基于赋能理论的互联网型延续护理对宫颈癌术后带尿管出院患者排尿功能的影响

Influence of Internet-based continuing nursing based on empowerment theory on urinary function of discharged patients with urinary catheter after cervical cancer operation

目的探讨基于赋能理论的互联网型延续护理对宫颈癌术后带尿管出院患者排尿功能的影响。方法将81例宫颈癌术后带尿管出院患者按照出院时间分为对照组40例和研究组41例。对照组采用常规出院延续护理模式,研究组在对照组基础上采用基于赋能理论的互联网型延续护理模式,2组患者均干预1个月。采用一般自我效能感量表(GSES)评估2组患者的自我效能状况,比较2组尿潴留发生率及尿管重置率。结果干预后,2组患者GSES评分均高于干预前,且研究组GSES评分高于对照组,差异有统计学意义(P<0.05)。研究组尿潴留发生率为24.4%(10/41),低于对照组的47.5%(19/40),差异有统计学意义(P<0.05)。研究组患者尿管重置率低于对照组,差异有统计学意义(P<0.05)。结论基于赋能理论的互联网型延续护理可促进宫颈癌术后带尿管出院的患者排尿功能的恢复,提高患者自我健康管理能力。

Objective To explore the influence of Internet-based continuing nursing based on empowerment theory on urinary function of discharged patients with urinary catheter after cervical cancer operation. Methods A total of 81 discharged patients with urinary catheter after cervical cancer operation were divided into control group(n=40) and study group(n=41) according to discharge time. The control group adopted the routine continuous nursing mode for hospital discharge, and the study group adopted the Internet-based continuous nursing mode based on empowerment theory on the basis of the control group. The patients in both groups were intervened for one month. General Self-efficacy Scale(GSES) was used to assess the self-efficacy status in both groups. The incidence of urinary retention and the catheter replacement rate were compared between the two groups. Results After the intervention, the GSES score increased significantly in both groups, and the GSES score of the study group was significantly higher than that of the control group(P<0.05). The incidence of urinary retention in the study group was 24.4%(10/41), which was significantly lower than 47.5%(19/40) in the control group(P<0.05). The urinary catheter replacement rate in the study group was significantly lower than that in the control group(P<0.05). Conclusion Internet-based continuing nursing based on empowerment theory can promote the recovery of urinary function and enhance self-health management ability in discharged patients with urinary catheter after cervical cancer operation.