知信行模式结合个体化疼痛干预对输尿管结石患者术后护理的影响

Effect of Knowledge Belief and Action Mode Combined with Individualized Pain Intervention on Postoperative Care of Patients with Ureteral Calculi

目的:探讨知信行模式结合个体化疼痛干预对输尿管结石患者术后护理的影响。方法:选取2021年8月-2023年9月于上高县中医院进行手术治疗的60例输尿管结石患者,按随机数字表法将其分为观察组和对照组,各30例。对照组采用常规护理,观察组采用知信行模式结合个体化疼痛干预护理,对比两组心理弹性、不良情绪、疼痛程度、舒适度及并发症发生情况。结果:护理后,观察组心理弹性量表中的坚韧、自强、乐观3个维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组Kolcaba的简化舒适状况量表中的生理、心理、精神、社会文化和环境维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组焦虑自评量表、抑郁自评量表、疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05)。结论:知信行模式结合个体化疼痛干预应用于输尿管结石患者的术后护理中,可以增强患者的心理弹性,减轻不良情绪,提高舒适度,减少并发症的发生。

Objective:TTo explore the effect of knowledge,belief and action mode combined with individualized pain intervention on postoperative nursing of patients with ureteral calculi.Methods:A total of 60 patients with ureteral calculi who underwent surgical treatment in Shanggao County Hospital of Traditional Chinese Medicine from August 2021 to September 2023 were selected and divided into an observation group and a control group according to random number table method,with 30 cases in each group.The control group was treated with routine nursing,and the observation group was treated with knowledge and practice mode combined with individualized pain intervention nursing.The psychological elasticity,bad mood,pain degree,comfort level and complications of the two groups were compared.Results:After nursing care,the three dimensions of toughness,self-reliance and optimism in the psychological resilience scale in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The scores of physiological,psychological,spiritual,sociocultural and environmental dimensions of Kolcaba’s simplified Comfort Status Scale in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The scores of Self-Rating Anxiety Scale,Self-Rating Depression Scale and pain scores in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 3.33%,which was lower than 26.67%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of knowledge and action mode combined with individualized pain intervention in postoperative nursing of patients with ureteral calculi can enhance the psychological resilience of patients,alleviate adverse emotions,improve comfort level,and reduce the occurrence of complications.