PERMA模式心理干预配合SPCS生物反馈训练在预防肾穿刺后排尿困难中的应用

Application of PERMA Model Psychological Intervention Combined with SPCS Biofeedback Training in Prevention of Dysuria after Renal Puncture

目的:探讨PERMA模式心理干预配合生理相干与自主平衡系统(SPCS)生物反馈训练在预防肾穿刺后排尿困难中的应用价值。方法:选取2022年3月—2023年6月拟于南昌大学第一附属医院行肾穿刺的80例患者作为研究对象,按照随机数字表法将其分为观察组和对照组,各40例。对照组给予常规护理,观察组在对照组基础上给予PERMA模式心理干预配合SPCS生物反馈训练。比较两组术后排尿功能、排尿困难发生情况、术后排尿时间及排尿方式的差异。结果:观察组排尿功能优良率高于对照组,差异有统计学意义(P<0.05)。观察组排尿困难发生率低于对照组,差异有统计学意义(P<0.05)。观察组术后第1次、第2次、第3次排尿时间均早于对照组,差异均有统计学意义(P<0.05)。术后12、24 h,观察组舒适状况量表(GCQ)评分均高于对照组,差异均有统计学意义(P<0.05)。结论:采用PERMA模式心理干预配合SPCS生物反馈训练能够改善肾穿刺后患者的排尿功能,降低排尿困难的发生率,促进肾穿刺后患者尽早恢复自主排尿,改善患者舒适状况。

Objective:To explore the application value of PERMA model psychological intervention combined with biofeedback training of self-generate physiological coherence system(SPCS)in preventing dysuria Medical Innovation of China Vol.21,No.28 October,2024 after renal puncture.Method:A total of 80 patients scheduled to undergo renal puncture in the First Affiliated Hospital of Nanchang University from March 2022 to June 2023 were selected as the study objects,and they were divided into observation group and control group according to random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given PERMA mode psychological intervention combined with SPCS biofeedback training on the basis of the control group.The differences of postoperative urination function,incidence of dysuria,postoperative urination time and urination mode were compared between two groups.Result:The excellent and good rate of urinary function in observation group was higher than that in control group,the difference was statistically significant(P<0.05).The incidence of dysuria in observation group was lower than that in control group,the difference was statistically significant(P<0.05).The first,second and third urination time of the observation group were earlier than those of the control group,the differences were statistically significant(P<0.05).At 12 and 24 h after operation,the scores of comfort status scale(GCQ)in observation group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:The use of PERMA model psychological intervention combined with SPCS biofeedback training can improve the urination function of patients after renal puncture,reduce the incidence of dysuria,promote the early recovery of spontaneous urination after renal puncture,and promote the comfort of patients.