PRECEDE模式护理干预对输尿管结石患者疾病认知和自护能力的影响

The Impact of PRECEDE Nursing Model on Disease Cognition and Self-care Ability of Patients with Ureteral Stones

目的:探讨倾向、强化及促成因素(PRECEDE)模式护理干预对输尿管结石手术患者疾病认知水平和自我护理能力的影响。方法:选择宜丰县人民医院2023年1—12月收治的输尿管结石患者78例,采用随机数字表法,将患者分为研究组和参照组,各39例。参照组给予输尿管结石手术常规护理干预,在此基础上,研究组给予PRECEDE模式护理干预。比较两组护理前及出院时健康知识掌握评分、术后不同时间疼痛评分、护理前及出院时自我护理能力测量量表(ESCA)与一般自我效能感量表(GSES)评分;比较两组术后膀胱刺痛、尿路感染、腰胀痛、肉眼血尿等并发症发生情况。结果:出院时,两组健康知识掌握评分、ESCA评分、GSES评分均高于护理前,差异均有统计学意义(P<0.05);研究组出院时健康知识掌握评分、ESCA评分、GSES评分均高于参照组,差异均有统计学意义(P<0.05);两组术后12 h疼痛评分低于术后6 h,术后24 h疼痛评分低于术后12 h,差异均有统计学意义(P<0.05);但两组术后6、12、24 h组间疼痛评分比较,差异均无统计学意义(P>0.05);研究组术后膀胱刺痛发生率(17.95%)、尿路感染发生率(2.56%)、腰胀痛发生率(5.13%)、肉眼血尿发生率(12.82%)均低于参照组(38.46%、17.95%、20.51%、33.33%),差异均有统计学意义(P<0.05)。结论:PRECEDE模式护理干预可显著提高输尿管结石手术患者对疾病认知的认知水平及自我护理与管理能力,降低术后并发症发生率,护理干预效果满意。

Objective:To explore the effect of propensity,reinforcement,and facilitation(PRECEDE)model nursing on disease cognition and self-care ability in patients undergoing ureteral stone surgery.Method:A total of 78 patients with ureteral stones admitted to the People's Hospital of Yifeng County from January to December 2023 were selected.The patients were divided into study group and reference group with 39 cases each by random number table method.The reference group received routine nursing intervention for ureteral stone surgery,and on this basis,the study group received PRECEDE mode nursing intervention.The scores of health knowledge mastery before nursing and at discharge,postoperative pain scores at different times,self-care ability measurement scale(ESCA)and general self-efficacy scale(GSES)scores were compared between the two groups before nursing and at discharge.Complications such as bladder tingling,urinary tract infection,lumbago pain and gross hematuria were compared between the two groups.Result:At discharge,the health knowledge mastery scores,ESCA scores and GSES scores of the two groups were higher than those of before nursing,the differences were statistically significant(P<0.05).The score of health knowledge mastery,ESCA score and GSES score of the study group were higher than those of the reference group,the differences were statistically significant(P<0.05).The pain scores at 12 h after surgery in both groups were lower than those at 6 h after surgery,and the pain scores at 24 h after surgery were lower than those at 12 h after surgery,with statistical significance(P<0.05).However,there were no significant differences in pain scores between the two groups at 6,12 and 24 h after surgery(P>0.05).The incidences of postoperative stinging bladder pain(17.95%),urinary tract infection(2.56%),lumbago pain(5.13%)and gross hematuria(12.82%)in the study group were lower than those in the reference group(38.46%,17.95%,20.51%,33.33%),the differences were statistically significant(P<0.05).Conclusion:The PRECEDE nursing model can significantly improve the cognitive level and self-care and management ability of patients undergoing ureteral stone surgery,reduce the incidence of postoperative complications,and achieve satisfactory nursing intervention effects.