健康行为互动模式护理在剖宫产术后尿潴留患者中的应用效果  

Application effects of interaction model of client health behavior nursing in patients with urinary retention after cesarean section

作　　者：李琳 LI Lin(1^(st) Ward of Department of Obstetrics of The First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院产科一病区,河南南阳473000

出　　处：《中国民康医学》2023年第1期181-183,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察健康行为互动模式(IMCHB)护理在剖宫产术后尿潴留患者中的应用效果。方法:回顾性分析2019年7月至2020年9月该院收治的92例剖宫产术后尿潴留患者的临床资料,按不同护理方案将其分为研究组48例和对照组44例。对照组采用常规护理,研究组在对照组基础上采用IMCHB护理,比较两组盆底肌锻炼依从性、生命质量综合评定问卷-74(GQOLI-74)评分和护理满意度。结果:研究组盆底肌锻炼依从率为91.67%,高于对照组的70.45%,差异有统计学意义(P<0.05);护理后,两组躯体功能、心理功能、社会功能和物质生活状态等GQOLI-74评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组护理满意度为95.83%,高于对照组的79.55%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用IMCHB护理可提高剖宫产术后尿潴留患者盆底肌锻炼依从率、GQOLI-74评分和护理满意度,效果优于单纯常规护理效果。Objective: To observe application effects of interaction model of client health behavior(IMCHB) nursing in patients with urinary retention after cesarean section. Methods: The clinical data of 92 patients with urinary retention after cesarean section admitted to this hospital from July 2019 to September 2020 were retrospectively analyzed. According to different nursing plans, they were divided into study group(48 cases) and control group(44 cases). The control group received routine nursing, while the study group received the IMCHB nursing on the basis of that of the control group. The compliance of pelvic floor muscle training, the general quality of life inventory(GQOLI-74) score, and the nursing satisfaction were compared between the two groups. Results: The compliance rate of pelvic floor muscle training in the study group was 91.67%, which was higher than 70.45% in the control group, and the difference was statistically significant(P<0.05). After the nursing, the scores of GQOLI-74 dimensions such as physical function, psychological function, social function and material life status in the two groups were higher than those before the nursing, those in the study group were higher than those in the control group, and the differences were statistically significant(P<0.05). Further, the nursing satisfaction of the study group was 95.83%, which was higher than 79.55% of the control group, and the difference was statistically significant(P<0.05). Conclusions: The IMCHB nursing on the basis of the routine nursing can improve the compliance rate of pelvic floor muscle training, the GQOLI-74 scores and the nursing satisfaction of the patients with urinary retention after cesarean section. Moreover, it is superior to single routine nursing.

关 键 词：健康行为互动模式 护理 剖宫产 尿潴留 盆底肌锻炼 生命质量 护理满意度 

分 类 号：R473.71[医药卫生—护理学]