Application of detail nursing based on KABP in patients with upper urinary tract stones complicated with diabetes mellitus
Objective To explore the clinical application of detail nursing based on the Knowledge-Atti-tude-Belief-Practice(KABP)model in patients with upper urinary tract stones complicated with diabetes mel-litus,and to evaluate the effect of detail nursing.Methods This prospective study included a total of 100 pa-tients with upper urinary tract stones complicated with diabetes mellitus who were admitted to this depart-ment from January 2019 to January 2022.The patients were randomly divided into a routine nursing group and a special detail nursing group using the random number table method,with 50 patients in each group.The spe-cial detail nursing group received detail nursing based on the KABP model.Baseline data of the two groups were evaluated to analyze the comparability of the data.Statistical analysis was performed on the incidence of perioperative surgical adverse reactions,negative emotions,pain intensity scores,daily living ability scores,sat-isfaction,and hospital stay between the two groups to evaluate whether there were differences in clinical out-comes between the two groups.Results The incidence rates of postoperative infection,postoperative low back pain,and postoperative hyperglycemia in the special detail nursing group were significantly lower than those in the routine nursing group(4.0％vs.16.0％,6.0％vs.28.0％,16.0％vs.38.0％,respectively;all P values were 0.046,0.003,and 0.013).The scores of the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the special detail nursing group were significantly lower than those in the routine nursing group[(35.52±3.41)points vs.(46.38±2.91)points,(32.28±3.17)points vs.(47.89±4.01)points,re-spectively;both P values were 0.012 and 0.003,respectively].The subjective pain score in the special detail nursing group was significantly lower than that in the routine nursing group[(6.54±1.01)points vs.(8.01±1.22)points],and the daily living ability score was significantly higher[(75.21±5.87)points vs.(66.01±5.21)points],with both differences being statistically significant(P=0.017,0.009).The overall satisfaction rate in the special detail nursing group was higher than that in the routine nursing group(98.0％vs.90.0％),with the proportion of"very satisfied"evaluations being significantly higher in the special detail nursing group(68.0％vs.46.0％),and both differences were statistically significant(P=0.092,0.026).There were no statistically significant differences in the median total hospital stay[5.00(3.75,5.25)d vs.4.00(3.00,6.00)d]and median postoperative hospital stay[2.50(2.00,3.00)d vs.2.00(1.75,2.00)d]be-tween the routine nursing group and the special detail nursing group(P=0.732,0.678).Conclusion Multi-dimensional and multi-indicator evaluations of the application of detail nursing based on the KABP model in patients with upper urinary tract stones complicated with diabetes mellitus confirmed that the humanized and standardized special detail nursing model benefited patients in multiple perioperative indicators,providing val-uable experience for perioperative nursing care of such patients.
万方数据
维普
