Impact of Evidence-Based Nursing on Self-Efficacy, Quality of Life and Treatment Compliance in Patients Undergoing Urological Surgery: Retrospective Study.

IF 0.6 4区 医学 Q4 UROLOGY & NEPHROLOGY Archivos Espanoles De Urologia Pub Date : 2024-06-01 DOI:10.56434/j.arch.esp.urol.20247705.82
Ling Li
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Abstract

Background: Urological surgery presents unique challenges to patients, necessitating specialised aftercare nursing. Evidence-based nursing has emerged as a strategy to improve patient outcomes through tailored education, self-management strategies and psychological support. However, its specific impact on post-operative outcomes in patients undergoing urological surgery has not been extensively explored.

Methods: This study assessed postoperative self-efficacy, quality of life, treatment compliance and nursing satisfaction. Self-compiled percentage of satisfaction scale was used to assess the degree of satisfaction with nursing work in both groups. Patients' self-care ability was evaluated using the Self-Care Ability Scale, and their quality of life scores were assessed with Short Form 36 Health Survey (SF-36). Patients' anxiety and depression levels were examined using the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS). Statistical analysis was conducted using SPSS 29.0 statistical software.

Results: This retrospective study analysed 231 patients undergoing urological surgery and categorised them into a usual care group (n = 99) and an evidence-based nursing group (n = 132). Post-operative outcomes in the evidence-based nursing group included significantly higher self-care abilities (p < 0.001), improved quality of life scores (p < 0.001), lower anxiety and depression levels (p < 0.001) and higher treatment compliance rates (p < 0.05) compared with the usual care group. Additionally, nursing satisfaction was higher in the evidence-based nursing group (p = 0.001).

Conclusions: The findings provide compelling evidence regarding the favourable impact of evidence-based nursing on various post-operative outcomes in patients undergoing urological surgery. Evidence-based nursing shows promise in enhancing patients' self-efficacy, well-being, treatment compliance and satisfaction. The results underscore the potential benefits of evidence-based nursing in optimising aftercare nursing and driving positive patient-centred outcomes in urological surgery setting.

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循证护理对泌尿外科手术患者自我效能、生活质量和治疗依从性的影响:回顾性研究。
背景:泌尿外科手术给患者带来了独特的挑战,需要专门的术后护理。循证护理已成为一种通过有针对性的教育、自我管理策略和心理支持来改善患者预后的策略。然而,其对泌尿外科手术患者术后效果的具体影响尚未得到广泛探讨:本研究评估了术后自我效能、生活质量、治疗依从性和护理满意度。采用自编满意度百分比量表评估两组患者对护理工作的满意程度。采用自理能力量表评估患者的自理能力,采用简表 36 健康调查(SF-36)评估患者的生活质量得分。患者的焦虑和抑郁水平采用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评估。统计分析使用 SPSS 29.0 统计软件进行:这项回顾性研究分析了 231 名接受泌尿外科手术的患者,并将他们分为常规护理组(99 人)和循证护理组(132 人)。与常规护理组相比,循证护理组的术后效果包括自我护理能力明显提高(p < 0.001)、生活质量评分提高(p < 0.001)、焦虑和抑郁水平降低(p < 0.001)以及治疗依从率提高(p < 0.05)。此外,循证护理组的护理满意度更高(p = 0.001):研究结果提供了令人信服的证据,证明循证护理对泌尿外科手术患者的各种术后结果产生了有利影响。循证护理有望提高患者的自我效能、幸福感、治疗依从性和满意度。研究结果强调了循证护理在优化泌尿外科术后护理和推动以患者为中心的积极疗效方面的潜在益处。
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来源期刊
Archivos Espanoles De Urologia
Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-
CiteScore
0.90
自引率
0.00%
发文量
111
期刊介绍: Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.
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