基于NSM的阶梯式护理+合理行为替代护理对前列腺增生患者术后康复的影响  

Effect of Step Nursing Based on Neuman Systems Model Combined with Rational Behavior Substitute Nursing on Postoperative Rehabilitation of Patients with Prostate Enlargement

作　　者：刘忠艳 LIU Zhongyan(Department of Urology,Hospital of Traditional Chinese Medicine in Qiandongnan Miao and Dong Autonomous Prefecture,Kaili 556000,China)

机构地区：[1]黔东南苗族侗族自治州中医医院泌尿外科,贵州凯里556000

出　　处：《中国医学创新》2025年第6期89-93,共5页Medical Innovation of China

摘　　要：目的:分析基于纽曼系统模式(Neuman systems model,NSM)的阶梯式护理联合合理行为替代式护理对老年前列腺增生患者术后康复的影响。方法:选择2023年1—12月黔东南苗族侗族自治州中医医院收治的60例老年前列腺增生术后患者,根据护理干预方案差异分为参照组、试验组,各30例,参照组给予常规护理,试验组在参照组基础上行基于NSM的阶梯式护理联合合理行为替代式护理。比较两组术后康复情况、遵医行为、心理弹性、并发症发生率。结果:护理后,试验组最大尿流量(maximum urinary flow rate,Qmax)高于参照组,国际前列腺症状评分(international prostate symptom score,IPSS)、残余尿流量(residual urine volume,RUV)均低于参照组,差异均有统计学意义(P<0.05)。护理后,试验组遵医行为评分、心理弹性评分均高于参照组,差异均有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:基于NSM的阶梯式护理联合合理行为替代式护理能够改善老年前列腺手术患者的术后康复质量,提升患者遵医行为、提高心理弹性评分,患者术后并发症发生率得到有效控制,值得推广使用。Objective:To analyze the influence of step nursing based on Neuman systems model(NSM)combined with rational behavior substitute nursing on postoperative rehabilitation of elderly patients with prostatic hyperplasia.Method:A total of 60 elderly patients with post-operative prostatic hyperplasia admitted to the Hospital of Traditional Chinese Medicine in Qiandongnan Miao and Dong Autonomous Prefecture from January to December 2023 were selected and divided into the reference group and the experimental group according to the differences in nursing intervention plans,with 30 cases in each group.The reference group was given routine nursing,and the experimental group was given step nursing based on NSM combined with rational behavior substitute nursing.Postoperative rehabilitation,compliance behavior,psychological resilience and complication rate were compared between the two groups.Result:After nursing,the maximum urinary flow rate(Qmax)in experimental group was higher than that in the reference group,and the international prostate symptom score(IPSS)and residual urine volume(RUV)were lower than those in the reference group,the differences were statistically significant(P<0.05).After nursing,compliance behavior scores and psychological resilience scores of experimental group were higher than those of reference group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Step nursing based on NSM combined with rational behavior substitute nursing can improve the postoperative rehabilitation quality of elderly patients with prostate surgery,improve the compliance behavior of patients,improve the psychological resilience score,and effectively control the incidence of postoperative complications of patients,which is worthy of promotion and use.

关 键 词：纽曼系统模式 阶梯式护理 合理行为替代式护理 前列腺增生 老年患者 

分 类 号：R473.6[医药卫生—护理学]