Abstract
Objective: To investigate the effect of the theory of enabling education on the fine management of patients with internal double J tubes after ureteral stricture. Methods: Eighty patients with built-in double J tubes after ureteral stricture were selected from the urology department of a grade a hospital in Guangzhou. The patients were divided into control group and observation group by random number method, with 40 patients in each group. The control group received refined nursing after surgery, while the observation group received refined nursing including the theory of empowerment education after surgery on the basis of the control group. Results: After the intervention, the observation group had a higher standard rate of quality indicators, higher self-efficacy score than the control group (P ≤ 0.05), lower scores of ureteral stent-related symptoms, urinary system symptoms, pain symptoms, total health status, job performance, additional problems and total scores than the control group (P ≤ 0.05), and statistically significant differences were found in the total health status dimension and total scores (P ≤ 0.01). The nursing satisfaction survey, the scores of clinical nursing, health education, psychological counseling and nurse-patient communication were all higher than those in the control group (P ≤ 0.05), and the differences in health education and nurse-patient communication were statistically significant (P ≤ 0.01). Conclusion: The theory of enabling education can improve patients’ self-nursing level, promote the implementation of refined nursing quantitative indicators and nursing measures, relieve the poor symptoms of ureteral stricture patients, and improve patients’ satisfaction with nursing work.
Highlights
With the continuous understanding and advancement of nursing quality, clinical nursing work is more inclined to carry out precise and detailed management for nursing intractable problems
In order to promote postoperative rehabilitation of patients, implement refined nursing and improve patients’ self-care ability, which is different from the previous health education mode, this study applied the combination of empowering education and refined nursing in the rehabilitation management of patients with built-in double J tubes after the surgery of ureteral stricture
1) Under the empowering education theory, fine nursing can improve the self-care level of patient with built-in double J tubes after surgery for ureteral stricture, and promote the implementation of nursing quantitative indicators and nursing measures. double J tubes destroyed the ureteral wall within the period of the normal physiological function, as a foreign object, activity is easy to damage caused by ureteral mucosa bleeding, pass urine bladder pressure increased, leading to reflux, bad habits and easy cause urinary tract infection and stone [14] [15] [16], so there are more certain requirements for the postoperative patients with drinking water, activities, self-observation of urination and body pain
Summary
With the continuous understanding and advancement of nursing quality, clinical nursing work is more inclined to carry out precise and detailed management for nursing intractable problems. Ureteral stricture balloon expansion recent success rate as high as 18% to 83% in the treatment of ureteral stenosis [4] This technique is relatively simple to operate and widely used in clinical practice, but double J tubes (ureteral stent tubes) need to be placed for 6 weeks to 3 months or even longer after surgery to support the stenosis segment and assist drainage of urine to reduce the burden of the kidney [5] [6] [7] [8]. In order to promote postoperative rehabilitation of patients, implement refined nursing and improve patients’ self-care ability, which is different from the previous health education mode, this study applied the combination of empowering education and refined nursing in the rehabilitation management of patients with built-in double J tubes after the surgery of ureteral stricture.
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