应用循证护理提高经皮肾镜治疗复杂性肾结石患者的舒适度

Applying evidence - based nursing in treatment of complicated renal calculi by percutaneous nephrolithotomy can improve comfort degree of the patients

目的应用循证护理的方法提高经皮肾镜治疗复杂性肾结石患者术后舒适度。方法将120例经皮肾镜治疗复杂性肾结石的患者随机分为实验组和对照组，对有可能造成实验组患者舒适度改变的问题进行分析，应用计算机网络检索有关文献，并对证据的真实性和实用性做出评价做结论，制定防治对策，实施有效护理干预。对照组按常规给予护理和健康教育。结果利用观察与问卷方法，对两组患者舒适情况进行比较，术后24h和48h患者疼痛的程度及强度两组有显著差异，实验组疼痛评分明显低于对照组（P〈0．01）。术后48h内实验组夜间累计睡眠时间高于对照组，两组间差异有高度统计学意义（t=7．36，P〈0．01）。结论应用循证护理的方法能提高经皮肾镜治疗复杂性肾结石患者的术后舒适度。

Objective To improve comfort degree of the patients with complicated renal calculi by percutaneous nephrolithotomy. Methods 120 patients with complicated renal calculi were randomly divided into experimental group and control group. The patients in experimental group were received evidence - based nursing, the impact factors of comfort degree were analyzed, the relevant articles were retrieved by using network, the trueness and practicability of evidence were evaluated, the conclusions were ascertained, prevention measures were lain down, effective intervening measures were implemented. The patients in control group were received routine nursing and health education. Results The degree and intensity of pain has significant difference between the two groups at postoperative 24 and 48 hours, comparing comfort degree of the patients by using observation and questionnaire ; the pain scores of experimental group were obviously lower than that of control group （ P 〈 0. 01 ）, the total time of sleeping of experimental group was more than that of control group, the difference between two groups was statistically significant （ t = 7. 36, P 〈 0.01 ） . Conclusion Applying evidence - based nursing in treatment of complicated renal calculi by pereutaneous nephrolithotomy could improve comfort degree of the patients.