CICARE沟通模式的赋能护理对经尿道前列腺等离子剜除术治疗的前列腺增生患者术后自护能力及治疗依从性的影响
Effect of CICARE communication mode on postoperative self-care ability and treatment compliance in pa-tients with prostatic hyperplasia treated by transurethral plasma removal of prostate
胡晓萍 1赵营 1宋莉莉1
作者信息
- 1. 南阳市第一人民医院泌尿外科,河南 南阳 473000
- 折叠
摘要
目的 回顾性分析CICARE沟通模式的赋能护理在经尿道前列腺等离子剜除术治疗前列腺增生中的应用效果.方法 选取我院 2022 年 10 月到 2023 年 10 月 88 例经尿道前列腺等离子剜除术治疗的前列腺增生患者,按入院顺序分为CICARE组(n=44)、常规组(n=44),常规组行常规护理,CICARE组在此基础上给予CICARE沟通模式的赋能护理.比较两组前列腺症状改善情况[国际前列腺症状评分量表(IPSS)]、自护能力[自我护理能力测定表(ESCA)]、治疗依从性、生活质量[生活质量测定量表简表(WHOQOL-BREF)].结果 两组干预后IPSS评分均较干预前降低(P<0.05);干预后CICARE组IPSS评分降低幅度大于常规组(P<0.05);两组干预后ESCA评分均较干预前升高(P<0.05);干预后CICARE组ESCA评分升高幅度大于常规组(P<0.05);两组干预后治疗依从性评分均较干预前升高(P<0.05);干预后CICARE组治疗依从性评分升高幅度大于常规组(P<0.05);两组干预后WHOQOL-BREF评分均较干预前升高(P<0.05);干预后CICARE组WHOQOL-BREF评分升高幅度大于常规组(P<0.05).结论 对经尿道前列腺等离子剜除术治疗的前列腺增生患者实施CICARE沟通模式的赋能护理,能提高治疗依从性、自护能力,改善前列腺症状,从而提高生活质量.
Abstract
Objective To retrospectively analyze the effect of CICARE communication mode in the treatment of hyperplasia of prostate by transurethral plasma excision of prostate.Methods A total of 88 patients with prostate hyperplasia treated by transurethral plasma excision of prostate in our hospital from October 2022 to October 2023 were selected and divided into CICARE group(n=44)and conventional group(n=44)according to different nursing methods.Conventional group received routine nursing,while the CICARE group received empowering nursing based on the CICARE communication model.The improvement of prostate symptoms[International Prostate Symptom Scale(IPSS)],self-care ability[Self-care Ability Scale(ESCA)],treatment compliance,quality of life[World Health Organization Quality of Life-BREF(WHOQOL-BREF)]were compared between the two groups.Results Intra-group analy-sis showed that IPSS scores decreased after intervention in both groups compared to before intervention(P<0.05),while after interven-tion,IPSS score in CICARE group decreased more than that in conventional group(P<0.05).Intra-group analysis indicated that ESCA scores,the scores of treatment compliance and the WHOQOL-BREF score increased after intervention in both groups compared to be-fore intervention(P<0.05)Inter-group analysis showed that the increase in ESCA scores,the scores of treatment compliance and the WHOQOL-BREF score in the CICARE group was greater than that in the conventional group after intervention(P<0.05).Conclusion CICARE communication mode can improve treatment compliance,self-care ability,prostatic symptoms,and quality of life for patients with prostatic hyperplasia treated by transurethral plasma enunciation of prostate.
关键词
CICARE沟通模式/赋能护理/经尿道前列腺等离子剜除术/前列腺增生/自护能力Key words
CICARE communication mode/Enabling nursing/Transurethral plasma enucleation of prostate/Prostatic hyperplasi-a/Self-care ability引用本文复制引用
出版年
2025
NETL
NSTL
万方数据