护理干预在体外冲击波碎石治疗上尿路结石的应用及效果观察

目的探讨护理干预在低能量体外冲击波(ESWL)碎石治疗上尿路结石的应用效果。方法将390例行低能量ESWL碎石治疗的病人在碎石术前、术中、术后给予认知、心理、行为的护理干预。结果病人术中疼痛程度:I级有38例、II级有2例、0级有350例。术后并发症程度:轻度11例、中度7例、有372例无出现并发症。治愈360例、有效27例、无效3例。结论实施护理干预在低能量ESWL碎石治疗中可减轻病人的痛苦,减少并发症的发生,提高了碎石成功率及排石率,降低复震率,对保障治疗效果具有重要的意义。

Objective To probe into the effect of nursing intervention in upper urinary calculus patients with low-energy extracorporeal shock-wave lithotomy （ESWL）. Methods 735 upper urinary calculus patients with low-energy extracorporeal shockwave lithotomy were randomly divided into the control group （345 patients ） and the observational group （390 patients）. In the former group, routine nursing was performed. In the later group, nursing intervention about cognition, psychological and behavior was emphatically performed before, during and after operation. Results The pain degree, postoperative complication degree and lithotomic effects were significantly different between the groups by x2 test（P 〈 0.005）. Conclusion Nursing intervention is able to obviously relieve the pains, reduce complication, thus increasing the lithotomic effects and reduce the rate of reshock. It is an important method to ensure the therapy effect.