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视频结合行动导向在输尿管支架护理中的应用

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目的 探讨视频反馈结合行动导向宣教在泌尿系结石留置输尿管支架自我护理中的应用效果.方法 将2020年1月-2023年6月在天津医科大学第二医院泌尿外科就诊的86例泌尿系结石患者纳入研究,患者均于激光碎石术中留置输尿管支架,按照随机数字表法分为对照组和观察组各43例.对照组患者采用常规护理干预,观察组患者在常规护理的基础上采用视频反馈结合行动导向宣教的护理模式.比较两组患者护理干预前、后的自我管理能力、并发症发生率和护理满意率.结果 干预前,两组患者AHSMSRS量表各项评分和总分比较差异无统计学意义(P>0.05);干预后,两组患者AHSMSRS量表各项评分和总分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).观察组患者并发症发生率为25.58%,低于对照组的48.84%,差异有统计学意义(P<0.05).观察组患者护理总满意率为93.02%,高于对照组的76.74%,差异有统计学意义(P<0.05).结论 视频反馈结合行动导向宣教应用于泌尿系结石留置输尿管支架患者,可提高患者自我管理能力和护理满意率,减少并发症的发生,值得临床推广应用.
Application of video combined with action oriented approach in ureteral stent nursing
Objective To investigate the application effect of video feedback combined with action oriented teaching in self-care of urinary calculi with indwelling ureteral stenting.Methods Eighty-six patients with urinary calculus admitted to the Department of Urology of Tianjin Medical University Second Hospital from January 2020 to June 2023 were enrolled in the study.All patients received indwelling ureteral stent during laser lithotripsy and were divided into control group and observation group with 43 cases in each group according to random number table method.The patients in the control group adopted conventional nursing intervention,and the patients in the observation group was given video feedback combined with action-oriented teaching nursing mode on the base of conventional nursing.The self-management ability before and after nursing intervention,incidence of complications and nursing satisfaction rate were compared between two groups.Results Before intervention,there were no significant differences in each AHSMSRS scale scores and total scores between the two groups(P>0.05);after intervention,the scores and total scores of AHSMSRS scale in the two groups were higher than before intervention,and the observation group were higher than the control group,and the differences were statistically singnificant(P<0.05).The incidence of complications in the observation group was 25.58%,which was lower than 48.83%in the control group,and the difference was statistically significant(P<0.05).The total satisfaction rate of nursing in observation group was 93.02%,which was higher than 76.74%in control group,and the difference was statistically significant(P<0.05).Conclusion The application of video feedback combined with action oriented teaching in urinary calculi patients with indwelling ureteral stenting could improve the self-management ability and nursing satisfaction rate,and reduce the occurrence of the complications,which was worthy of clinical promotion and application.

VideoAction oriented teaching methodSelf-managementUreteral stenting

杜雪立

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天津医科大学第二医院泌尿外科,天津 300211

视频 行动导向教学法 自我管理 输尿管支架

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(5)