护理干预对60例输尿管结石患儿输尿管镜碎石术后的疗效评价

The effect of nursing intervention on 60 cases of ureteral calculi patients after operation

目的观察护理干预对60例输尿管结石患儿输尿管镜碎石术(URSL)后的疗效评价。方法将60例输尿管结石URSL术后患儿随机分为治疗组和对照组各30例,对照组给予常规护理,治疗组在对照组的基础上给予护理干预,观察并记录2组患儿焦虑自评量表(SAS)评分及汉密顿焦虑量表(HAMA)变化情况。结果 2组患儿入手术室后心率、平均动脉压、去甲肾上腺素以及肾上腺素水平变化比较,治疗组均低于对照组,2组比较差异均有统计意义(P<0.05);治疗组的血尿、疼痛次数、尿路感染、排出结石数目及双J管留置时间均优于对照组,2组比较差异均有统计意义(P<0.05)。结论护理干预能有效改善患儿的临床症状,有助于帮助患儿早日康复。

Objective To observe the effect of nursing intervention on 60 cases of ureteral calculi patients af- ter ureteroscopic lithotripsy （URSL）. Methods 60 cases of ureteral calculi after URSL were randomly divided in- to treatment group and control group, 30 cases in each group. The control group was given conventional nursing, and the treatment group was additionally given nursing intervention. Observed and recorded self rating Anxiety Scale （SAS） score and the Hamilton Anxiety Scale （HAMA） of the 2 groups. Results The treatment group was lower in heart rate, mean arterial pressure, noradrenaline and adrenaline than control group （ P〈0.05 ） ; the treat- ment group was better in hematuria, pain frequency, urinary tract infection, discharged stone number and double J tube indwelling time than the control group （ P〈0.05 ） . Conclusion Nnursing intervention can effectively im- prove the clinical symptoms of children, help children to actively recover sooner.