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| Effect of whole-process systemic nursing on clinical efficacy, psychological state and self-management efficacy for patients after laparoscopic radical nephrectomy |
| YAN Caiyan YUE Genquan SUN Ting▲ |
| Department of Urology, Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Regjon, Hohhot 010110, China |
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Abstract Objective To observe the effect of whole-process systemic nursing on clinical efficacy, psychological state and self-management efficacy of patients after laparoscopic radical nephrectomy. Methods Total 98 patients underwent laparoscopic radical nephrectomy in Affiliated Hospital of Inner Mongolia Medical University from July 2016 to July 2018 were divided into two groups according to the different nursing options, with 49 cases in each group, by retrospective analysis. The control group received routine nursing, while the observation group received whole-process systemic nursing. The recoveries, complications, psychological status and self-management efficacy of patients in two groups were compared. Results After nursing, the exhaust time, indwelling time of urinary catheter, getting out of bed activity time and hospitalization time of observation group were shorter than those of control group, and the sleep time of observation group was longer than that of control group, with highly statistically significant difference (P < 0.01). The incidence of postoperative complications in observation group was lower than that in control group, with highly statistically significant difference(P < 0.01). The scores of self-rating anxiety scale and self-rating depression scale in two groups after nursing were lower than those before nursing, and those in observation group were lower than those in control group, with highly statistically significant difference (P < 0.01). The total scores of positive attitude, self-decision-making, stress relief and self-management efficacy of observation group after nursing were higher than those of control group, and the difference was highly statistically significant (P < 0.01). Conclusion For patients undergoing laparoscopic radical nephrectomy, the application of whole-process systemic nursing can significantly accelerate their postoperative rehabilitation and reduce the risk of postoperative complications, alleviate their negative psychological emotions and enhance their self-management efficacy.
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