中国医学创新2024，Vol.21Issue(31)：84-88,5.DOI:10.3969/j.issn.1674-4985.2024.31.020
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
摘要
Abstract
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.关键词
PRECEDE模式/输尿管结石/疾病认知/自护能力Key words
PRECEDE mode/Urethral stones/Disease cognition/Self care ability引用本文复制引用
高玉兰,熊丽姜,陈馨,邹雯杰..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[J].中国医学创新,2024,21(31):84-88,5.基金项目
宜春市高新技术企业协会项目(2024008) （2024008）
