双因素理论护理在泌尿系统结石手术患者中的应用效果

Application Effect of Two-factor Theoretical Nursing in Surgical Patients with Urinary System Calculi

目的:探讨双因素理论护理在泌尿系统结石手术患者中的应用效果。方法:选取2021年1月—2022年12月福建省立医院泌尿外科收治的100例泌尿系统结石手术患者作为研究对象。根据随机数表法将其分为对照组和研究组,各50例。对照组采用常规护理,研究组在常规护理基础上采用双因素理论护理。比较两组护理后用药依从性,护理前后自我效能感及生活质量、自护能力及心理弹性。结果:研究组总依从率高于对照组,差异有统计学意义(P<0.05)。护理后,研究组一般自我效能感量表(GSES)评分及生活质量综合评定问卷(GQOL-74)评分高于对照组,差异有统计学意义(P<0.05)。护理后,研究组健康知识、自护技能、自我护理责任评分均高于对照组,差异有统计学意义(P<0.05)。护理1个月、2个月后,研究组心理弹性量表(CD-RISC)评分高于对照组,差异有统计学意义(P<0.05)。结论:双因素理论护理在泌尿系统结石手术患者中的应用效果显著,能够提高患者用药依从性、自我效能感及生活质量,提升自护能力,增强心理弹性。

Objective:To explore the application effect of two-factor theoretical nursing in surgical patients with urinary system calculi.Method:A total of 100 surgical patients with urinary system calculi admitted to the Department of Urology in Fujian Provincial Hospital from January 2021 to December 2022 were selected as the study objects.According to the method of random number table,they were divided into control group and study group,50 cases in each group.The control group received routine nursing,and the study group received two-factor theoretical nursing based on routine nursing.The medication compliance after nursing,self-efficacy,quality of life,self-care ability and mental resilience before and after nursing were compared between the two groups.Result:The total compliance rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of general self-efficacy scale(GSES)and generic quality of life inventory-74(GQOL-74)in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of health knowledge,self-care skills and self care responsibility in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 1 month and 2 months of nursing,the score of Connor-Davidson resilience scale(CD-RISC)in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application effect of two-factor theoretical nursing in patients with urinary system calculi is remarkable,which can improve patients'medication compliance,self-efficacy and quality of life,enhance self-care ability and mental resilience.