首页|健康促进模式结合预见性护理干预在肾结石患者围手术期中的应用

健康促进模式结合预见性护理干预在肾结石患者围手术期中的应用

扫码查看
目的 研究健康促进模式结合预见性护理干预在肾结石患者围手术期中的应用效果,以期为制定肾结石患者围手术期的有效护理干预方案提供参考.方法 选取2019年5月-2023年3月在芜湖市第五人民医院行输尿管软镜钬激光碎石术的102例肾结石患者,根据护理干预方式不同分为对照组(50例)和观察组(52例).对照组患者围手术期采用常规护理干预,观察组患者围手术期采用健康促进模式结合预见性护理干预.比较2组患者术后恢复情况,干预前后的疼痛程度、心理状态、生活质量及并发症发生情况.结果 观察组患者术后下床活动时间、体温恢复正常时间、住院时间、首次自行排尿时间均短于对照组,差异均有统计学意义(P<0.05).2组患者干预前视觉模拟评分法(VAS)及焦虑自评量表(SAS)评分比较,差异均无统计学意义(P>0.05);2组患者干预后VAS及SAS评分均低于干预前,且观察组患者均低于对照组,差异均有统计学意义(P<0.05).2组患者干预前世界卫生组织生存质量测定简表(WHOQOL-BREF)的躯体健康、生理功能、心理状态、社会功能4个维度评分比较,差异均无统计学意义(P>0.05);2组患者干预后 WHOQOL-BREF量表躯体健康、生理功能、心理状态、社会功能4个维度评分均高于干预前,且观察组患者均高于对照组,差异均有统计学意义(P<0.05).观察组患者并发症发生率为5.76%(3/52),低于对照组的20.00%(10/50),差异有统计学意义(x2=4.642,P=0.031).结论 肾结石患者在围手术期应用健康促进模式结合预见性护理干预,有助于促进患者术后恢复,减轻患者术后疼痛程度,提高患者生活质量,降低并发症的发生风险.
Application of health promotion model combined with predictive nursing intervention in the perioperative period for patients with kidney stones
Objective This paper investigates the application effect of the health promotion model combined with predictive nursing intervention during the perioperative period for patients with kidney stones,providing evidence for formulating effec-tive perioperative nursing interventions for kidney stone patients.Methods From May 2019 to March 2023,102 patients with kidney stones who underwent flexible ureteroscopic holmium laser lithotripsy at Wuhu Fifth People's Hospital were se-lected.They were assigned to a control group(50 cases)and an observation group(52 cases)following different nursing in-terventions.The control group received routine nursing interventions during the perioperative period,while the observation group received a health promotion model combined with predictive nursing intervention during the perioperative period.The postoperative recovery,pain levels,psychological state,quality of life,and complications before and after the intervention were compared between the two groups.Results The postoperative time to ambulation,temperature recovery time,hospi-tal stay,and first spontaneous urination time were significantly shorter in the observation group compared to the control group(P<0.05).There were no statistically significant differences in visual analog scale(VAS)and self-rating anxiety scale(SAS)scores before intervention between the two groups(P>0.05);after the intervention,VAS and SAS scores in both groups were lower than before,with the observation group showing significantly lower scores than the control group(P<0.05).No statistically significant differences were observed in the four dimensions(physical health,physiological function,psychological state,and social function)of the WHO Quality of Life-BREF(WHOQOL-BREF)before the inter-vention between the two groups(P>0.05);after the intervention,scores in all four dimensions were higher than before,with the observation group showing significantly higher scores than the control group(P<0.05).The complication rate in the observation group was significantly lower than that in the control group[5.76% (3/52)vs.20.00% (10/50);x2=4.642,P=0.031].Conclusion Applying a health promotion model combined with predictive nursing intervention during the perioperative period for patients with kidney stones helps promote postoperative recovery,reduce postoperative pain,raise quality of life,and lower the risk of complications.

Kidney stonesPerioperative periodPredictive nursingHealth promotionQuality of lifeAnxiety level

束小珍、杨绘、岑双、梁士锋、陈广进

展开 >

皖南医学院附属皖南康复医院/芜湖市第五人民医院泌尿外科,安徽芜湖 241000

皖南医学院附属皖南康复医院/芜湖市第五人民医院中医康复科,安徽芜湖 241000

肾结石 围手术期 预见性护理 健康促进 生活质量 焦虑程度

安徽省中医药传承创新科研项目

2020zcyb14

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(3)
  • 21