| 李影.心理认知行为护理模式对泌尿外科手术后患者心理和生活质量的影响[J].安徽医药,2018,22(5):995-997. |
| 心理认知行为护理模式对泌尿外科手术后患者心理和生活质量的影响 |
| Effect of psychological and cognitive behavioral nursing model on patients′ psychology and quality of life after operation in the department of urinary surgery |
| 投稿时间：2016-12-22 |
| DOI： |
| 中文关键词: 认知行为 护理模式 泌尿外科 手术 心理健康 生活质量 |
| 英文关键词: cognitive behavioral nursing mode department of urology operation mental health quality of life |
| 基金项目: |
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| 摘要点击次数: 2023 |
| 全文下载次数: 616 |
| 中文摘要: |
| 目的 探索心理认知行为护理模式对泌尿外科手术后患者的心理和生活质量的影响。 方法 将泌尿外科手术后患者根据采用护理模式的不同,分为心理认知行为组(观察组)和常规护理组(对照组),比较两组患者的心理健康状况、治疗依从性和生活质量差异。 结果 两组患者在恐怖、敌对、焦虑、抑郁、人际关系敏感、强迫症状以及躯体化方面差异有统计学意义(P<0.05),在精神病性以及偏执方面差异无统计学意义(P>0.05)。 观察组患者的治疗和护理依从性96.74%明显优于对照组80.39%(P<0.05)。两组患者采用不同护理干预模式后6个月,观察组在心理健康[(64.39±14.65) vs(53.47±11.62)分]、情感角色功能[(72.54±16.08) vs(51.82±15.34)分]、社会功能[(82.74±18.47) vs(67.23±14.75)分]、活力[(55.56±15.27) vs(41.64±14.26)分]、总体健康[(61.53±18.26) vs(45.72±16.24)分]、躯体疼痛[(76.37±21.43) vs(54.28±20.63)分]、躯体角色功能[(65.64±17.56) vs(54.53±15.42)分]、生理功能[(83.97±11.87) vs(72.62±12.23)分]的生活质量量表得分显著高于对照组(P<0.01)。观察组在服务态度97.30% vs 80.56%、技术水平94.59% vs 81.94%、健康教育98.65% vs 86.11%、关爱患者100% vs 77.8%和心理支持100% vs 90.28%的满意度均显著高于对照组(P<0.01)。 结论心理认知行为护理模式能够显著改善泌尿外科手术后患者的心理健康状况、提高治疗依从性和生活质量,值得临床推广应用。 |
| 英文摘要: |
| Objective To explore the effect of psychological and cognitive behavioral nursing model on the psychological and life quality of patients after operation in the department of urinary surgery. Methods The patients were assigned into cognitive behavior group (study group) and routine nursing group (control group) according to the different nursing modes to compare the mental health status,treatment compliance and quality of life between the two groups. Results There were significantly significant differences in phobia,hostility,anxiety,depression,interpersonal sensitivity,obsessive-compulsive symptoms and somatization between the two groups (P<0.05),while there were no significant differences in psychosis and paranoid ideation (P>0.05).Treatment and care compliance for patients (96.74%) in the study group were significantly better than 80.39% of the control group (P<0.05).Two groups of patients with different nursing intervention for 6 months,the scores of mental health [(64.39±14.65) vs (53.47±11.62) points],emotional role function [(72.54±16.08) vs (51.82±15.34) points],social function [(82.74±18.47) vs (67.23±14.75) points],vitality [(55.56±15.27) vs (41.64±14.26) points],general health [61.53±18.26) vs (45.72±16.24) points],somatic pain [(76.37±21.43) vs (54.28±20.63) points],somatic role function [(65.64±17.56) vs (54.53±15.42) points] and physiological function scale [(83.97±11.87) vs (72.62±12.23) points] in the study group were significantly higher than those in the control group (P<0.01).The research group was significantly higher than the control group in terms of service attitude (97.30% vs 80.56%),technical level (94.59% vs 81.94%),health education (98.65% vs 86.11%),care for patients (100% vs 77.8%) and psychological support (100% vs 90.28%) (P<0.01). Conclusions The psychological cognitive behavior nursing model can significantly improve the psychological health status of patients after operation in the department of urinary surgery,improve treatment compliance and quality of life,which is worthy of clinical application. |
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