知信行護理模式在輸尿管軟鏡治療腎結石患者中的應用價值探究

詹海花　金凱英　謝玉蘭

【摘要】 目的：探究知信行護理模式在輸尿管軟鏡治療腎結石患者中的應用價值。方法：選取2015年12月-2017年2月于本院采用輸尿管軟鏡治療腎結石的76例患者為研究對象，隨機分為對照組和觀察組，每組38例。對照組進行常規輸尿管軟鏡治療腎結石護理，觀察組則以知信行護理模式進行干預。比較兩組護理前后的治療認知度、治療護理配合度、護理結局情況及護理滿意度。結果：護理前兩組患者的治療認知度、治療護理配合度及護理結局情況比較，差異均無統計學意義（P>0.05）；護理后兩組的治療認知度、治療護理配合度及護理結局情況均持續改善，且觀察組評估結果顯著于對照組，優觀察組的護理滿意度高于對照組，比較差異均有統計學意義（P<0.05）。結論：知信行護理模式在輸尿管軟鏡治療腎結石患者中的應用價值較高，對患者各方面的改善作用均較好，更受患者認可。

【關鍵詞】 知信行護理模式； 腎結石； 輸尿管軟鏡治療； 應用價值

Investigation on the Application Value of Knowledge-attitude-practice Nursing Model in the Patients with Renal Calculus Treated with Flexible Ureteroscope/ZHAN Hai-hua，JIN Kai-ying，XIE Yu-lan.//Medical Innovation of China，2017，14（30）：089-092

【Abstract】 Objective：To investigate the application value of knowledge-attitude-practice nursing model in the patients with renal calculus treated with flexible ureteroscope.Method：76 patients with renal calculus treated with flexible ureteroscope in our hospital from December 2015 to February 2017 were selected as objects，they were randomly divided into the control group and the observation group，38 cases in each group.The control group was treated with routine nursing of renal calculus by flexible ureteroscope，the observation group was treated with knowledge-attitude-practice nursing model.The treatment cognition and treatment，nursing coordination，nursing outcomes and nursing satisfaction were compared between the two groups before and after nursing.Result：The treatment cognition，treatment and nursing coordination，nursing outcomes of the two groups before the nursing were compared，the differences were not statistically significant（P>0.05）. After treatment，the two groups of treatment cognition，treatment and nursing coordination，nursing outcomes were improved continuously，and the evaluation results of the observation group were significantly better than those of the control group，and the nursing satisfaction of the observation group was higher than that of the control group，the differences were statistically significant（P<0.05）.Conclusion：The knowledge-attitude-practice nursing model in the treatment of patients with renal calculus treated with flexible ureteroscope has higher application value，and its improvement role for all aspects of patients are better，is more accepted by patients.

【Key words】 Knowledge-attitude-practice nursing model； Renal calculus； Flexible ureteroscope； Application value

First-authors address： The Center Hospital of Longhua District in Shenzhen City，Shenzhen 518110，Chinaendprint

doi：10.3969/j.issn.1674-4985.2017.30.026

腎結石是泌尿系常見結石，患者的治療方式較多，其中輸尿管軟鏡治療是常見的治療方式之一，其具有手術創傷較小及術后恢復較快等優點[1-2]，因此臨床應用率較高。而輸尿管軟鏡治療腎結石的臨床認知度仍相對低下，造成患者的配合度較低及預后擔憂等不良心理表現突出，因此對輸尿管軟鏡治療腎結石患者進行護理的過程中，患者的“知信行”干預與調節是重點方面[3]。本研究中筆者就知信行護理模式在輸尿管軟鏡治療腎結石患者中的應用價值進行探究，現報道如下。

1 資料與方法

1.1 一般資料 選取2015年12月-2017年2月于本院采用輸尿管軟鏡治療腎結石的76例患者為研究對象，將其隨機分為對照組和觀察組，每組38例。對照……