肾结石碎石术后患者应用中西医结合临床护理干预的效果及患者满意度分析

Integrative Nursing Interventions and Patients Satisfaction Analysis on Kidney Stone Patients after Lithotripsy

目的:分析肾结石碎石术后患者应用中西医结合护理干预的效果及患者满意度。方法:取自2014年3月—2015年3月期间,在本院进行治疗的60例肾结石碎石术后患者的护理疗效进行研究分析。根据对患者护理方式的不同分为观察组和对照组。采用中西医结合护理干预方式进行护理的30例患者为观察组。结束治疗后,对两组患者心律失常及健康知识达标率、平均手术时间、平均住院时间、平均卧床时间及平均住院费用、出现发热与出血症状以及患者家属对护理的满意度情况进行比较。结果在经过治疗之后,观察组的患者发生术后感染率的例数明显少于对照组,且观察组的患者健康知识达标率明显均高于对照组,差异具有统计学意义(P<0.05);在经过治疗之后,观察组的平均手术时间、平均住院时间、平均卧床时间、平均住院费用,均少于对照组,差异具有统计学意义(P<0.05);在经过治疗7 d后,对比两组患者出现发热与出血症状,观察组的患者出现发热与出血症状明显少于对照组,差异具有统计学意义(P<0.05);在经过治疗之后,观察组的患者对护理服务的满意度(满意+基本满意)情况高于对照组(u=4.3368,P=0.0000),差异具有统计学意义(P<0.05)。结论:在患者行肾结石碎石术后应用中西医结合护理干预对患者进行治疗,可以有效降低术后感染率、提高患者健康知识达标率;缩短患者平均手术时间、平均卧床时间、平均住院时间及降低平均住院费用;提高患者满意度,应在临床中进行推广和使用。

Objective： To analyze the efficacy and patients satisfaction of integrative nursing intervention on patients with kidney stones after lithotripsy. Methods： From March 2014 to March 2015 in our hospital,60 cases of kidney stones patients were analyzed. Depending on the nusring methods,they were divided into observation group and control group. Integrative nursing intervention was used in the observation group. After treatment,the two groups＇ health knowledge arrhythmia compliance rate,the average operation time,the average length of stay,average bed time and the average cost of hospitalization,fever and bleeding and patients satisfaction were compared. Results： After treatment,the observation group＇s postoperative infection rate was significantly less than that of the control group and the compliance rate in the observation group was significantly higher. The difference was statistically significant（ P〈0.05）. After treatment,the average operation time,the average length of stay,average bed time and the average cost of hospitalization of the observation group were less than those of the control group. The difference was statistically significant（ P〈0.05）. 7 d after treatment,fever and the bleeding patients in the observation group were significantly less than those of the control group and the difference was statistically significant（ P〈0.05）. After treatment,the observation group＇s satisfaction（ basically satisfied ＋ satisfied） cases was higher（ u = 4. 3368,P = 0. 0000）. The difference was statistically significant（ P〈0.05）.Conclusion： For patients with lithotripsy,integrative nursing intervention can effectively reduce postoperative infection rates and improve patients＇ health knowledge standard rate,shorten the average time of surgery,the average bed time,the average length of stay and reduce the average cost of hospitalization and improve patient satisfaction. It should be promoted and used in clinic.