基于动机行为转化理论的护理在TURP治疗良性前列腺增生患者中的应用效果  

Application effects of motivational behavior transformation theory-based nursing on benign prostatic hyperplasia patients undergoing TURP

作　　者：王园园[1] WANG Yuanyuan(2^(nd) Department of Surgery of Jiyuan Second People’s Hospital,Jiyuan 459000 Henan,China)

机构地区：[1]济源市第二人民医院外二科,河南济源459000

出　　处：《中国民康医学》2023年第12期155-157,161,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于动机行为转化理论的护理在经尿道前列腺电切术(TURP)治疗良性前列腺增生(BPH)患者中的应用效果。方法:选取2019年5月至2022年2月该院收治的86例BPH患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各43例。两组均行TURP治疗,对照组实施常规护理,观察组在对照组基础上实施基于动机行为转化理论的护理,比较两组护理前后应对方式评分、心理弹性评分和生命质量评分,以及并发症发生率。结果:护理后,观察组积极应对评分,乐观性、坚韧性、力量性等心理弹性评分和总分,物质生活、躯体功能、社会功能和心理功能等生命质量评分均高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.33%(1/43),低于对照组的18.60%(8/43),差异有统计学意义(P<0.05)。结论:在常规护理基础上应用基于动机行为转化理论的护理可改善TURP治疗BPH患者的应对方式和生命质量,降低并发症发生率,效果优于单纯常规护理。Objective:To observe the effect of nursing based on motivational behavior transformation theory in the treatment of patients with benign prostatic hyperplasia(BPH)by transurethral resection of prostate(TURP).Methods:A prospective study was conducted on 86 BPH patients admitted to the hospital from May 2019 to February 2022.They were divided into control group and observation group according to the random number table method,43 cases in each group.Both groups underwent TURP.The control group was given routine nursing,while the observation group was given the motivational behavior transformation theory-based nursing on the basis of that of the control group.The coping style score,the psychological resilience score,the quality of life score,and the incidence of complications were compared between the two groups before and after the nursing.Results:After the nursing,the positive coping score,the psychological resilience score and the total score of optimism,tenacity and strength,and the quality of life score of material life,physical function,social function and psychological function in the observation group were higher than those in the control group,the negative coping score was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 2.33%(1/43),which was lower than 18.60%(8/43)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the motivational behavior transformation theory-based nursing can improve the positive coping,the psychological resilience and the quality of life scores of BPH patients undergoing TURP,and reduce the negative coping scores and the incidence of complications.Moreover,it is superior to single routine nursing.

关 键 词：动机行为转化理论 良性前列腺增生 经尿道前列腺电切术 心理弹性 应对方式 生命质量 并发症 

分 类 号：R473.6[医药卫生—护理学]