首页|基于潮汐理论模型的护理干预联合垂直律动训练对输尿管结石钬激光碎石术患者的作用

基于潮汐理论模型的护理干预联合垂直律动训练对输尿管结石钬激光碎石术患者的作用

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目的 分析输尿管结石钬激光碎石患者在围术期开展基于潮汐理论模型的护理干预联合垂直律动训练的临床效果,探讨基于潮汐理论模型的护理干预联合垂直律动训练对碎石术患者尿动力学指标的影响.方法 选取 2020 年 1 月—2023 年 1 月徐州市中心医院泌尿外科收治的 80 例输尿管结石患者为研究对象,按组间基本资料具有可比性的原则分成对照组和观察组,各40 例.对照组实施常规围术期护理,观察组实施基于潮汐理论模型护理干预联合垂直律动训练.比较两组患者的情绪状态、尿动力学指标、并发症、自护能力等.结果 护理干预前两组患者抑郁自评量表(SDS)评分、焦虑自评量表评分(SAS)比较差异无统计学意义(P>0.05),护理干预后观察组患者SDS评分、SAS评分均低于对照组,差异有统计学意义(P<0.05).护理干预前两组患者最大尿流率、残余尿量比较差异无统计学意义(P>0.05),护理干预后观察组患者最大尿流率高于对照组,而残余尿量低于对照组,差异有统计学意义(P<0.05).观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05).护理干预前两组患者的自我护理能力测定量表(ESCA)评分比较差异无统计学意义(P>0.05),护理干预后观察组患者的ESCA评分高于对照组,差异有统计学意义(P<0.05).结论 基于潮汐理论模型的护理干预联合垂直律动训练可有效调节输尿管结石钬激光碎石患者的情绪状态,提高自我护理能力,从而有利于改善其尿动力学指标,降低术后并发症风险.
Effect of nursing intervention based on tidal theory model combined with vertical rhythmic training on patients undergoing holmium laser lithotripsy for ureteral stones
Objective To analyse the clinical effect of nursing intervention based on the tidal theory model combined with vertical rhythm training in the perioperative period in patients with holmium laser lithotripsy for ureteral stones,and to explore the effect of nursing intervention based on the tidal theory model combined with vertical rhythm training on the urodynamic indexes of patients undergoing lithotripsy.Methods 80 ureteral stone patients admitted to the Department of Urology of Xuzhou Central Hospital from January 2020 to January 2023 were selected for the study,they were divided into a control group and an observation group,each with 40 cases,according to the principle of comparability of basic data between groups.The control group implemented conventional perioperative care,and the observation group implemented nursing intervention based on the tidal theory model combined with vertical rhythmic training.The emotional state,urodynamic indexes,complications,and self-care ability of patients in the two groups were compared.Results Before nursing intervention,there was no statistically significant difference in the comparison of Self-rating Depression Scale(SDS)scores and Self-rating Anxiety Scale(SAS)between the two groups of patients(P>0.05),after nursing intervention,SDS scores and SAS scores of patients in the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the comparison of maximum urine flow rate and residual urine volume between the two groups of patients before nursing intervention(P>0.05),and the maximum urine flow rate of the patients in the observation group was higher than that of the control group after nursing intervention,while the residual urine volume was lower than that of the control group,and the difference is statistically significant(P<0.05).The complication rate of patients in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the self-care competence measurement scale(ESCA)scores of the two groups before nursing intervention(P>0.05),and the ESCA scores of the patients in the observation group were higher than those in the control group after nursing intervention,and the difference was statistically significant(P<0.05).Conclusion Nursing intervention based on the tidal theory model combined with vertical rhythm training can effectively regulate the emotional state of patients with ureteral stone holmium laser lithotripsy,improve self-care ability,which is conducive to the improvement of their urodynamic indexes and reduce the risk of postoperative complications.

Ureteral stoneHolmium laser lithotripsyTidal theory modelVertical rhythm trainingUrodynamics

常梦琦、孟亚雯、聂云、刘岩、吕翠礼、马伟明

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徐州市中心医院泌尿外科(江苏省徐州市,221009)

输尿管结石 钬激光碎石术 潮汐理论模型 垂直律动训练 尿动力学

徐州市卫生健康委科技项目

XWKYHT20220111

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(8)
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