妊娠期泌尿系结石患者采取延续性护理策略对自我护理及心理状态影响分析

Effect of Continuity Nursing on Self-care and Psychological State on Patients with Urinary Calculi during Pregnancy

目的:针对妊娠期泌尿系结石患者采用延续护理策略进行护理,并对其自我护理和心理状态的影响进行分析。方法:收集2012年3月-2018年6月笔者所在医院收治的妊娠期泌尿系结石患者共70例,随机分为两组,每组35例。对照组采用常规泌尿外科的基础护理干预措施,试验组采用延续护理方法。两组在实施护理前后均接受自我护理能力测定量表(ESCA)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及护理满意度的评估。对两组数据进行统计学分析。结果:观察组经延续护理实施后自我护理能力明显提高,心理状态情况改善显著,与实施前比较,差异均有统计学意义(P<0.05);且自我护理能力和心理状态各指标均优于对照组,差异均有统计学意义(P<0.05)。观察组总满意度优于对照组,差异有统计学意义(P<0.05)。结论:采取延续护措施可以有效提高妊娠期泌尿系结石患者的自我效能和自我管理能力,提升患者的自信心和生活舒适感,有利于顺利过渡到生产分娩。

Objective: To explore the effect of extended nursing strategy on self-care and psychological state of patients with urinary calculi during pregnancy. Method: A total of 70 patients with urinary calculi during pregnancy admitted to Zhaoqing Second People’s Hospital from March 2012 to June 2018 were randomly divided into two group, 35 cases in each group. The control group adopted the basic nursing intervention measures in the routine department of urology. The experimental group adopted the extended nursing method. Both groups received self-care ability scale(ESCA), self-rating anxiety scale(SAS), selfrating depression scale(SDS) and nursing satisfaction assessment before and after the implementation of nursing care. Two groups of data were statistically analyzed. Result: After the implementation of continuing nursing, the self-care ability in the observation group was significantly improved, and the mental status improved, compared with the indexes before implementation, the differences were statistically significant(P<0.05). And the above indexes were better than those in the control group, the differences were statistically significant(P<0.05). The total satisfaction of nursing was higher in the observation group, the difference was statistically significant(P<0.05). Conclusion: Extended nursing measures can improve the self-efficacy and self-management ability of patients with urinary calculi during pregnancy, improve their self-confidence and comfort in life, facilitate the smooth transition to childbirth.