基于心理弹性发展模型下的护理模式在经皮肾镜取石术治疗肾结石中的应用价值  

Application value of a nursing model based on the resilience development model in the treatment of renal calculi using percutaneous nephrolithotomy

作　　者：胡晓萍 赵营 宋莉莉 HU Xiaoping;ZHAO Ying;SONG Lili(Department of Urology,The First People's Hospital of Nanyang City,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院泌尿外科,河南南阳473000

出　　处：《黑龙江医药科学》2025年第3期93-96,共4页Heilongjiang Medicine and Pharmacy

基　　金：河南省医学科技攻关联合共建项目,编号:LHGJ20211018。

摘　　要：目的:分析基于心理弹性发展模型下的护理模式在经皮肾镜取石术治疗肾结石中的临床应用效果。方法:回顾性选取南阳市第一人民医院2022年9月至2023年9月收治的84例经皮肾镜取石术治疗肾结石患者,按护理方法不同分为心理弹性组(n=42)、对照组(n=42),对照组行常规护理,心理弹性组在此基础上给予心理弹性发展模型下的护理模式。比较两组术后恢复情况、并发症发生率、心理弹性[Wagnild-Young心理弹性量表(RS-11)]、饮水依从性、护理满意度。结果:心理弹性组拔除造瘘管、拔除导尿管、下床活动、住院时间均短于对照组(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);干预后心理弹性组RS-11评分高于对照组(P<0.05);干预后心理弹性组饮水依从性高于对照组(P<0.05);心理弹性组护理满意度97.62%高于对照组80.95%(P<0.05)。结论:对经皮肾镜取石术治疗肾结石患者实施基于心理弹性发展模型下的护理模式,能改善术后恢复情况,提高心理弹性、饮水依从性、护理满意度。Objective:To analyze the clinical application effect of a nursing model based on the resilience development model in the treatment of renal calculi using percutaneous nephrolithotomy.Methods:A retrospective study was conducted on 84 patients with renal calculi who underwent percutaneous nephrolithotomy at the First People's Hospital of Nanyang City from September 2022 and September 2023.The patients were divided into resilience group(n=42)and control group(n=42)based on their nursing methods.The control group received routine nursing,while the resilience group received the nursing model based on the resilience development model in addition to routine nursing.The postoperative recovery,complication rates,resilience(Wagnild-Young Resilience Scale[RS-11]),water intake compliance and nursing satisfaction were compared between the two groups.Results:The resilience group had shorter times for fistula tube removal,catheter removal,ambulation and hospital stay compared to the control group(P<0.05).There was no statistically significant difference in complication rates between the two groups(P>0.05).After intervention,the resilience group had higher RS-11 scores than the control group(P<0.05).The resilience group also had higher water intake compliance than the control group after intervention(P<0.05).The nursing satisfaction rate was higher in the resilience group 97.62%than in the control group 80.95%(P<0.05).Conclusion:Implementing a nursing model based on the resilience development model for patients with renal calculi undergoing percutaneous nephrolithotomy can improve postoperative recovery,enhance resilience,increase water intake compliance,and improve nursing satisfaction.

关 键 词：心理弹性发展模型 经皮肾镜取石术 肾结石 不良情绪 饮水依从性 

分 类 号：R472[医药卫生—护理学]