用Orem自我护理模型进行经尿道前列腺切除术后的持续护理。

IF 0.5 4区 医学 Q4 NURSING Research and Theory for Nursing Practice Pub Date : 2025-03-21 DOI:10.1891/RTNP-2024-0159
Shuyan Wang, Feng Gao
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引用次数: 0

摘要

背景:经尿道前列腺切除术(TURP)是治疗良性前列腺增生症的常见手术方法。然而,出院后的术后护理往往缺乏连续性,可能导致并发症和生活质量下降。研究目的本研究旨在根据奥瑞姆的自我护理模式,为 TURP 术后患者制定持续护理计划并评估其效果。方法:进行一项准实验研究:对 97 名前列腺切除术后患者进行了一项准实验研究。参与者被分配到接受奥瑞姆持续护理计划的干预组或接受标准护理的对照组。该计划包括教育干预、自我护理技能培训和后续支持。结果采用自我护理机构量表、国际前列腺症状评分(IPSS)以及出院后1个月和3个月的生活质量(QoL)量表进行测量。结果与对照组相比,干预组在 3 个月随访时的自理能力、国际前列腺症状评分 (IPSS) 和生活质量(WHOQOL-BREF 身体健康领域增加值)均有明显改善(p < .001)。干预组的术后并发症发生率较低,但无显著统计学差异。结论基于 Orem 自我护理模式的持续护理计划有效提高了 TURP 术后患者的自我护理能力和生活质量。
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Using Orem's Self-Care Model for a Continuing Care Program After Transurethral Prostate Resection.

Background: Transurethral resection of the prostate (TURP) is a common surgical procedure for benign prostatic hyperplasia. However, postoperative care often lacks continuity after hospital discharge, potentially leading to complications and reduced quality of life. Objective: The aim of the study was to develop and evaluate the effectiveness of a continuing care program based on Orem's Self-Care Model for patients after TURP. Methods: A quasi-experimental study was conducted with 97 patients with post-TURP. Participants were assigned to either the intervention group receiving the Orem-based continuing care program or the control group receiving standard care. The program included educational interventions, self-care skills training, and follow-up support. Outcomes were measured using the Self-Care Agency Scale, International Prostate Symptom Score (IPSS), and Quality of Life (QoL) scale at baseline, 1 month, and 3 months postdischarge. Results: The intervention group showed significant improvements in Self-Care Agency, IPSS scores, and QoL (WHOQOL-BREF Physical Health domain increase) compared with the control group at the 3-month follow-up (p < .001). The incidence of postoperative complications was lower in the intervention group without statistically significant differences. Conclusion: The continuing care program based on Orem's Self-Care Model effectively improved self-care abilities and quality of life in patients after TURP.

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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
32
审稿时长
>12 weeks
期刊介绍: Research and Theory for Nursing Practice focuses on issues relevant to improving nursing practice, education, and patient care. The articles strive to discuss knowledge development in its broadest sense, reflect research using a variety of methodological approaches, and combine several methods and strategies in a single study. Because of the journal''s international emphasis, article contributors address the implications of their studies for an international audience.
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