关键词: evidence-based nursing quality of life self-efficacy treatment compliance urological surgical

Mesh : Humans Quality of Life Retrospective Studies Male Female Urologic Surgical Procedures / psychology Middle Aged Self Efficacy Patient Compliance Evidence-Based Nursing Aged Adult

来  源:   DOI:10.56434/j.arch.esp.urol.20247705.82

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.
摘要:
背景:泌尿外科手术对患者提出了独特的挑战,需要专门的护理后护理。循证护理已成为通过量身定制的教育改善患者预后的一种策略,自我管理策略和心理支持。然而,其对泌尿外科手术患者术后结局的具体影响尚未得到广泛探讨.
方法: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。采用自编的满意度百分比量表评定两组患者对护理工作的满意度。使用自我护理能力量表评估患者的自我护理能力,他们的生活质量评分通过简短表格36健康调查(SF-36)进行评估。使用焦虑自评量表(SAS)和抑郁自评量表(SDS)检查患者的焦虑和抑郁水平。采用SPSS29.0统计软件进行统计学分析。
结果:这项回顾性研究分析了231例泌尿外科手术患者,并将他们分为常规护理组(n=99)和循证护理组(n=132)。循证护理组的术后结果包括显著高于自我护理能力(p<0.001),生活质量评分提高(p<0.001),与常规护理组相比,焦虑和抑郁水平较低(p<0.001),治疗依从性较高(p<0.05)。此外,循证护理组的护理满意度更高(p=0.001).
结论:研究结果为循证护理对泌尿外科手术患者各种术后结局的有利影响提供了令人信服的证据。循证护理在提高患者自我效能方面显示出希望,幸福,治疗依从性和满意度。结果强调了循证护理在优化泌尿外科手术中的善后护理和以患者为中心的积极结果方面的潜在益处。
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