首页|支持性心理干预联合渐进性肌肉放松训练在无张力吊带尿道中段悬吊术患者中的护理效果

支持性心理干预联合渐进性肌肉放松训练在无张力吊带尿道中段悬吊术患者中的护理效果

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目的 探讨支持性心理干预联合渐进性肌肉放松训练在无张力吊带尿道中段悬吊术患者中的护理效果。方法 选取2021年1月至2023年3月于四川大学华西医院进行无张力吊带尿道中段悬吊术的136例压力性尿失禁患者为研究对象,在组间基线特征可比的原则上,采用随机数字表法分为对照组和观察组,每组68例。对照组给予常规护理干预,观察组在对照组的基础上于围手术期给予支持性心理干预联合渐进性肌肉放松训练。比较分析两组患者护理干预前后的心理弹性水平[Connor-Davidson心理弹性量表(CD-RISC)各维度评分]、自知力与自我效能[自知力与治疗态度问卷量表(ITAQ)评分、一般自我效能感量表(GSES)评分]、尿失禁症状与生活质量[泌尿生殖障碍量表简版(UDI-6)评分、尿失禁影响问卷简表(IIQ-7)评分、国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分]。比较分析两组患者护理干预后的临床疗效以及术后的并发症发生情况。结果 护理干预前,两组患者的CD-RISC乐观、自强、坚韧各维度评分以及ITAQ评分、GSES评分、IIQ-7评分、UDI-6评分、ICIQ-SF评分比较差异均无统计学意义(P>0。05)。护理干预3个月后,两组患者的CD-RISC乐观、自强、坚韧各维度评分以及ITAQ评分、GSES评分均升高,且观察组高于对照组,差异均有统计学意义(P<0。05);两组患者的IIQ-7评分、UDI-6评分、ICIQ-SF评分均降低,且观察组低于对照组,差异均有统计学意义(P<0。05)。观察组患者护理干预3个月后的临床总有效率高于对照组,术后并发症总发生率低于对照组,差异均有统计学意义(P<0。05)。结论 支持性心理干预联合渐进性肌肉放松训练可有效增强无张力吊带尿道中段悬吊术患者的心理弹性水平,改善患者的自知力和治疗依从性,提高患者的自我效能、生活质量和临床疗效,且可减少术后并发症的发生。
Nursing effect of supportive psychology intervention and progressive muscle relaxation training in patients undergoing tension-free sling middle urethral suspension
Objective To explore the nursing effect of supportive psychology intervention and progressive muscle relaxation training in patients undergoing tension-free sling middle urethral suspension.Method 136 patients with stress urinary incontinence who underwent tension-free sling middle urethral suspension in West China Hospital,Sichuan University from January 2021 to March 2023 were selected as the study objects.They were divided into control group and observation group by random number table method,with 68 cases in each group.The control group received routine nursing intervention,and the observation group received supportive psychological intervention and progressive muscle relaxation training in perioperative period on the basis of the control group.The psychological resilience level(CD-RISC score),self-knowledge and self-efficacy(ITAQ score,GSES score),urinary incontinence symptoms and quality of life(UDI-6 score,IIQ-7 score,ICIQ-SF score)in the two groups before and after nursing intervention were compared and analyzed.The clinical efficacy and postoperative complications in the two groups were compared and analyzed.Result Before nursing intervention,there were no significant differences in CD-RISC scores of optimism,self-reliance and tenacity,ITAQ scores,GSES scores,IIQ-7 scores,UDI-6 scores and ICIQ-SF scores between the two groups(P>0.05).After three months of nursing intervention,CD-RISC scores of optimism,self-reliance,tenacity,ITAQ scores,GSES scores in two groups were increased,and the observation group was higher than the control group,with statistical significance(P<0.05).After three months of nursing intervention,IQ-7 scores,UDI-6 scores and ICIQ-SF scores in two groups were decreased,and the observation group was lower than the control group,with statistical significance(P<0.05).After three months of nursing intervention,the total clinical effective rate of observation group was higher than that in the control group,and the total incidence of postoperative complications was lower than that in the control group,with statistical significance(P<0.05).Conclusion Supportive psychological intervention and progressive muscle relaxation training can effectively enhance the psychological resilience of patients undergoing tension-free sling middle urethral suspension,and improve self-knowledge and treatment compliance,self-efficacy,quality of life and clinical efficacy,and reduce the occurrence of postoperative complications.

Supportive psychology interventionProgressive muscle relaxation trainingTension-free sling middle urethral suspensionStress urinary incontinence

罗远清、黄宇、邬惠林、刘任平、罗德毅、刘爽

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四川大学华西医院泌尿外科,四川成都 610041

支持性心理干预 渐进性肌肉放松训练 无张力吊带尿道中段悬吊术 压力性尿失禁

四川省科技计划

2022NSFCS1038

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(6)
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