肾结石患者经皮肾镜取石术的综合护理效果研究

Effective Study of Comprehensive Nursing on Patients with Renal Calculi by Percutaneous Nephrolithotomy

目的：探讨综合护理措施在肾结石患者行经皮肾镜取石术后的效果。方法选取经皮肾镜取石术肾结石患者86例，随机分为综合护理组与对照组各43例。综合护理组给予个体化健康教育指导及家庭成员教育、术前术后心理指导、个体化饮食干预、预防并发症、定期随访及出院指导；对照组给予泌尿外科常规护理措施。结果综合护理组与对照组的住院时间分别为（9.47±5.91）d、（12.09±6.26）d（P﹤0.01）；术后并发症发生率分别为6.98%（3/43）、23.26%（10/43）（P﹤0.01）；患者住院满意度分别为93.02%（40/43）、74.42%（32/43）（P﹤0.05）。结论对经皮肾镜取石术的肾结石患者实施综合护理措施可缩短住院时间、降低术后并发症的发生，提高患者住院满意度。

Objective To explore the effect of comprehensive nursing method on patients with renal calculi undergoing percutaneous nephrolithotomy.Methods 86 patients of renal calculi with percutaneous nephrolithotomy were randomly divided into the comprehensive group and control group equally. The comprehensive group were treated with individual health education and family education guidance, preoperative and postoperative psychological guidance, individualized dietary guidance, prevention of complications, regular follow-up and discharge guidance while the control group was given conventional nursing measures.Results The hospitalization time of comprehensive group and control group was （9.47±5.91） d, （12.09±6.26） d, the postoperative complication rate was 6.98% （3/43）, 23.26% （10/43） （P﹤0.01）. The satisfaction degree of nursing service was 93.02% （40/43）, 74.42% （32/43）, respectively （P﹤0.05）. There were signiifcant differences between the two groups.ConclusionThe comprehensive nursing intervention signiifcantly shortens the length of hospital stay and reduces the incidence of postoperative complications. It also improves the satisfaction degree of nursing service.