摘要
目的探讨尿石症患者行微创手术治疗后实施延续性护理对患者疾病相关知识认知情况的影响。方法采用自制尿石症相关知识认知调查问卷（满分20分）,对2013年12月-2014年2月我院尿石症患者进行调查研究,按入院顺序单双号分组,观察组56例,对照组57例。2组年龄、手术方式、性别、住院时间、既往疾病等方面无统计学差异。围手术期的护理观察组和对照组遵循我科尿石症护理常规,出院时对照组常规实施出院宣教,观察组除此之外制定延续性护理方案,采用电话、网络方式,术后4周时再次评估患者疾病相关知识的认知情况。结果入院时尿石症患者疾病相关知识的认知正确性得分,观察组为9.32±3.22,对照组9.42±3.44（t=-0.159,P=0.874）。术后4周后,观察组疾病认知得分14.99±3.34,对照组为10.42±3.73（t=6.854,P=0.000）。结论尿石症患者对尿石症疾病相关知识比较缺乏。实施延续性护理的观察组较对照组对疾病的认知明显提高。
Objective To investigate the impact of continuous nursing on disease knowledge cognitive level in urolithiasis patients after minimally invasive surgery. Methods A self-designed questionnaire on urolithiasis relevant disease knowledge cognition was applied to a survey of 113 urolithiasis patients in our hospital between December 2013 and February 2014. According to odd or even number of admission,56 cases were chosen as the observation group,while 57 cases were chosen as the control group.There were no statistically significant differences between the two groups on age,surgical methods,gender,hospitalization time,and history of past illness. Both groups were provided with conventional nursing service and health education in the perioperative period.The control group received regular discharge instruction,while the observation group was given continuous nursing service in addition to the regular discharge instruction. Both groups were received reevaluation of disease knowledge cognitive level at the time 4 weeks after surgery. Results Patients＇ scores of relevant disease knowledge cognitive level at admission were not statistically different（ t =- 0. 159,P = 0. 874） between the observation group（ 9. 32 ± 3. 22） and the control group（ 9. 42 ± 3. 44）. Scores of relevant disease knowledge cognitive level at 4 weeks after surgery were significantly higher in the observation group（ 14. 99 ± 3. 34） than in the control group（ 10. 42 ± 3. 73,t = 6. 854,P = 0. 000）. Conclusion Urolithiasis patients are short of relevant disease knowledge cognition,and implementation of continuous nursing service significantly increases patients＇ cognitive level of relevant disease knowledge.
出处
《中国微创外科杂志》
CSCD
北大核心
2015年第3期256-260,共5页
Chinese Journal of Minimally Invasive Surgery
关键词
微创手术
尿石症
延续性护理
疾病相关知识
Minimally invasive surgery
Urolithiasis
Continuous nursing
Relevant disease knowledge
