首页|感恩拓延-建构理论在体外冲击波碎石术患者精细化护理中的临床实践

感恩拓延-建构理论在体外冲击波碎石术患者精细化护理中的临床实践

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目的:探讨感恩拓延-建构理论在体外冲击波碎石术患者精细化护理中的临床应用效果.方法:选取2019年7月—2021年8月郑州人民医院泌尿外科接受体外冲击波碎石术治疗的116例患者作为研究对象,随机数表法将其分为干预组(58例)和对照组(58例).对照组患者采取常规护理,干预组患者采取基于感恩拓延-建构理论的精细化护理.比较两组患者的术后康复情况(拔除尿管、下床活动及住院时间)、并发症发生情况、术后疼痛情况、随访1个月结石清除率、护理前后负性情绪及护理满意度.结果:干预组患者的术后康复情况均优于对照组,差异有统计学意义(t=9.218、6.898、7.021,P<0.05);两组患者结石清除率、护理满意度,差异有统计学意义(χ2=4.209、4.921,P<0.05)干预组患者术后各时间点VAS评分均显著减小,差异有统计学意义(t=2.379、4.277、11.069、11.921,P<0.05);干预后均明显降低,且干预组比对照组更低,差异有统计学意义(t=9.004、7.045,P<0.05).结论:基于感恩拓延-建构理论的精细化护理干预应用于体外冲击波碎石术患者中可提高结石清除率,减小术后疼痛,降低术后并发症发生率,促进术后尽快恢复,有利于提高患者对护理工作的满意度.
Clinical Practice of Gratitude Topology-Construct Theory in Refined Nursing Care for Patients Undergoing Extra-corporeal Shock Wave Lithotripsy
Objective:To explore the effectiveness of the clinical application of the gratitude topology-construction theory in the refined care of patients undergoing extracorporeal shock wave lithotripsy.Methods:116 patients who were treated with extra-corporeal shock wave lithotripsy in the hospital from July 2019 to August 2021 were selected as the study subjects,and they were divided into the intervention group(58 cases)and the control group(58 cases)by the method of random number table.The patients in the control group adopted conventional nursing care,and the patients in the intervention group adopted refined nursing care based on the gratitude topology-construction theory.Postoperative recovery(removal of urinary catheter,getting out of bed and hos-pitalization time),complication occurrence,postoperative pain,stone clearance rate at 1-month follow-up,negative emotions before and after nursing care and nursing care satisfaction were compared between the two groups.Results:The postoperative rehabilita-tion of all patients in the intervention group was better than that of the control group,and the difference was statistically significant(t=9.218,6.898,7.021,P<0.05).The difference in stone clearance rate and satisfaction with care between the two groups was statistically significant(χ2=4.209,4.921,P<0.05).Patients in the intervention group had significantly lower VAS scores at all postoperative time points,with statistically significant differences(t=2.379,4.277,11.069,11.921,P<0.05).SAS and SDS scores were significantly lower after the intervention and were lower in the intervention group than in the control group,and the difference was statistically significant(t=9.004,7.045,P<0.05).Conclusion:Refined nursing intervention based on the gratitude topology-construction theory applied to patients undergoing extracorporeal shockwave lithotripsy can improve stone removal rate,reduce postoperative pain,decrease the incidence of postoperative complications,and promote postoperative recovery as soon as possible,which is conducive to improving the patients'satisfaction with nursing care.

Extracorporeal shock wave lithotripsyRefined careGratitude topology-constructive theory

杨笛、张淼、于丽华

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郑州人民医院泌尿外科,河南 郑州 450000

体外冲击波碎石 精细化护理 感恩拓延-建构理论

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(2)
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