摘要
目的探讨知信行模式在经皮肾穿刺活检术的应用效果。方法选取2018年11月至2019年11月粤北人民医院收治的肾脏病患者100例。随机分为观察组与对照组,每组各50例。观察组患者在活检前接受知信行模式护理干预,对照组患者则接受肾内科常规护理干预。使用问卷调查对患者一般资料、对肾活检知识了解程度以及活检后疼痛程度进行评价,并记录两组患者的并发症情况。结果观察组患者术前、术中和术后应知应会认知情况都高于对照组(P<0.05);观察组患者问卷调查总分高于对照组(P<0.05)。穿刺后6 h和12 h,观察组患者疼痛评分低于对照组(P<0.05);但两组患者穿刺后24 h疼痛评分差异无统计学意义(P>0.05)。观察组患者术后24 h内并发症总发生率为8.00%,低于对照组的24.00%(P<0.05)。结论将知信行模式应用于经皮肾穿刺活检术的患者,能够有效强化术前患者对相关知识的掌握和认知程度,在操作实施过程中增强医患配合,从而减少活检术造成的疼痛等不适感,也降低了并发症风险,有利于患者预后,具有一定的临床价值,值得推广应用。
Objective To explore the effect of applying the knowledge,attitude,belief and practice(KABP)model to percutaneous renal biopsy.Methods A total of 100 patients with renal disease admitted to Yuebei People's Hospital from November 2018 to November 2019 were selected.They were randomly divided into the observation group and the control group,with 50 patients in each group.The patients of the observation group received the nursing intervention of the KABP model before biopsy,while the patients of the control group received conventional nursing intervention of Nephrology Department.Questionnaire survey was used to evaluate the patients'general information,knowledge of renal biopsy and severity of pain after biopsy,and the complications of the two groups were recorded.Results The cognitive situation of the patients to meet the required standards in the observation group before,during and after operation was higher than that in the control group(P<0.05).The total scores of questionnaire survey of the patients in the observation group were higher than those in the control group(P<0.05).At 6 h and 12 h after puncture,the pain scores of the patients in the observation group were lower than those in the control group(P<0.05).But the difference between the two groups of patients in pain scores at 24 h after puncture was statistically insignificant(P>0.05).The total incidence of complications in the patients of the observation group within 24 h after operation was 8.00%,lower than 24.00%of the control group(P<0.05).Conclusion The application of the KABP model to the patients undergoing percutaneous renal biopsy can effectively enhance the patients'preoperative mastery and cognition of relevant knowledge,and strengthen the cooperation between doctors and patients in the process of operation,thus reducing discomfort such as pain caused by biopsy and lowering the risk of complications.It is good for the prognosis of the patients.With a certain amount of clinical value,it is worthy of application and promotion.
作者
李瑛
黄玲
秦小燕
刘文涛
LI Ying;HUANG Ling;QIN Xiaoyan;LIU Wentao(Nephrology Department,Yuebei People's Hospital,Guangdong,Shaoguan 512026,China)
出处
《中国医药科学》
2021年第12期97-100,共4页
China Medicine And Pharmacy
基金
广东省护理学会护理科研课题立项(gdhlxueh2019zx187)。
关键词
知信行模式
经皮肾穿刺
活检
并发症
The knowledge,attitude,belief and practice model
Percutaneous renal puncture
Biopsy
Complications
