首页|基于应激系统理论的心理护理结合患者参与式决策对输尿管肿瘤术后患者疾病自我管理能力及并发症的影响

基于应激系统理论的心理护理结合患者参与式决策对输尿管肿瘤术后患者疾病自我管理能力及并发症的影响

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目的 探讨基于应激系统理论的心理护理结合患者参与式决策对输尿管肿瘤术后患者疾病自我管理能力及并发症的影响。方法 选取2021年1月至2023年1月收治的78例输尿管肿瘤术后患者为研究对象,以随机数字表法将其分为对照组和观察组,各39例。对照组给予常规护理,观察组给予基于应激系统理论的心理护理结合患者参与式决策。比较两组的干预效果。结果 干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0。05)。干预后,观察组的自我护理能力测定量表(ESCA)各维度评分高于对照组(P<0。05)。观察组的并发症总发生率低于对照组(P<0。05)。干预后,观察组的心理、生理、社会关系领域评分高于对照组(P<0。05)。结论 基于应激系统理论的心理护理结合患者参与式决策可改善输尿管肿瘤术后患者心理状态,提高疾病自我管理能力及生活质量,减少并发症,值得推广。
Influences of psychological nursing based on stress system theory combined with patient participatory decision-making on disease self-management ability and complications of postoperative patients with ureteral tumors
Objective To explore the influences of psychological nursing based on stress system theory combined with patient participatory decision-making on disease self-management ability and complications of postoperative patients with ureteral tumors.Methods A total of 78 patients with ureteral tumors who were admitted from January 2021 to January 2023 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 39 cases in each group.The control group was given routine nursing,and the observation group was given psychological nursing based on stress system theory combined with patient participatory decision-making.The intervention effects of the two groups were compared.Results After intervention,the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)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 lower than that in the control group(P<0.05).After intervention,the scores of psychological,physiological and social relations in the observation group were higher than those in the control group(P<0.05).Conclusion Psychological nursing based on stress system theory combined with patient participatory decision-making can improve the psychological state of postoperative patients with ureteral tumors,elevate disease self-management ability and quality of life,and reduce complications,which is worthy of promotion.

stress system theorypsychological nursingparticipatory decision-makingureteral tumorself-management abilitycomplication

李静、张慧、白丽丽

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延安大学附属医院泌尿外科,陕西延安,716000

陕西省延安市人民医院急诊科,陕西延安,716000

应激系统理论 心理护理 参与式决策 输尿管肿瘤 自我管理能力 并发症

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(35)