基于健康意识理论的护理干预结合贝克认知疗法对泌尿系结石术后患者健康行为、并发症及复发率的影响

Effects of nursing intervention based on health awareness theory combined with Beck cognitive therapy on the health behavior, complications and recurrence rate of patients with urinary calculi after surgery

目的 探讨基于健康意识理论的护理干预结合贝克认知疗法对泌尿系结石术后患者健康行为、并发症及复发率的影响。方法 选取2018年2月至2021年4月我院收治的80例泌尿系结石手术患者,以抽签法将其随机分为对照组和观察组,各40例。对照组采用常规护理,观察组在常规护理基础上采用基于健康意识理论的护理干预结合贝克认知疗法。比较两组的健康行为能力自评量表(SRAHP)评分、并发症发生情况、术后3个月复发率及泌尿功能指标。结果 干预1个月后,观察组的心理、运动、营养及健康责任评分均高于对照组(P<0.05)。观察组的并发症总发生率、术后3个月复发率低于对照组(P<0.05)。干预1个月后,观察组的最大尿流率高于对照组,残余尿量少于对照组(P<0.05)。结论 基于健康意识理论的护理干预结合贝克认知疗法有助于促进泌尿系结石术后患者健康行为改善,降低并发症发生率和复发率,提高患者的泌尿功能。

Objective To explore the effects of nursing intervention based on health awareness theory combined with Beck cognitive therapy on the health behavior, complications and recurrence rate of patients with urinary calculi after surgery. Methods Eighty patients with urinary calculi surgery admitted in our hospital from February 2018 to April 2021 were selected and randomly divided into control group and observation group by drawing lots, with 40 cases in each group.The control group adopted routine nursing, while the observation group adopted nursing intervention based on health awareness theory combined with Beck cognitive therapy on the basis of routine nursing. The Self-Rated Abilities Health Practices Scale(SRAHP) scores, complications, recurrence rate during 3 months after operation and urinary function indexes were compared between the two groups. Results After 1 month of intervention, the scores of psychology, exercise,nutrition and health responsibility in the observation group were higher than those in the control group(P<0.05). The total incidence of complications and recurrence rate during 3 months after operation in the observation group were lower than those in the control group(P<0.05). After 1 month of intervention, the maximum urinary flow rate of the observation group was higher than that of the control group, and the residual urine volume was less than that of the control group(P<0.05).Conclusion The nursing intervention based on health awareness theory combined with Beck cognitive therapy can help improve the health behavior of patients with urinary calculi after surgery, reduce the incidence of complications and recurrence rate and enhance the urinary function of patients.