知信行模式对宫颈癌术后留置尿管的护理研究  

The nursing study of indwelling urinary catheter after cervical cancer surgery by knowledge,attitude and practice mode

作　　者：旷双红[1] 何玉珍[1] 陈然 邓小云 邹爱萍[1] 陈芙蓉 程春 Kuang Shuanghong;He Yuzhen;Chen Ran;Deng Xiaoyun;Zou Aiping;Chen Furong;Cheng Chun(North Guangdong People's Hospital of Shaoguan City in Guangdong Province,Shaoguan 512026,China)

机构地区：[1]广东省韶关市粤北人民医院医院,512026

出　　处：《国际护理学杂志》2019年第1期38-40,共3页international journal of nursing

基　　金：2016年韶关市科技计划(医学类)项目(2016ws019).

摘　　要：目的探讨知信行模式对宫颈癌患者术后留置尿管的影响。方法行宫颈癌根治术、术后留置尿管的70例患者应用随机数字表法分为对照组和实验组,对照组进行常规护理干预,实验组实施知信行模式干预,对比两组患者疾病知识的认知程度、遵医行为及并发症发生情况。结果两组患者实施护理前的知信行调查表中各维度评分比较差异无统计学意义(P>0.05),实施护理后实验组患者知信行调查表中各维度的评分均明显高于对照组(P<0.05),膀胱刺激征发生率、尿管见结晶发生率、尿潴留发生率明显低于对照组(P<0.05)。结论应用知信行模式对宫颈癌术后留置尿管患者实施干预,能够加强患者对疾病知识的掌握,提高患者医嘱行为依从率,减少尿管相关并发症的发生。Objective To explore the effect of knowledge,attitude and practice mode on urinary catheter indwelling in patients with cervical cancer after operation.Methods A total of 70 cases of patients with indwelling uririary catheter after radical resection of cervical cancer were divided into the control group and the experimental group by random number table method.The control group was given routine nursing.The experimental group was given the intervention of knowledge,attitude and practice model.The cognitive level of disease knowledge,compliance behavior and complications of patients in the two groups were compared.Results The score of all dimensions in the questionnaire of ,knowledge,attitude and practice before nursing were compared between the two tistically significant (P>0.05).After the implementation of nursing,the score knowledge,attitude and practice of patients in the experimental group were groups,and the difference was no staof all dimensions in the questionnaire of significantly higher than those in the control group (P<0.05).The incidence of bladder irritation,catheter crystallization and urinary retention was significantly lower than that of the eontrol group (P<0.05).Conclusions The application of knowledge,attitude and practice mode to the intervention of patients with urinary catheter indwelling after cervical cancer surgery can strengthen the patients'knowledge of the disease,improve the rate of patients'compliance with the doctor's advice,and reduce the occurrence of urinary catheter-related complications.

关 键 词：知信行模式 宫颈癌 尿管 并发症 疾病认知程度 遵医行为 

分 类 号：R473.73[医药卫生—护理学]