基于行为转变理论的延续性护理在TURP术后膀胱过度活动症患者中的应用研究

Application of Continuation Care Based on Behavioral Transition Theory in Patients with Overactive Bladder After TURP

目的分析以行为转变理论为基础延续性护理用于经尿道前列腺电切术(TURP)术后膀胱过度活动症患者的效果。方法选择2020年10月至2022年10南阳市第二人民医院收治的78例TURP术后存在膀胱过度活动症患者,经随机数表法将其中39例归纳到对照组(出院前依据常规提供护理),余下39例归纳到观察组(于对照组基础上开展以行为转变理论为基础延续性护理),比较两组干预前后排尿指标、自护能力测定量表(ESCA)、中文版生存质量简表(WHOQOL-BREF)得分及护理满意度情况。结果干预前,两组排尿、尿失禁及尿急次数比较,差异无统计学意义(P>0.05);干预后,观察组排尿、尿失禁及尿急次数均少于对照组,差异有统计学意义(P<0.05)。干预前,两组ESCA得分(健康知识、自我概念、自护技能、自护责任感)比较,差异无统计学意义(P>0.05);干预后,观察组各项ESCA得分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组WHOQOL-BREF得分(生理、心理、社会关系、环境方面)比较,差异无统计学意义(P>0.05);干预后,观察组各项WHOQOL-BREF得分均高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论以行为转变理论为基础延续性护理用于TURP术后膀胱过度活动症患者效果理想,能改善其排尿状态,提升其自护能力、生存质量和护理满意度,值得临床应用。

Objective To analyze the effectiveness of continuous care based on behavioral transformation theory for patients with bladder overactivity after transurethral resection of the prostate(TURP)surgery.Methods A total of 78 patients with overactive bladder after TURP admitted to Nanyang Second People's Hospital from October 2020 to October 2022 were selected.According to random number table,patients were assigned to control group(n=39)and observation group(n=39).The routine nursing was performed in the control group,continuation care based on behavioral change theory based on the control group was performed in the observation group.The urination indicators,exercise of self-care agency scale(ESCA)and the world health organization quality of life questionnaire-brief version(WHOQOL-BREF)scores and nursing satisfaction were compared between two groups before and after treatment.Results Before intervention,there were no significant between-group differences about the urination,uroclepsia and urgent urination frequency(P>0.05);After intervention,the urination,uroclepsia and urgent urination frequency in the observation group were lower than control group,with significant differences(P<0.05);Before intervention,there were no significant between-group differences about the ESCA scores of health knowledge,self-concept,selfcare ability and self-care responsibility(P>0.05);After intervention,ESCA scores in the observation group were higher than control group,with significant differences(P<0.05);Before intervention,there were no significant between-group differences about the WHOQOL-BREF scores of the physiological,mental,social relations and environmental conditions(P>0.05);After intervention,WHOQOL-BREF scores in the observation group were higher than control group,with significant differences(P<0.05);The nursing satisfaction in the observation group was higher than control group,with significant difference(P<0.05).Conclusion After TURP,TTM-based continued nursing can improve the treatment effect,urination conditions,self-care ability,life quality and nursing satisfaction for overactive bladder patients.It is worthy of clinical application.