基于健康行为改变整合理论的康复护理模式在剖宫产术后尿潴留患者中的影响研究  

Effect of Rehabilitation Nursing Model Based on ITHBC Theory on Exercise Compliance and GSES Score of Patients with Urinary Retention after Cesarean Section

作　　者：付文静 刘兰菊 FU Wen-jing;LIU Lan-ju(Department of Gynecology,Pingdingshan First People’s Hospital,Pingdingshan,Henan,467000,China)

机构地区：[1]平顶山市第一人民医院妇一科,河南平顶山467000

出　　处：《黑龙江医学》2022年第10期1246-1248,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨基于健康行为改变整合(ITHBC)理论的康复护理模式在剖宫产术后尿潴留患者中的应用效果。方法:选取2018年10月―2020年9月平顶山市第一人民医院收治的93例剖宫产术后尿潴留患者作为研究对象,按入院时间实施分组,其中2018年10月-2019年9月入院的45例患者设为对照组,予以常规康复护理模式,2019年10月-2020年9月入院的48例患者设为观察组,予以常规康复护理配合基于ITHBC理论的康复护理模式。比较两组患者锻炼依从性、护理前后膀胱功能(膀胱初感容积、最大膀胱容量及残余尿量)、自我效能感量表(GSES)评分、应对方式量表(SCSQ)评分及护理满意度。结果:观察组锻炼依从性为95.83%,高于对照组的77.78%,差异有统计学意义(χ^(2)=6.737,P<0.05)。护理2周后观察组膀胱初感容积、最大膀胱容量高于对照组,残余尿量低于对照组,差异有统计学意义(t=4.274、4.807、16.435,P<0.05)。护理2周后,观察组GSES评分、SCSQ积极应对评分高于对照组,消极应对评分低于对照组,差异有统计学意义(t=6.126、7.202、14.246,P<0.05)。观察组护理满意度为97.92%,高于对照组的82.22%,差异有统计学意义(χ^(2)=4.873,P<0.05)。结论:基于ITHBC理论的康复护理模式在剖宫产术后尿潴留患者中的应用效果显著,可有效提高其锻炼依从性,改善自我效能感及应对方式,促进膀胱功能的提高,患者护理满意度较高。Objective: To explore the application effect of rehabilitation nursing model based on the integrated theory of health behavior change(ITHBC) in patients with urinary retention after cesarean section. Methods: A total of 93 patients with urinary retention after cesarean section who were admitted to the hospital from October 2018 to September 2020 were selected as the research objects. According to the time of admission, 45 cases from October 2018 to September 2019 were set as the control group and received routine rehabilitation nursing mode, and 48 cases from October 2019 to September 2020 were set as the observation group, and received routine rehabilitation nursing combined with rehabilitation nursing model based on ITHBC theory. The exercise compliance, bladder function(initial bladder volume, maximum bladder capacity and residual urine volume), self-efficacy scale(GSES) score, coping style(SCSQ) score and nursing satisfaction were compared between the two groups of patients before nursing.Results: The exercise compliance in the observation group was 95.83%, which was higher than 77.78% in the control group, and the difference was statistically significant(χ^(2)=6.737, P<0.05). After 2 weeks of nursing, the initial bladder volume and maximum bladder capacity of the observation group were higher than those of the control group, and the residual urine volume was lower than that of the control group, with statistically significant differences(t=4.274, 4.807, 16.435, P<0.05). After 2 weeks of nursing, the GSES and SCSQ positive coping scores of the observation group were higher than those of the control group, and the negative coping scores were lower than those of the control group, and the differences were statistically significant(t=6.126, 7.202, 14.246, P<0.05).The nursing satisfaction of the observation group was 97.92%, which was higher than 82.22% of the control group, and the difference was statistically significant(χ^(2)=4.873, P<0.05). Conclusion: The application of ITHBC-based rehabilitation nursing m

关 键 词：剖宫产 术后尿潴留 健康行为改变整合理论 康复护理 锻炼依从性 自我效能感 

分 类 号：R47[医药卫生—护理学]