知信行模式护理在输尿管结石体外碎石术患者中的应用效果

Application effects of knowledge-attitude-practice mode nursing in patients with ureteral calculi undergoing extracorporeal lithotripsy

目的:观察知信行模式护理在输尿管结石体外碎石术患者中的应用效果。方法:选取2019年8月至2020年9月该院收治的94例行体外碎石术的输尿管结石患者进行前瞻性研究,按照随机摸球法将其分为观察组和对照组各47例。对照组给予常规护理,观察组给予知信行模式护理,比较两组护理前后自我效能感[一般自我效能感量表(GSES)]评分、心理弹性[中文心理弹性量表(CD-RISC)]评分和治疗依从性。结果:护理后,两组GSES评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组力量性、乐观性、坚韧性等CD-RISC评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组治疗依从性为91.49%(43/47),高于对照组的74.47%(35/47),差异有统计学意义(P<0.05)。结论:知信行模式护理应用于输尿管结石体外碎石术患者可提高GSES、CD-RISC评分和治疗依从性,效果优于常规护理。

Objective:To observe application effects of knowledge-attitude-practice mode nursing in patients with ureteral calculi undergoing extracorporeal lithotripsy.Methods:A prospective study was conducted on 94 patients with ureteral calculi who underwent extracorporeal lithotripsy in the hospital from August 2019 to September 2020.They were divided into observation group and control group according to random ball touching method,47 cases in each.The control group was given routine nursing,while the observation group was given knowledge-attitudepractice mode nursing.The self-efficacy[general self-efficacy scale(GSES)]score,the psychological resilience[Connor Davidson resilience scale(CD-RISC)]score,and the treatment compliance were compared between the two groups before and after the nursing.Results:After the nursing,the GSES scores of the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the CD-RISC scores of strength,optimism and tenacity in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the treatment compliance of the observation group was 91.49%(43/47),which was higher than 74.47%(35/47)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The knowledge-attitude-practice mode nursing in the patients with ureteral calculi undergoing extracorporeal lithotripsy can improve the GSES scores,the CD-RISC scores and the treatment compliance.Moreover,it is superior to the routine nursing.