无痛理念下的认知行为模式在经皮肾镜取石术后患者中的护理效果  

Nursing effect of painless concept cognitive behavioral model in patients after percutaneous nephrolithotomy

作　　者：邱慧慧 徐宁[1] QIU Huihui;XU Ning(Department of Urology,Nanjing Hospital Affiliated to Nanjing Medical University Nanjing First Hospital,Jiangsu Province,Nanjing 210006,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院泌尿外科,江苏南京210006

出　　处：《中国医药导报》2023年第1期194-196,F0003,共4页China Medical Herald

摘　　要：目的 探讨经皮肾镜取石术后患者采用无痛理念下的认知行为模式干预的护理效果。方法 选取2021年1月至12月南京市第一医院106例接受经皮肾镜取石术治疗的肾结石患者为研究对象,依据随机数字表法将其分为对照组(53例)与观察组(53例)。对照组采用常规护理,观察组采用无痛理念下的认知行为模式干预,两组均连续干预至患者出院,比较两组干预前、出院时疼痛程度[视觉模拟评分法(VAS)评分]、自我效能[一般自我效能感量表(GSES)评分],并统计两组并发症情况。结果 出院时,两组VAS评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。出院时,两组GSES评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 无痛理念下的认知行为模式可减轻经皮肾镜取石术后患者疼痛程度,提高自我效能,减少并发症发生。Objective To explore the nursing effect of painless concept cognitive behavioral model intervention in patients after percutaneous nephrolithotomy.Methods A total of 106 patients who received percutaneous nephrolithotomy in Nanjing First Hospital from January to December 2021 were selected as the study objects,and they were divided into control group(53 cases) and observation group(53 cases) according to random number table method.The control group was treated with routine nursing,while the observation group was treated with painless concept cognitive behavioral mode intervention.Both groups were continuously treated until the patients were discharged from hospital.The pain degree [visual analogue scale(VAS) score] and self-efficacy [general self-efficacy scale(GSES) score] before intervention were compared between the two groups,and the complications of the two groups were statistically analyzed.Results At discharge,VAS scores of the two groups were lower than those before intervention,while that of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).At discharge,GSES scores of the two groups were higher than before intervention,while that of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion The painless concept cognitive behavioral model can reduce pain,improve self-efficacy and reduce complications in patients after percutaneous nephrolithotomy.

关 键 词：经皮肾镜取石术 无痛理念 认知行为模式 疼痛程度 自我效能 

分 类 号：R699.2[医药卫生—泌尿科学]