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目的研究择期尿路结石手术患者心理应激与治疗依从的相关性及有效的护理方式。方法将我院90例尿路结石手术患者随机分为观察组与对照组,每组45例,两组均实行尿路结石临床护理路径,观察组在临床路径基础上强化心理护理,比较两组护理前后医院应激量表及依从性评分差异,并应用Pearson相关性法分析心理应激与依从性的相关性。结果两组护理后心理应激的各维度评分较护理前均显著降低(P<0.05),且观察组的各维度评分及总分均显著低于对照组(P<0.05)。观察组护理后依从性评分显著高于护理前及对照组护理后(P<0.05),而对照组护理前后差异无统计学意义(P>0.05)。经Pearson相关性分析发现,应激评分与依从性评分呈显著负相关,Pearson相关系数为r=-0.945(P<0.01)。结论心理应激与依从性存在显著的负相关。强化心理护理的尿路手术临床护理路径有助于改善患者围术期不良心理应激,提高治疗依从性,可作为此类患者围术期管理的有效方式。
Objective To study the correlation between psychological stress and treatment compliance in patients with elective urinary tract stones and the effective nursing methods. Methods Ninety patients with urolithiasis in our hospital were randomly divided into observation group and control group, with 45 cases in each group. The clinical nursing pathway of urolithiasis was observed in both groups. The observation group was strengthened psychological nursing on the basis of clinical pathology. Before and after nursing hospital stress scale and compliance scores difference, and Pearson correlation analysis of psychological stress and compliance. Results The score of each dimension of post-nursing psychological stress was significantly lower than that of pre-nursing (P <0.05), and the dimension and total score of the observation group were significantly lower than those of the control group (P <0.05). The compliance score of the observation group after nursing was significantly higher than that before nursing and the control group (P <0.05), while there was no significant difference in the control group before and after nursing (P> 0.05). Pearson correlation analysis found that stress scores and compliance scores were significantly negative correlation Pearson correlation coefficient was r = -0.945 (P <0.01). Conclusion There is a significant negative correlation between psychological stress and compliance. Intensive nursing care of urinary tract surgery clinical nursing pathway can help improve perioperative adverse psychological stress and improve treatment compliance, which can be used as an effective way of perioperative management of such patients.