叙事疗法在经皮肾穿刺肾活检术患者中的应用

Application of Narrative Therapy in Patients Undergoing Percutaneous Renal Biopsy

目的探讨叙事疗法在经皮肾穿刺活检术患者中的应用效果。方法方便选取2019年7月—2021年6月在三明市第二医院行B超引导下肾穿刺活检术的150例患者作为研究对象,按奇偶数分组法随机分成对照组与观察组,每组75例。对照组给予常规护理干预,观察组在常规护理基础上加用叙事疗法。比较两组患者焦虑评分、术后肉眼血尿、肾包膜下血肿(2 cm)、尿潴留并发症的发生率情况、健康教育、服务态度等单项平均分及患者对护士整体满意度达标率。结果观察组焦虑评分低于对照组[(42.84±8.23)分vs(59.14±10.53)分],差异有统计学意义(t=-10.566,P=0.002)。观察组术后肉眼血尿、肾包膜下血肿、尿潴留的发生率均低于对照组,差异有统计学意义(χ^(2)=4.807、4.255、5.042,P=0.028、0.039、0.025)。观察组患者在满意度调查问卷中健康教育单项平均分高于对照组[(96.20±2.70)分vs(82.89±7.09)分],差异有统计学意义(t=-15.190,P<0.001)。观察组患者对护士整体满意度达标率高于对照组(98.67%vs 74.67%),差异有统计学意义(χ^(2)=18.692,P<0.001)。结论叙事疗法可有效降低患者的焦虑程度,减少术后并发症的发生,并且可以提高住院患者对护士的满意度。

Objective To explore the effect of narrative therapy in patients undergoing percutaneous renal biopsy.Methods A total of 150 patients who underwent renal biopsy guided by B-ultrasound in Sanming Second Hospital from July 2019 to June 2021 were conveniently selected as the study subjects and randomly divided into control group and observation group according to odd or even grouping method,with 75 patients in each group.The control group was given routine nursing intervention,while the observation group was given narrative therapy on the basis of routine nursing.The anxiety score,postoperative gross hematuria,subcapsular hematoma(2 cm),the incidence of urinary retention complications,health education,service attitude and the patient's overall satisfaction with nurses were compared between the two groups.Results The anxiety score of the observation group was lower than that of the control group[(42.84±8.23)points vs(59.14±10.53)points],and the difference was statistically significant(t=-10.566,P=0.002).The incidence of gross hematuria,subcapsular hematoma and urinary retention in observation group were lower than those in control group,the difference was statistically significant(χ^(2)=4.807,4.255,5.042,P=0.028,0.039,0.025).In the satisfaction questionnaire,the average score of health education in the observation group was higher than that in the control group[(96.20±2.70)points vs(82.89±7.09)points],and the difference was statistically significant(t=-15.190,P<0.001).The overall satisfaction rate of patients in the observation group was higher than that in the control group(98.67%vs 74.67%),and the difference was statistically significant(χ^(2)=18.692,P<0.001).Conclusion Narrative therapy can effectively reduce patient anxiety,reduce postoperative complications,and improve inpatient satisfaction with nurses.