分阶段护理干预在直径>20mm肾结石经皮肾镜碎石术的应用

Application of Staged Nursing Intervention on Percutaneous Endoscopic Nephrolithotomy of Renal Calculi Larger than 20mm

目的:研究分阶段护理干预在直径>20mm肾结石经皮肾镜碎石术的应用。方法:2015年1月至2016年12月选取我院泌尿外科直径>20mm肾结石经皮肾镜碎石术治疗患者40例,按照随机数字法分为对照组和观察组每组20例。对照组给予常规护理干预,观察组给予分阶段护理干预。对比两组患者焦虑程度和并发症。结果:护理干预后,观察组SAS评分明显低于对照组,差异具有统计学意义(P<0.05)。观察组并发症总发病率为30.00%(6/20),显著低于对照组80.00%(16/20),差异有统计学意义(χ2=10.10,P<0.05)。结论:分阶段护理干预可以有效改善患者的不良情绪,降低并发症的发生,值得推广使用。

Objective：To investigate the application of staged nursing intervention in the treatment of diameter ＆gt;20mm kidney stone through percutaneous nephrolithotomy.Methods： Total 40 patients with renal calculi larger than 20mm treated with ercutaneous endoscopic nephrolithotomy in our hospital from January 2015 to December 2016 were selected and divided into control group and observation group according to the randomization method, 20 cases in each group.The control group received the routine nursing intervention, the observation group received the phased nursing intervention.The anxiety and complications in the two groups were compared.Results： After nursing intervention, observation group SAS score was significantly lower than the control group, the difference was statistically significant （P 〈 0.05）.Observation group complications, the total incidence was 30.00% （6/20）, significantly lower than the control group 80.00% （16/20）, the difference was statistically significant （χ^2=10.10, P〈0.05）.Conclusion： The phased nursing intervention can effectively improve the patient＇s bad mood, reduce complications, thus worth of further promotion in clinical practice