control group P<0.05 0.The icidence of postoperative complications in the hope group was lower than that in the control group（ P<0.05 .Conclusions：Staged nursing based on Snyder's theoryof hope forpatients undergoing primary livercancer surgery could improvethefrailtycognitivefunctionand postoperativedespairlevel，andreducetheriskofpostoperativecomplications.

Keywordsprimary liver cancer; Snyder's theory of hope;staged nursing; frailty;despair; nursing摘要目的：观察基于Snyder希望理论的阶段性护理对原发性肝癌病人术前衰弱及绝望水平的影响。（剩余8810字）