摘要
目的:探讨以现象学分析法为基础的健康宣教对留置输尿管支架管患者病耻感、疾病感知压力的影响。方法:选取2020年12月至2023年12月留置输尿管支架管患者118例为研究对象,按随机数字表法分为对照组(n=59)和观察组(n=59),对照组给予常规干预和常规健康宣教干预,观察组在常规干预基础上给予以现象学分析法为基础的健康宣教干预,比较两组尿路感染率、病耻感[社会影响量表(SIS)]、疾病感知压力[压力知觉量表(CPSS)]、自我管理能力[成年人健康自我管理能力测评量表(AHSMSRS)]及生活质量[生活质量评价量表(SF-36)]。结果:干预后,观察组在第1、2、3、4周末尿路感染发生率低于对照组,差异有统计学意义(t=6.556,5.532,7.835,8.233;P<0.05);干预后,两组SIS量表中内在羞耻感、社会隔离、社会排斥、经济不安全感及总分均降低,且观察组显著低于对照组,差异均有统计学意义(t=28.167,8.192,15.411,8.060,10.033;P<0.05);干预后,两组CPSS量表中紧张感、失控感及总分均降低,且观察显著低于对照组,差异均有统计学意义(t=8.533,7.509,8.383;P<0.05);干预后,两组AHSMSRS量表中自我管理行为、自我管理认知、自我管理环境及总分均升高,且观察组显著高于对照组,差异均有统计学意义(t=3.144,2.189,2.979,4.499;P<0.05);干预后,两组SF-36量表中生理机能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康及总体健康评分均升高,且观察组显著高于对照组,差异均有统计学意义(t=7.646,6.369,6.792,4.912,7.129,5.440,5.206,8.386;P<0.05)。结论:以现象学分析法为基础的健康宣教干预可减轻留置输尿管支架管患者的病耻感和疾病感知压力,提高自我管理能力和生活质量,降低尿路感染率。
Objective:To explore the effects of health education based on phenomenological analysis on stigma and perceived stress of patients with ureteral stents.Methods:A study from December 2020 to December 2023 was conducted,and 118 patients with indwelling ureteral stentswere selected as the study subjects.They were divided into a control group(n=59)and an observation group(n=59)using the random number table method.The control group received routine nursing and routine health education intervention,while the observation group received health education intervention based on phenomenological analysis on the basis of routine nursing.The urinary tract infection rate,stigma[Social Impact Scale(SIS)],perceived stress[Chinese version of the Perceived Stress Scale(CPSS)],self-management ability[Adult Health Self-Management Ability Rating Scale(AHSMSRS)],and quality of life[36-Item Short Form Health Survey(SF-36)]were compared between the two groups.Results:After intervention,the incidence rates of urinary tract infectionin the observation group at the 1st,2nd,3rdand 4th weekend were lower than those in the control group(t=6.556,5.532,7.835,8.233;P<0.05).After intervention,the scores for shame,social isolation,social exclusion and economic discrimination in the SIS,and the total score decreased in both groups.Above scores of the observation group were significantly lower than those of the control group(t=28.167,8.192,15.411,8.060,10.033;P<0.05).After intervention,the scores for tension and loss of control in the CPSS,and the total score decreased in both groups.Above scores of the observation group were significantly lower than those of the control group(t=8.533,7.509,8.383;P<0.05).After intervention,the scores for self-management behavior,self-management cognition and self-management environment in the AHSMSRS,and the total score increased in both groups.Above scores of the observation group were significantly higher than those of the control group(t=3.144,2.189,2.979,4.499;P<0.05).After intervention,the scores for physical function,role physical,physical pain,vitality,social function,role emotional,mental health and general health in the SF-36 increased in both groups.Above scores of the observation group were significantly higher than those of the control group(t=7.646,6.369,6.792,4.912,7.129,5.440,5.206,8.386;P<0.05).Conclusion:Health education intervention based on phenomenological analysis can alleviate stigma and perceived stress of patients with indwelling ureteral stents,improve their self-management ability and quality of life,and reduce urinary tract infection rate.
作者
王利芳
王露
颜静姝
WANG Lifang;WANG Lu;YAN Jingshu(Department of Urology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国健康心理学杂志》
2024年第5期741-746,共6页
China Journal of Health Psychology
基金
2020年河南省医学科技攻关计划联合共建项目(编号:LHGJ20200273)。
