阶段性心理护理在泌尿系结石中的应用效果

Application effect of stage psychological nursing in urinary calculi

目的探讨阶段性心理护理在泌尿系结石中的应用效果。方法选取2020年2月至2022年2月在我院接受治疗的175例泌尿系结石患者作为研究对象,按照双盲交叉法将其分为常规干预组(82例)和心理干预组(93例)。常规干预组采用常规护理,心理干预组在常规干预组基础上给予阶段性心理护理。比较两组的护理效果。结果护理后,两组的生活质量综合评定问卷(GQOLI-74)各维度评分均升高,且心理干预组高于常规干预组(P<0.05)。护理后,两组的数字疼痛分级量表(NRS)、匹兹堡睡眠质量指数(PSQI)评分均降低,且心理干预组低于常规干预组(P<0.05)。护理后,两组的自我管理能力评分均升高,汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均降低,且心理干预组优于常规干预组(P<0.05)。心理干预组的护理满意度高于常规干预组(P<0.05)。心理干预组的并发症总发生率低于常规干预组(P<0.05)。结论阶段性心理护理有助于提高泌尿系结石患者的生活质量、自我管理能力及护理满意度,缓解焦虑、抑郁情绪,降低并发症发生率。

Objective To explore the application effect of stage psychological nursing in urinary calculi.Methods A total of 175 patients with urinary calculi who were treated in our hospital from February 2020 to February 2022 were selected as the research objects.According to the double-blind crossover method,the patients were divided into routine intervention group(82 cases)and psychological intervention group(93 cases).The routine intervention group was given routine nursing,and the psychological intervention group was given stage psychological nursing on the basis of the routine intervention group.The nursing effects of the two groups were compared.Results After nursing,the scores of each dimension of General Quality of Life Inventory-74(GQOLI-74)in the two groups increased,and those in the psychological intervention group were higher than the routine intervention group(P<0.05).After nursing,the scores of Numerical Rating Scale(NRS)and Pittsburgh Sleep Quality Index(PSQI)in the two groups decreased,and those in the psychological intervention group were lower than the routine intervention group(P<0.05).After nursing,the score of self-management ability of the two groups increased,the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)decreased,and those in the psychological intervention group were better than the routine intervention group(P<0.05).The nursing satisfaction of the psychological intervention group was higher than that of the routine intervention group(P<0.05).The total incidence of complications in the psychological intervention group was lower than that in the routine intervention group(P<0.05).Conclusion Stage psychological nursing is helpful to improve the quality of life,self-management ability and nursing satisfaction of patients with urinary calculi,relieve anxiety and depression,and reduce the incidence of complications.