针对性舒适护理对电子输尿管软镜下钬激光碎石术治疗肾结石患者的临床意义

Clinical significance of comfort nursing for kidney stone patients treated by holmium laser lithotripsy

目的:探究电子输尿管软镜下钬激光碎石术治疗肾结石的舒适护理配合方法与常规护理效果对比。方法:选取我科2016年11月1日-2017年10月1日收治的电子输尿管软镜下行钬激光碎石术治疗的肾结石患者402例,男性228例,女性174例,依据不同的护理方式进行分组,常规组与研究组,每组201例。常规组采用常规干预护理流程,基于患者的病情进行健康教育,同时加以心理辅导,向患者介绍手术配合的措施。研究组在实施针对性舒适护理。对比两组的一次性成功取石的例数、住院时间及不良反应反生情况。并采用本院自制的护理满意度调查表评价患者对护理的满意情况。结果:两组的一次性成功率及平均治疗时间,差异无统计学意义(P>0.05);而研究组的住院时间显著低于常规组,差异具有统计学意义(P<0.05);研究组的不良反应发生率为98%,显著低于常规组的1.84%,差异具有统计学意义(P<0.05)。研究组对护理的满意率高达96.02%,显著高于常规组的72.14%,差异具有统计学意义(P<0.05)。结论:对于实施输尿管软镜下钬激光碎石手术的肾结石患者进行舒适性护理干预,临床效果显著,能提升患者手术效果,缩短住院时间,改善护理工作满意度,降低并发症发生率,可于临床上进一步推广应用。

Objective:To compare the nursing effect of targeted comfort nursing and conventional nursing on kidney stone patients treated by holmium laser lithotripsy.Methods:402 patients with renal stones treated with electronic soft ureter mirror downward holmium laser lithotripsy from November 1,2016 to October 1,2017 were selected,including 228 cases of male,and 174 cases of women,according to the difference nursing,they were divided into the conventional group and the research group,with 201 cases in each group.The routine group received the routine intervention nursing process,which was to carry out education based on the patient’s condition.Meanwhile,psychological counseling was carried out to introduce the measures of operation cooperation to the patients.The research team received targeted comfort nursing,length of hospital stay and adverse reactions were compared between the two groups.The satisfaction of nursing was evaluated by the nursing satisfaction questionnaire.Results:The one-time success rate and average treatment time of the two groups were not statistically significant(P>0.05).The length of hospitalization in the research group was significantly lower than that in the conventional group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the research group was 0.98%,which was significantly lower than 1.84%in the conventional group,and the difference was statistically significant(P<0.05).The satisfaction rate of the research group was 96.02%,which was significantly higher than 72.14%in the conventional group,and the difference was statistically significant(P<0.05).Conclusion:Targeted comfort nursing had significant effect on holmium laser lithotripsy for the treatment of patients with renal calculi under soft microscopy.It could improve the operation effect of patients,shorten hospitalization time,improve nursing job satisfaction,and reduce the incidence of complications,which could be further popularized in clinic.