择期尿路结石手术患者心理应激与治疗依从的相关性及护理方式分析

Relationship between psychological stress and treatment compliance of patients with urinary stone surgery and analysis of nursing method

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(3)
作者
作者单位

四川省西昌市人民医院 ;
四川省西昌市人民医院护理部主任 ;
四川省凉山彝族自治州第一人民医院 ;

摘要
【摘要】 研究择期尿路结石手术患者心理应激与治疗依从的相关性及护理方式。方法 将我院90例尿路结石手术患者抽签随机分为观察组与对照组,均45例,两组均实施尿路结石临床护理路径,观察组在路径基础上强化心理护理,比较两组护理前、护理后医院应激量表评分结果及依从性评分差异,Pearson相关性法分析心理应激与依从性的相关性。结果 两组护理后心理应激各维度较护理前均显著降低(P<0.05),护理后组间比较观察组环境陌生、缺乏信息、不舒适、疾病威胁、家庭社会因素及总分均显著低于对照组(P<0.05);观察组护理后依从性评分显著高于护理前及对照组护理后(P<0.05),对照组护理前后差异无统计学意义(P>0.05);经Pearson相关性分析,应激评分与依从性评分显著正相关,Pearson相关系数0.817,P=0.000,两者显著相关。结论 心理应激与依从性存在显著相关性,强化心理护理的尿路手术临床护理路径有助于改善患者围术期不良心理应激,提高治疗依从性,可作为此类患者围术期管理的有效方式。
Abstract
【Abstract】 Objective To study the relationship between psychological stress and treatment compliance of patients with urinary stone surgery, and to analyze the nursing methods. Methods 90 patients treated by urinary stone surgery were randomly divided into observation group and control group, with 45 cases in each. All patients were treated with urinary calculi clinical nursing path, while the observation group got strengthening psychological nursing in addition. The changes in Hospital Stress Scale before and after nursing in 2 groups were compared. The relationship between psychological stress and treatment compliance were analyzed by Pearson correlation method. Results All dimensions in Hospital Stress Scale of both groups were significantly decreased (P<0.05 ). After nursing, the dimension of unfamiliar environment, lack of information, uncomfortable, threat of disease, family and social factors and total scores in Hospital Stress Scale of the observation group were significantly lower than those of the control group (P<0.05 ). After nursing, the compliance score of the observation group was significantly increased and was significantly higher than that of the control group (P<0.05 ). The compliance score of the control group did not change significantly before and after nursing (P>0.05). The psychological stress scores were positively correlated with treatment compliance scores (r=0.817, P=0.000). Conclusion there is significant correlation between psychological stress and compliance, urinary tract surgery clinical nursing path added with strengthening psychological nursing is helpful to improve the perioperative adverse psychological stress, improve treatment compliance, can be used as an effective way of perioperative management of such patients.
关键词
【关键词】尿路结石;心理应激;治疗依从;护理
KeyWord
【Key words】Urinary calculi; Psychological stress; Treatment compliance; Nursing
基金项目
页码 549-552
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马涛*,张晓梅,周德如,曾明坤. 择期尿路结石手术患者心理应激与治疗依从的相关性及护理方式分析 [J]. 国际精神病学杂志. 2017; 44; (3). 549 - 552.

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