输尿管镜下碎石取石术后留置双J管患者的疾病感知与疾病自我管理行为的关系  

The relationship between illness perception and self-management of patients with indwelling double-J tube after ureteroscopic lithotripsy

作　　者：李红芸[1] 刘冉冉 许翠萍[1] Li Hongyun;Liu Ranran;Xu Cuiping(Department of Nursing,the First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Jinan 250014,China)

机构地区：[1]山东第一医科大学第一附属医院(山东省千佛山医院)护理部,济南250014

出　　处：《国际泌尿系统杂志》2023年第3期476-479,共4页International Journal of Urology and Nephrology

基　　金：山东省医药卫生科技发展计划项目(202014021275)。

摘　　要：目的探讨输尿管镜下碎石取石术后留置双J管患者的疾病感知与疾病自我管理行为的关系。方法采用便利抽样法选取2019年12月至2020年8月山东省某三级甲等医院泌尿外科中行输尿管镜下碎石取石术后留置双J管的150例患者作为研究对象。采用一般资料调查问卷、简易疾病感知问卷、疾病自我管理行为量表进行调查并行统计学分析。结果患者的疾病感知得分为(38.34±11.53)分,其中得分最高的是疾病关注[(7.28±2.82)分],对71.23%的患者进行了疾病的病因分析,结果显示:疾病的产生与饮食结构不合理、饮水少、缺乏锻炼等均有相关性(均P<0.05)。患者的疾病自我管理行为得分为(27.23±4.62)分,疾病自我管理行为得分最高的是复查[(3.56±0.62)分],得分最低的是相关知识学习[(2.44±0.92)分]。Pearson相关分析显示,疾病感知与疾病自我管理行为之间存在相关性(r=-0.182,P=0.028)。结论输尿管镜下碎石取石术后留置双J管患者的疾病感知得分不高,疾病自我管理行为处于较低水平,疾病感知与疾病自我管理行为存在负相关,提示医护人员应关注疾病感知对自我管理行为的影响,采取针对性的干预措施,促使良性疾病感知的形成,改善患者的自我管理行为,提高患者的生活质量。Objective To explore the relationship between illness perception and self-management of patients with double-J tube after ureteroscopic lithotripsy.Methods Convenient sampling method was used to select the patients 150 with double-J tube indwelling during ureteroscopic lithotripsy in urology department of a tertiary hospital in Shandong province from December 2019 to August 2020.The general information questionnaire,brief illness perception questionnaire and disease self-management behavior scale were used for investigation and statistical analysis.Results The score of illness perception was(38.34±11.53)scores,of which the highest score was disease concern[(7.28±2.82)scores].The etiology analysis of the disease was carried out in 71.23%of the patients,and the results showed that the occurrence of the disease was related to unreasonable diet structure,less water,lack of exercise,etc.(all P<0.05).The score of disease self-management behavior was(27.23±4.62)scores.The highest score was review(3.56±0.62)scores,and the lowest score was elated knowledge learning[(2.44±0.92)scores].There was a correlation between illness per-ception and disease self-management behavior(r=-0.182,P=0.028).Conclusions The disease perception score of patients with indwelling double-J tube after ureteroscopic lithotripsy is not high,and the disease self-management behavior is at a low level.There is a negative correlation between disease perception and disease self-management behavior,suggesting that medical staff should pay attention to the impact of disease perception on self-management behavior and take targeted intervention measures to promote the formation of benign disease perception,and to improve patients′self-management behavior and quality of life.

关 键 词：输尿管结石 碎石术 留置双J管 

分 类 号：R699.4[医药卫生—泌尿科学]