综合护理干预对行微创经皮肾镜取石术患者的影响

Influence of comprehensive nursing intervention on patients receiving minimally invasive percutaneous nephrolithotomy

目的:探讨围手术期综合护理干预对行微创经皮肾镜取石术患者的影响。方法:选取2015年5月~2016年5月在我院就诊的复杂性肾结石患者42例,随机将其等分成观察组和对照组,所有患者行微创经皮肾镜取石术,观察组给予围手术期综合护理,如术前健康教育、个性化心理护理,术中针对性护理,术后生活饮食指导、康复训练;对照组给予基础临床护理,对两组患者结石清除效果、并发症发生情况、手术时间、住院时间进行评价。结果:两组患者的结石清除率、并发症发生、手术时间、住院时间比较差异均有统计学意义(P<0.05),且观察组患者各项指标均明显优于对照组。结论:围手术期综合护理干预对行微创经皮肾镜取石术患者有着积极的作用,可提高结石清除率,降低并发症发生,促进患者早日康复,值得临床推广应用。

ObjectiveTo discuss the influence of perioperative comprehensive nursing intervention on patients receiving minimally invasive percutaneous nephrolithotomy. Methods ： Selected 42 patients with complex renal calculi receiving treatment in our hospital from May 2015 to May 2016, and they were equally divided into observation group and control group at random, all patients received minimally invasive percutaneous nephrolithotomy, and perioperative comprehensive nursing was given to the patients in the observation group, such as pre - operation health education, individualized psychological nursing, targeted nursing in operation and post - operation life diet guidance and rehabilitation training ; while basic clinical nursing was given to the patients in the control group, and patients in the two groups are evaluated in stone clearing effect, occurring of complications, operation time and length of stay. Results ： Through comparison, the difference of stone clearing effect, occurring of complications, operation time and length of stay of patients in the two groups was statistically significant（ P 〈 0. 05 ） , and the indicators of patients in the observation group were significantly superior to those of patients in the control group. Conclusion ： The perioperative comprehensive intervention had an active effect on patients receiving minimally invasive percutaneous nephrolithoto-my ,could improve the stone clearing rate, reduce the occurring of complications, promote the early rehabilitation of patients and was worth promoting clinically.