基于知信行理论的延续性护理方案在膀胱肿瘤术后灌注中的价值研究  

Value of continuous nursing plans based on information-knowledge-belief-behavior theory in patients with bladder tumors undergoing postoperative bladder perfusion

作　　者：贺徐琳 袁静[1] 沈丹菁 袁媛[1] 王泽凤 赵蓓耘 施琳琳 刘永珍[1] HE Xu-lin;YUAN Jing;SHEN Dan-jing;YUAN Yuan;WANG Ze-feng;ZHAO Bei-yun;SHI Lin-lin;LIU Yong-zhen(Department of Urologic Surgery,Shanghai Tenth People's Hospital Affiliated to Tongji University,Shanghai 200072,China)

机构地区：[1]上海同济大学附属第十人民医院泌尿外科,上海200072

出　　处：《中国肿瘤临床与康复》2021年第9期1138-1141,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨基于知信行理论指导下的延续性护理方案在膀胱肿瘤患者膀胱灌注中的使用价值。方法选取2019年1月至2020年1月间同济大学附属第十人民医院收治的102例膀胱肿瘤患者。采用随机便利抽样法分为观察组和对照组,每组51例。对照组患者采用常规延续性护理方案,观察组患者采用知信行理论指导下的延续性护理方案。比较两组患者随访半年内知信行评分、膀胱癌复发率、遵医行为依从性和护理满意度等。结果观察组患者半年内膀胱癌复发率2.0%低于对照组的7.8%,差异有统计学意义(P<0.05)。护理后较护理前,两组患者K、A、P评分均升高,差异有统计学意义(P<0.05);护理后,观察组K、A、P评分均高于对照组,差异有统计学意义(P<0.05)。观察组遵医行为依从性高水平构成比74.5%高于对照组的47.1%,中等构成比23.5%低于对照组的45.1%、低水平构成比2.0%低于对照组的7.8%,差异有统计学意义(P<0.05);护理非常满意构成比96.1%高于对照组的43.1%,不满意0.0%低于对照组的9.8%、满意构成比3.9%低于对照组的47.1%,差异有统计学意义(P<0.05)。结论基于知信行理论指导下的延续性护理方案,能有效保证和落实延续性护理在膀胱灌注患者中的使用效果,提升遵医依从性,降低肿瘤复发率,改善护理满意度。Objective To study the value of continuity nursing plans based on information-knowledge-belief-behavior theory in patients with bladder tumors undergoing postoperative bladder perfusion.Methods One hundred and two patients with bladder tumors admitted to Shanghai Tenth People’s Hospital Affiliated to Tongji University were selected between January 2019 and January 2020.The were divided into an observation group and a control group with 51 patients in each group using random convenience sampling method.The observation group received continuity nursing plans based on information-knowledge-belief-behavior theory and the control group received conventional nursing.Scores of knowledge,belief and behavior,recurrence rate of bladder cancer,compliance and patient satisfaction with nursing were compared between the two groups.Results The recurrence rate of bladder cancer was 2.0%in the observation group which was lower than 7.8%and of the control group within six months(P<0.05).After nursing,compared with before nursing,the scores of knowledge,belief and behavior were increased in the two groups of subjects with those in the observation group higher than in the control group(all P<0.05).The compliance rate was 74.5%in the observation group which was higher than 47.1%of the control group(P<0.05).The moderate compliance rate was 23.5%in the observation group which was lower than 45.1%of the control group(P<0.05).The low compliance rate was 2.0%in the observation group which was lower than 7.8%of the control group(P<0.05).Very satisfied rate was 96.1%in the observation group which was higher than higher than 43.1%of the control group;the dissatisfied rate was 0.0%in the observation group was lower than 9.8%of the control group;the satisfaction ratio in the observation group(3.9%)was lower than the control group(47.1%)(all P<0.05).Conclusion Continuous nursing scheme based on the theory of information-knowledge-belief-behavior can effectively guarantee the effect of continuous nursing in patients undergoing bladder perfusio

关 键 词：知信行理论 延续性护理 膀胱灌注 价值 

分 类 号：R737.14[医药卫生—肿瘤]