基于行动学理念的护理干预在URSL术后患者中的应用效果及安全性

Application effect and safety of nursing intervention based on the action concept in patients after URSL

目的研究基于行动学理念的护理干预在输尿管镜下气压弹道碎石术(URSL)术后患者中的应用效果及安全性。方法选取2018年1月至2020年12月于我院进行URSL的800例输尿管结石患者为研究对象,采用随机数字表法将其分为对照组和观察组,各400例。对照组采用常规护理干预,观察组在对照组的基础上实施基于行动学理念的护理干预。比较两组的干预效果。结果干预后,观察组的躯体化、抑郁、焦虑、敌对、恐怖、其他评分均明显低于对照组(P<0.05)。术后1个月,观察组的排石成功率显著高于对照组(P<0.05);术后6个月,观察组的复发率显著低于对照组(P<0.05)。观察组的术后并发症总发生率显著低于对照组(P<0.05)。结论基于行动学理念的护理干预可以明显缓解URSL术后患者不良情绪,降低输尿管结石复发率,同时有效避免并发症。

Objective To study the application effect and safety of nursing intervention based on the action concept in patients after ureteroscopic pneumatic lithotripsy(URSL).Methods A total of 800 patients with ureteral calculi who received URSL in our hospital from January 2018 to December 2020 were selected as the research objects and divided into control group and observation group by random number table method,with 400 cases in each group.The control group adopted routine nursing intervention,and the observation group implemented nursing intervention based on the action concept on the basis of the control group.The intervention effect of the two groups was compared.Results After intervention,the somatization,depression,anxiety,hostility,terror and other scores in the observation group were significantly lower than those in the control group(P<0.05).One month after surgery,the success rate of stone removal in the observation group was significantly higher than that in the control group(P<0.05);six months after surgery,the recurrence rate of the observation group was significantly lower than that of the control group(P<0.05).The total incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Nursing intervention based on the action concept can significantly relieve the negative mood of patients after URSL,reduce the recurrence rate of ureteral calculi,and effectively avoid complications.