摘要
目的 探讨赏识干预对行肾穿刺活检术患者负性情绪中焦虑及并发症的影响.方法 将197例行肾穿刺活检术患者按就诊时间分为对照组96例和观察组101例,观察组给予赏识性干预结合综合护理,对照组给予综合护理,2组患者分别于入院时及穿刺术后1周给予Zung焦虑自评量表（SAS）评分.结果 干预后观察组SAS评分为（30.87±4.52）分,对照组SAS评分为（32.32±3.72）分,2组比较差异有统计学意义（t=2.45,P〈0.05）.干预后观察组中97例、对照组中78例患者配合进行床上排尿锻炼,2组比较差异有统计学意义（χ2=9.412,P〈0.01）;收集2组发生并发症情况,观察组发生并发症27例次,对照组发生并发症50例次,2组比较差异有统计学意义（χ2=13.285,P〈0.01）;术后发生的并发症中,观察组中8例发生尿潴留,对照组中19例发生尿潴留（χ2=2.446,P=0.015）;观察组中3例发生腹胀,对照组中10例发生腹胀（χ2=2.117,P=0.035）;观察组中1例发生腰痛,对照组中6例发生腰痛（χ2=2.004,P=0.047）,差异均有统计学意义.结论 赏识干预对做肾穿刺活检术患者在穿刺术前进行床上排尿锻炼具有积极影响,可使行肾穿刺活检术的患者焦虑情绪明显改善,减少尿潴留、腹胀及腰痛的并发症,改善穿刺后的卧床体验.
Objective To explore the effect of appreciation intervention on anxiety and complications in patients with renal biopsy. Methods A total of 197 cases of renal biopsy patients were divided into the control group （n=96） and the observation group （n=101）. The observation group was given comprehensive nursing intervention with appreciation, the control group was only given comprehensive nursing care, the two groups were evaluated with Zung Self-rating Anxiety Scale （SAS） upon admission and 1 week after puncture. Results After intervention, the SAS score of the observation group was 30.87 ± 4.52, and the SAS score of the control group was 32.32 ± 3.72, and the difference between the two groups was statistically significant （t=2.45,P〈0.05）. Totally 97 patients in the observation group and 78 cases in the control group received bed urination exercises, and the difference between the two groups was statistically significant （χ2=9.412,P〈0.01）. The complications of two groups were collected, the complications in the observation group were 27 cases, and the complications in the control group were 50 cases, the difference between the two groups was statistically significant （χ2=13.285,P〈0.01）. Among the postoperative complications, 8 of the patients in the observation group had urinary retention, and 19 of the control group had urinary retention （t=2.446,P=0.015）. In the observation group, 3 cases had abdominal distention, and 10 cases in the control group suffered from abdominal distension （t=2.117, P=0.035）. In the observation group, 1 case had low back pain, and 6 cases in the control group suffered from lumbago （t=2.004, P=0.047）; the difference was statistically significant. Conclusions Appreciate intervention for patients with renal puncture biopsy has a positive impact on the bed urination exercise in puncture before surgery. It can alleviate the anxiety of patients received renal biopsy, reduce urinary retention, abdominal distension and pain complications, and improve bedridden experience.
出处
《中国实用护理杂志》
2017年第24期1846-1849,共4页
Chinese Journal of Practical Nursing
关键词
赏识干预
肾穿刺活检术
人文护理
Appreciation intervention
Renal biopsy
Humanistic nursing
