摘要
目的探讨基于信息知识信念行为(IKAP)理论的延续性护理对老年前列腺癌术后患者尿控功能和生活质量的影响。方法选取2022年5—10月行机器人辅助腹腔镜前列腺癌根治术的120例患者为研究对象。按照组间基本特征具有可比性的原则将患者分为对照组和观察组,每组60例,对照组患者实施常规延续性护理,观察组患者在此基础上实施以IKAP理论为指导的延续性护理,比较两组患者术前、术后1个月尿控功能恢复效果及汉密尔顿焦虑量表(HAMA)评分、生命质量核心量表(QLQ-C30)评分的变化。结果术后1个月,观察组患者尿控功能恢复有效率高于对照组,差异有统计学意义(P<0.05)。术前两组患者HAMA评分比较,差异无统计学意义(P>0.05);术后1个月,观察组患者HAMA评分低于对照组,差异有统计学意义(P<0.05)。术前,两组患者QLQ-C30评分比较差异无统计学意义(P>0.05);术后1个月,观察组患者QLQ-C30的总体健康状况、功能领域评分高于对照组,差异有统计学意义(P<0.05);观察组患者症状领域及单一条目评分低于对照组,差异有统计学意义(P<0.05)。结论基于IKAP理论的延续性护理可改善患者的尿控功能,促进患者心理健康,提高术后生活质量。
Objective To investigate the effects of IKAP based continuous nursing on urinary control function and quality of life in prostate cancer postoperation elderly patients.Methods A total of 120 patients who underwent robot-assisted laparoscopic radical prostatectomy from May to October 2022 were selected as the study objects.According to the principle of comparability of basic characteristics between groups,they were divided into control group and observation group,with 60 cases in each group.The control group received routine continuity care,while the observation group received continuity care based on IKAP theory.The changes of urinary control function recovery,Hamilton Anxiety Scale(HAMA)and Quality of Life Core Scale(QLQ-C30)before and 1 month after operation were compared between the two groups.Results The function of urine control in observation group was better than that in control group one month after operation,the difference was statistically significant(P<0.05).There was no statistically significant difference in HAMA scores between the two groups of patients before surgery(P>0.05),The HAMA score of the observation group was lower than that of the control group one month after surgery,and the difference was statistically significant(P<0.05).Before surgery,there was no statistically significant difference in QLQ-C30 scores between the two groups of patients(P>0.05);One month after surgery,the overall health status,physical function,role function,emotional function,cognitive function,and social function scores of QLQ-C30 in the observation group were higher than those in the control group,with statistically significant differences(P<0.05);The scores of fatigue,pain,insomnia,and lack of appetite in the control group were lower,and the difference was statistically significant(P<0.05).Conclusion Continuous nursing based on IKAP theory significantly improved the urinary control function of patients,promoted the mental health of patients,and improved the postoperation quality of life.
作者
王芸
李萍
陈璐
潘杰
薛露莎
WANG Yun;LI Ping;CHEN Lu;PAN Jie;XUE Lusha(Drum Tower Hospital of Nanjing Medical University,Nanjing 210008,China)
出处
《护理实践与研究》
2024年第1期125-131,共7页
Nursing Practice and Research
基金
南京大学医院管理研究所课题项目(编号:NDYG2020048)
南京鼓楼医院院级课题项目(编号:ZSH477-1)。
