健康赋权理论下专项护理结合接纳与承诺疗法对泌尿系结石患者的影响
Influence of Special Nursing under the Theory of Health Empowerment Combined with Acceptance and Commitment Therapy on Patients with Urinary Calculus
肖翠 1肖青青 2汪莉1
作者信息
- 1. 中国人民解放军联勤保障部队第九二五医院泌尿外科 贵州 贵阳 550009
- 2. 中国人民解放军联勤保障部队第九二五医院妇产科 贵州 贵阳 550009
- 折叠
摘要
目的:探讨健康赋权理论下专项护理结合接纳与承诺疗法对泌尿系结石患者自护能力、健康素养及遵医行为的影响.方法:选取 2022 年 3 月—2023 年 12 月中国人民解放军联勤保障部队第九二五医院收治的 106 例泌尿系结石患者,按随机数字表法分为两组,各 53 例.两组均接受常规护理,对照组在常规护理基础上给予接纳与承诺疗法干预;观察组在对照组基础上采用健康赋权理论下专项护理干预.对比两组自护能力、健康素养及遵医行为.结果:干预前,两组自护能力、健康素养评分比较,差异均无统计学意义(P>0.05).出院时,观察组自我护理能力测定量表(ESCA)、健康意愿、交流互动、信息获取各项评分均高于对照组,差异均有统计学意义(P<0.05).观察组遵医用药、遵医饮食、遵医运动、疾病认知评分均高于对照组,差异均有统计学意义(P<0.05).结论:健康赋权理论下专项护理结合接纳与承诺疗法的应用,可提高泌尿系结石患者自护能力,提升其健康素养水平.
Abstract
Objective:To explore the effects of special nursing under the theory of health empowerment combined with acceptance and commitment therapy on self-care ability,health literacy and compliance behavior of patients with urinary calculus.Method:A total of 106 patients with urinary calculus admitted to the 925th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China from March 2022 to December 2023 were selected,and they were divided into two groups according to random number table method,with 53 patients in each group.Both groups received routine nursing,the control group received acceptance and commitment therapy on the basis of routine nursing;the observation group was given special nursing under the theory of health empowerment on the basis of control group.Self-care ability,health literacy and compliance behavior were compared between the two groups.Result:Before intervention,there were no significant differences in self-care ability and health literacy scores between the two groups(P>0.05).At discharge,the scores of exercise of self-care agency scale(ESCA),health intention,interaction,access to information in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The scores of medical medicine,diet,exercise and disease cognition in observation group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:The application of special nursing under the theory of health empowerment combined with acceptance and commitment therapy can improve the self-care ability of patients with urinary calculus,significantly enhance their health literacy level.
关键词
健康赋权理论/专项护理/接纳与承诺疗法/泌尿系结石Key words
Health empowerment theory/Special nursing/Acceptance and commitment therapy/Urinary calculus引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据