摘要
目的 探究渐进式综合性康复护理对上尿路结石患者术后康复及心理状态的影响。方法 选择医院2019年7月—2022年7月收治的80例上尿路结石患者为研究对象,按照组间基线资料均衡可比的原则分为观察组和对照组,每组40例。两组均接受手术治疗,对照组接受常规围手术期护理,观察组在对照组基础上接受渐进式综合性康复护理干预。两组患者在围手术期期间采用视觉模拟评分法(VAS)、汉密顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、自我护理能力测量表(ESCA)、生活质量综合评定问卷(GQOLI-74)对患者的术后疼痛程度、心理状态、自护能力、生活质量进行评价,并比较两组患者的术后康复情况和复发率。结果 接受渐进式综合性康复护理干预的观察组患者术后排气时间、首次下床时间、排便时间、血尿转清时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者术后各时点的VAS评分及HAMA、HAMD得分均低于对照组,差异有统计学意义(P组间<0.05)。观察组患者术后各时点的ESCA得分及GQOLI-74各维度得分均高于对照组,组间比较差异有统计学意义(P组间<0.05)。术后随访6个月时,两组患者无石率比较差异无统计学意义(P>0.05)。结论 渐进式综合性康复干预有助于缩短上尿路结石患者术后康复时间,调节不良心理状态,对提高自护能力、生活质量有着积极作用。
Objective To investigate the effects of progressive comprehensive rehabilitation nursing on postoperative rehabilitation and psychological state of patients with upper urinary tract stones.Methods 80 patients with upper urinary tract stones admitted to the hospital from July 2019 to July 2022 were selected as the study subjects,they were divided into an observation group and a control group according to the principle of balanced and comparable baseline data between the groups,with 40 cases in each group.Both groups received surgical treatment,the control group received conventional perioperative care,and the observation group received progressive comprehensive rehabilitation nursing intervention on the basis of the control group.During the perioperative period,patients in both groups were evaluated by Visual Analogue Score(VAS),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),the Exercise of Self-care Agency Scale(ESCA),and Comprehensive Quality of Life Evaluation Questionnaire(GQOLI-74)to assess the level of postoperative pain,psychological state,self-care ability,and quality of life of the patients,to compare the two groups'postoperative rehabilitation and recurrence rate.Results The postoperative ventilating time,the first time to get out of bed,the defecation time,the time to turn clear of blood and urine,and the hospitalisation time of the patients in the observation group who received progressive and comprehensive rehabilitation nursing intervention were shorter than those in the control group,and the difference was statistically signifi cant(P<0.05).The VAS scores and HAMA and HAMD scores of patients in the observation group were lower than those of the control group at all postoperative time points,the difference was statistically signifi cant(P<0.05).The ESCA scores and the scores of GQOLI-74 dimensions of the patients in the observation group were higher than those of the control group at all postoperative time points,and the difference was statistically significant when comparing the groups(P<0.05).At 6 months of postoperative follow-up,the difference in stone-free rate between the two groups was not statistically signifi cant(P>0.05).Conclusion Progressive comprehensive rehabilitation intervention could help shorten the postoperative rehabilitation time of patients with upper urinary tract stones,regulate the adverse psychological state,and have a positive effect on improving self-care ability and quality of life.
作者
王英
吴华军
张旋
WANG Ying;WU Huajun;ZHANG Xuan(Shangrao Municipal Hospital,Shangrao,334000,China)
出处
《护理实践与研究》
2023年第19期2861-2867,共7页
Nursing Practice and Research
基金
江西省卫生健康委科技计划项目(编号:20204805)。
关键词
渐进式综合性康复干预
上尿路结石
围手术期护理
术后康复
心理状态
自护能力
生活质量
术后疼痛
Progressive comprehensive rehabilitation intervention
Upper urinary tract stone
Perioperative care
Postoperative rehabilitation
Psychological state
Self-care ability
Quality of life
Postoperative pain
