延续护理对输尿管结石术后携带双“J”管出院患者并发症及满意度的改善评价

EVALUATION OF CONTINUOUS NURSING ON THE IMPROVEMENT OF COMPLICATIONS AND SATISFACTION IN PATIENTS AFTER URETERAL CALCULI OPERATION WITH DOUBLE'J'

目的探讨延续护理对输尿管结石术后携带双"J"管出院患者并发症的预防效果,以及对护理满意度的改善效果。方法选择2010年5月—2015年5月该院收治的150例输尿管结石术后携带双"J"管出院患者作为研究对象,根据随机数字表将其平均分为观察组与对照组,每组各75例。对照组采取常规围术期护理干预及置管教育。观察组在此基础上给予延续护理干预。观察二组患者出院3周后携管相关的并发症情况,住院时间、住院费用和护理满意度。结果观察组腰胀痛、肉眼血尿、膀胱刺激症、双"J"管移位的发生率为4.00%、1.33%、4.00%、1.33%,显著低于对照组的14.67%、10.67%、16.00%、10.67%(P<0.05)。观察组患者平均住院时间短于对照组,平均住院费用少于对照组,二组对比差异无统计学意义(P<0.05)。观察组护理的总满意率为98.67%,显著高于对照组的86.67%(P<0.05)。结论延续性护理干预可以有效降低输尿管结石术后携带双"J"管出院患者的并发症概率,提高护理满意度,应用效果显著,适于临床推广。

Objective To investigate the preventive effect of continuous nursing on the complications and nursing satisfaction in patients with double ＂J＂ after ureteral calculi operation. Methods A total of 150 patients with ureteral calculi were selected as the research subjects in author＇s hospital from May 2010 to May 2015. The patients were randomly divided into study group and control group with 75 cases in each group according to the random number table. The control group adopted routine perioperative nursing interven- tion and catheter education. On this basis, the study group was given continuous nursing intervention. The complications of the two groups of patients were observed after 3 weeks, the hospital stay, the cost of hos- pitalization and nursing satisfaction were observed. Results In the study group, flank pain, hematuria, bladder irritation, double J tube translocation rate were 4.00%, 1.33%, 4.00% and 1.33% respectively, and were significantly lower than that in the control group of 14.67%, 10.67%, 16.00% and 10.67% （P〈0.05）. The average length of stay in hospital was shorter in the study group than that in the control group, the average hospitalization cost was less than that in the control group, but the difference was not statistically significant between the two groups （P〉0. 05）. The total satisfaction rate of the study group was 98.67%, significantly higher than that of the control group of 86.67% （P〈0.05）. Conclusion The continuity of nursing intervention can effectively reduce the complications of patients with double ＂J＂ after ureteral calculi operation, improve nursing satisfaction, and it is suitable for clinical promotion with a significant effect.