健康信息自然导入法对前列腺电切手术患者不良心态和知信行水平的影响

Effect of natural import of health information on the poor mentality and knowledge-attitude-practice level of patients undergoing transurethral resection of prostate

目的 探讨健康信息自然导入法对前列腺电切手术患者不良心态和知信行水平的影响。方法 选取我院2019年2月至2022年1月收治的160例前列腺电切手术患者,根据住院病案号随机分为干预组81例与对照组79例,对照组给予常规术后护理干预,干预组在常规术后护理基础上增加健康信息自然导入法进行干预。比较两组患者干预前后不良心态、知信行水平变化情况,术后血尿、尿路感染等并发症情况及对护理服务满意情况。结果 干预后两组患者不良心态比较,干预组SAS与SDS分值分别为(42.76±4.67)分、(39.68±4.65)分显著低于对照组SAS(49.38±4.52)分、SDS(47.38±5.43)分(P<0.05);两组患者干预后知信行评分比较,干预组知识、信念与行为三个维度分值分别为(12.45±0.38)分、(105.44±8.71)分与(79.77±8.43)分,显著高于对照组知识(11.07±0.86)分、信念(89.46±7.39)分、行为(68.29±7.88)分;术后干预组出现1例血尿、1例尿路感染、1例尿失禁,对照组术后出现4例血尿、3例尿路感染、3例尿失禁,干预组并发症总发生率为3.70%显著低于对照组12.66%(P<0.05);干预组患者住院期间对护理服务满意度为96.30%显著高于对照组86.08%(P<0.05)。结论 健康信息自然导入法可有效改善前列腺电切手术患者不良心态,提升知信行水平与护理服务满意度,降低术后并发症,值得临床推广。

Objective To investigate the effect of natural import of health information on poor mentality and knowledge-attitude-practice(KAP)level of patients undergoing transurethral resection of prostate(TURP).Methods One hundred and sixty patients underwent TURP in our hospital from February 2019 to January 2022 were enrolled,and classified into two groups according to inpatient serial number.Control group(n=79)received convention postoperative nursing,based on this,intervention group(n=81)received natural import of health information.Then the poor mentality and KAP level be-fore and after intervention,the complications including postoperative bleeding and urinary tract infection,and the satisfaction with nursing services were compared between two groups.Results After intervention,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were(42.76±4.67)and(39.68±4.65)in intervention group,which were notably lower than(49.38±4.52)and(47.38±5.43)in control group,with statistical difference(all P<0.05).The knowledge,attitude and practice dimensional scores were(12.45±0.38),(105.44±8.71)and(79.77±8.43)in intervention group,which were remarkably higher than(11.07±0.86),(89.46±7.39)and(68.29±7.88)in control group,with statistical difference(all P<0.05).One case of hematuria,one case of urinary tract infection and one case of urinary incontinence were observed in intervention group and four cases of hematuria,three cases of urinary tract infection and three cases of urinary incontinence were observed in control group after surgery.The total complication rate was 3.70%in intervention group,which was significantly lower than 12.66%in control group,with statistical difference(P<0.05).The satisfaction rate of nursing service was 96.30% in intervention group,which was significantly higher than 86.08% in control group,with statistical difference(P<0.05).Conclusion The natural import of health information can effectively attenuate the poor mentality,improve the KAP level and nursing service satisfaction,reduce postoperative complications in patients undergoing TURP,which is worthy of clinical promotion.