基于授权理论的5E干预模式对腹腔镜肝切除术患者自我效能及希望水平的影响

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Effects of 5E InterventionModel Based onAuthorization Theoryon Self-efficacyand Hope Level of Patients Undergoing Laparoscopic Hepatectomy/HU Beibei.//Medical Innovation of China，2025，22（17）： 084-088

[Abstract] Objective： To explore the effects of 5E intervention model based onauthorization theory on self-efficacyand hope level of patientsundergoing laparoscopichepatectomy.Method：Atotal of 8O patients who werescheduled to undergo laparoscopic hepatectomyandadmited to theFirstAfiliated Hospitalof Bengbu Medical University from March2O21 to September 2O24 were selectedas theresearch subjectsand grouped bythe random number table method.Thecontrol group （n=40）was given conventional intervention，and the observation group （ n =40）was given the 5E intervention model based on the authorization theory on the basis of the control group.The postoperative recovery indexes [time of first anal exhaust， time of first defecation and recovery time ofbowel sounds]，self-efficacy [general self-efficacyscale （GSES）]，hopelevel[Herthhope index （HHI）]andthe occurrence of complications were compared between the two groups.Result： The time of first anal exhaust， time of firstdefecation and recoverytime of bowel sounds in theobservation group were earlier than those in the control group，the differences were statistically significant （ P <0.05）.1 day after admission，there were no statistically significant differences in the GSES and HHI scores between the two groups of patients （ P >0.05）. Before discharge， the GSES and HHI scores of both groups increased，and those in the observation group were higher than those in the control group （ P <0.05）.The total incidence of complications in the observation group was 5.00% （2/40）， which was lower than 22.50% （9/40） in the control group， the difference was statistically significant （ P <0.05）.

Conclusion： The application of the 5E intervention model based on authorization theory in patients undergoing laparoscopic hepatectomycan effctively promote postoperative recovery，enhance self-effcacyand hopelevel，and reduce the incidence of postoperative complications.

[Key words] Laparoscopic hepatectomy Authorization theory 5E intervention mode Self-efficacy Hope level

First-author'saddress：Department ofHepatobiliaryPancreatic SurgeryIWard，theFirstAffiliated HospitalofBengbuMedicalUniversity，Bengbu233ooo，China doi：10.3969/j.issn.1674-4985.2025.17.019

肝癌是指发生于肝脏的恶性肿瘤，其发病与饮酒、遗传及病毒性肝炎等多种因素有关，肝切除术是早期肝癌治疗的主要手段[]。（剩余6515字）