首页|以现象学分析法为基础的健康宣教在肾穿刺活检术患者围手术期中的应用

以现象学分析法为基础的健康宣教在肾穿刺活检术患者围手术期中的应用

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目的 探讨以现象学分析法为基础的健康宣教对肾穿刺活检术患者围手术期疾病感知压力、遵医行为依从性及自我管理效能的影响,以期为肾穿刺活检术患者围手术期干预提供参考.方法 选取2021年1月-2023年4月空军军医大学第二附属医院收治的拟行肾穿刺活检术的122例患者为研究对象,将以现象学分析法为基础的健康宣教干预在医院开始推行时间(2022年3月)为分界线,将2021年1月-2022年2月收治的56例患者纳入对照组,将2022年3月-2023年4月收治的56例患者纳入观察组.对照组患者实施常规护理,观察组患者实施以现象学分析法为基础的健康宣教干预.比较干预前及干预7 d后2组患者疾病感知压力[自我感受负担量表(SPBS)]、自我管理效能[健康促进策略量表(SUPPH)]、自我护理能力[自我护理能力量表(ESCA)]、舒适度[舒适状况量表(GCQ)]差异;比较干预7 d内2组患者的依从性以及并发症发生情况.结果 干预前,2组患者SPBS、SUPPH、ESCA、GCQ各维度评分比较,差异均无统计学意义(P>0.05);干预7 d后,2组患者SPBS各维度评分均较干预前降低且观察组低于对照组,2组患者SUPPH、ESCA、GCQ各维度评分均较干预前上升且观察组高于对照组,差异均有统计学意义(P<0.05).干预7 d后,观察组患者总依从率高于对照组,差异有统计学意义(P<0.05);观察组患者干预期间并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 基于现象学分析法的健康宣教干预模式有助于降低肾穿刺活检术患者疾病感知压力,增强其自我管理效能,进一步提高其遵医行为依从性,提高自我护理能力和舒适度,减少术后并发症发生风险,值得在临床推广使用.
Application of phenomenological analysis-based health education in the perioperative period of renal biopsy patients
Objective To explore the impact of phenomenological analysis-based health education on disease perception stress,adherence to medical advice,and self-management efficacy in patients undergoing renal biopsy,with the aim of pro-viding a reference for perioperative intervention in renal biopsy patients.Methods A total of 122 patients scheduled for renal biopsy at the Second Affiliated Hospital of Air Force Medical University from January 2021 to April 2023 were selected as study participants.Based on the implementation date of phenomenological analysis-based health education(March 2022),the patients were allocated to two groups.The 56 patients admitted from January 2021 to February 2022 were assigned to the control group,and the 56 patients admitted from March 2022 to April 2023 to the observation group.The control group received routine nursing care,while the observation group received health education intervention based on phenomenological analysis.Disease perception stress[Self-Perceived Burden Scale(SPBS)],self-management efficacy[Strategies Used by Pa-tients to Promote Health(SUPPH)],self-care ability[Exercise of Self-Care Agency Scale(ESCA)],and comfort level[General Comfort Questionnaire(GCQ)]were compared before and 7 days after intervention.The compliance and complica-tions during the 7-day intervention period were also compared between the two groups.Results Before intervention,no sig-nificant differences were noted in SPBS,SUPPH,ESCA,and GCQ scores between the two groups(P>0.05).Seven days after intervention,the SPBS scores in both groups decreased,with the observation group showing lower scores than the con-trol group;the SUPPH,ESCA,and GCQ scores in both groups increased,with the observation group showing higher scores than the control group,all with significant differences(P<0.05).Seven days after intervention,the overall compli-ance rate in the observation group was significantly higher than that in the control group(P<0.05).The incidence of com-plications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The phe-nomenological analysis-based health education intervention model reduces disease perception stress in patients undergoing the renal biopsy,increases self-management efficacy,promotes compliance to medical advice,boosts self-care agency and com-fort level,and lowers the risk of postoperative complications.It is worth promoting in clinical practice.

Renal biopsyPhenomenological analysisHealth educationDisease perception stressCompliance to medical adviceSelf-management efficacy

杜贝、金莎莎、史芸、李富娟、李晓燕、蕾媛洁、段万里、翟爽

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空军军医大学第二附属医院肾内科,西安 710000

陕西省人民医院肾内科,西安 710000

肾穿刺活检术 现象学分析 健康宣教 疾病感知压力 遵医行为依从性 自我管理效能

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(9)