Urology Department, Jiangsu Province Hospital, and the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Medicine (Baltimore). 2024 Mar 1;103(9):e37321. doi: 10.1097/MD.0000000000037321.
The objective of this study is to examine the development of a clinical care pathway utilizing an action research methodology for male patients with urethral stricture, and to assess the psychological and quality of life outcomes following the implementation of this pathway.
Ninety patients diagnosed with urethral stricture, admitted to our hospital between May 2021 and May 2022, were selected as the study cohort. Employing a random number method, these patients were allocated into an observation group and a control group, each comprising 45 individuals. The control cohort employs standard care protocols for individuals with urethral stenosis, while the experimental group employs an action research methodology to develop a clinical care pathway specific to the management of patients with urethral stenosis, with an intervention cycle of 3 months. The investigation evaluated the impact of the intervention by scrutinizing pre- and post-intervention data through the utilization of the WHO Quality of Life Scale (WHOQOL-BREF), in addition to the Anxiety Rating Scale and the Depression Rating Scale.
Prior to the intervention, no significant differences were observed in WHOQOL-BREF scores across dimensions, as well as anxiety and depression scores between the 2 groups (P > .05). Subsequent to the intervention, the patients in the observation group exhibited significantly higher scores across all WHOQOL-BREF dimensions and total scores compared to the control group, with statistical significance (P < .05). Moreover, anxiety and depression scores in the observation group were markedly lower than those in the control group, demonstrating statistical significance (P < .05).
The implementation of a clinical nursing pathway rooted in action research methodology proves to be an effective strategy for enhancing clinical nursing practices, elevating patient quality of life, and diminishing the prevalence of anxiety and depression.
本研究旨在采用行动研究方法为尿道狭窄男性患者制定临床护理路径，并评估实施该路径后的心理和生活质量结果。
选取 2021 年 5 月至 2022 年 5 月我院收治的 90 例尿道狭窄患者为研究对象。采用随机数字法将患者分为观察组和对照组，每组 45 例。对照组采用尿道狭窄患者标准护理方案，实验组采用行动研究方法制定尿道狭窄患者临床护理路径，干预周期为 3 个月。通过采用 WHO 生活质量量表（WHOQOL-BREF）、焦虑评分量表和抑郁评分量表，评估干预前后的影响。
干预前，两组 WHOQOL-BREF 各维度评分及焦虑、抑郁评分差异均无统计学意义（P>0.05）。干预后观察组 WHOQOL-BREF 各维度评分及总分均高于对照组，差异有统计学意义（P<0.05）；观察组焦虑、抑郁评分低于对照组，差异有统计学意义（P<0.05）。
基于行动研究方法的临床护理路径的实施，是提升临床护理实践、提高患者生活质量、降低焦虑和抑郁发生率的有效策略。
