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认知行为干预下延续性护理对输尿管结石术后双J管置入患者心理状态及生活质量的影响

Effects of continuing nursing care under cognitive behavioral intervention on psychological state and living quality in patients with double J catheter after ureterolithiasis surgery.

作者信息

Mu Nannan, Wu Shuling, Wang Hui, Chen Shaona, Lu Jiaxiang, Huang Shaoqing, Fu Xiaoli

机构信息

Department of Urology, Sanya People's Hospital Sanya 572000, Hainan, China.

Department of Urology, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan, China.

出版信息

Am J Transl Res. 2021 Sep 15;13(9):10721-10728. eCollection 2021.

Abstract

OBJECTIVE

The effects of continuing nursing care under cognitive behavioral intervention on the psychological state and living quality of patients with double J catheter after ureterolithiasis surgery were analyzed in this research.

METHODS

The research subjects in this study were 142 patients who were discharged from our hospital with a double J tube after ureterolithiasis surgeries from June 2019 to June 2020. According to the patient care plan, the subjects were divided into the control group (n=71) and the observation group (n=71) and respectively treated with routine basic nursing measures and continuing nursing care under cognitive-behavior intervention. Subsequently, the psychological state, living quality and the complications that occurred were compared between the two groups.

RESULTS

The depression and anxiety scores of the two groups after 4 weeks of intervention, comparing to thoes before intervention, were seen with remarkably decreased significance (). The scores of living quality and self-care quality of patients in the observation group were obviously higher than those in the control group (). In addition, the incidence of complications in the observation group was critically lower than that in control group ().

CONCLUSION

Continuous nursing care under cognitive behavioral intervention can substantially improve the psychological state, living quality and self-care ability of patients with double J tube after ureterolithiasis surgery, and reduce the incidence of complications, which is worthy of clinic promotion.

摘要

目的

本研究分析认知行为干预下的延续性护理对输尿管结石手术后双J管患者心理状态和生活质量的影响。

方法

本研究的研究对象为2019年6月至2020年6月在我院输尿管结石手术后留置双J管出院的142例患者。根据患者护理计划,将研究对象分为对照组(n = 71)和观察组(n = 71),分别采用常规基础护理措施和认知行为干预下的延续性护理进行治疗。随后,比较两组患者的心理状态、生活质量及发生的并发症。

结果

干预4周后,两组患者的抑郁和焦虑评分与干预前相比均显著降低()。观察组患者的生活质量和自我护理质量得分明显高于对照组()。此外,观察组并发症发生率显著低于对照组()。

结论

认知行为干预下的延续性护理可显著改善输尿管结石手术后双J管患者的心理状态、生活质量和自我护理能力,并降低并发症发生率,值得临床推广。

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Predicting the Impacted Ureteral Stone with Computed Tomography.用计算机断层扫描预测嵌顿性输尿管结石。
Urology. 2019 Aug;130:43-47. doi: 10.1016/j.urology.2019.04.020. Epub 2019 Apr 25.

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