舒适护理模式在经皮肾镜取石术中的效果评价

The effects of applying of the comfort care after percutaneous nephrolithotomy lithotomy

目的:探讨舒适护理模式在经皮肾镜取石术中的效果评价。方法:选择80例行经皮肾镜取石术的患者,采用随机数字的方法分为观察组和对照组各40例,对照组给予常规的护理方法,观察组给予舒适护理模式,比较两组患者汉密尔顿焦虑量表(HAMA)评分以及对护理质量和治疗满意度的评价。结果:观察组与对照组患者入院时HAMA评分分别为(14.95±2.12)分和(15.01±3.35)分,两组比较差异无统计学意义(P>0.05),手术前2 h评分分别为(11.97±2.02)分和(14.89±1.96)分,差异有统计学意义(P<0.05)。观察组患者对护理质量和治疗满意度评分分别为(8.98±0.72)分和(9.25±0.71)分,均显著优于对照组的(7.64±0.67)分和(8.23±0.63)分。结论:经皮肾镜取石术应用舒适护理模式,可以有效降低患者焦虑程度,提高护理质量和治疗满意度,值得临床推广应用。

Objective To investigate the effects of applying of the comfort care after percutaneous nephrolithotomy lithotomy. Method80 patients undergone percutaneous nephrolithotomy lithotomy were divided into observation group and control group randomly,each group had 40 patients. The control group received conventional care and the observation group received the high- quality comfort care,compared two groups of patients with Hamilton Anxiety Scale score and evaluated the patients＇ satisfaction with the treatment and quality of care. Results The HAMA scores of patients of observation group and control group were（ 14. 95 ± 2. 12） and（ 15. 01 ± 3. 35）,respectively,and with no significant differences. 2 hours before percutaneous nephrolithotomy lithotomy,the score were（ 11. 97 ± 2. 02） and（ 14. 89± 1. 96） respectively,and with a significant difference. The scores of satisfaction with the treatment and quality of care of the observation group were（ 9. 25 ± 0. 71） and（ 8. 98 ± 0. 72） respectively,which were significantly better than the control group＇s score（ 8. 23 ± 0. 63）and（ 7. 64 ± 0. 67）. Conclusion The application of high- quality comfort care model percutaneous nephrolithotomy lithotomy can effectively reduce the patients＇ anxiety and improve the quality of care and satisfaction with the treatment. The high- quality comfort care is worthy of clinical application.