全方位管理对经皮肾镜碎石术肾结石患者术后疼痛、饮食习惯的影响

Effect of All-round Management on Postoperative Pain and Eating Habits in Patients with Renal Calculi Treated with Percutaneous Nephrolithotomy

目的探讨全方位管理对经皮肾镜碎石术肾结石患者术后疼痛、饮食习惯及生活质量的影响。方法回顾性分析2012年1月至2015年1月于我院住院的66例肾结石患者临床资料,其中33例实施常规护理,另外33例实施全方位管理护理措施,比较两组患者术后的镇痛时间及干预前后SF-36、VAS评分、饮食习惯;比较两组患者术后并发症。结果观察组患者术后镇痛时间(12. 35±2. 63) h较对照组(15. 46±2. 62) h显著较低(P<0. 05);干预后SF-36 (90. 12±6. 54)分显著高于对照组(74. 61±6. 73)分(P<0. 05),VAS (3. 37±1. 32)分显著低于对照组(4. 68±1. 45)分,差异有统计学意义(P<0. 05)。观察组总不良饮食习惯发生率、并发症发生率为18. 18%、12. 12%低于对照组42. 42%、33. 33%(P<0. 05)。结论对经皮肾镜碎石术肾结石患者,实施全方位管理措施可降低患者的术后镇痛时间,避免患者不良饮食习惯的发生,提高患者的生活质量。

Objective To investigate the effects of all-round management on postoperative pain,eating habits and quality of life in patients with renal calculi treated with percutaneous nephrolithotomy.Methods 66 patients with renal calculi admitted to our hospital from January 2012 to January 2015 were randomly divided into two groups and analyzed retrospectively.The control group(33 patients)received routine nursing care and the observation group(33 patients)received comprehensive management nursing.Postoperative analgesia time,SF-36,VAS scores and eating habits before and after the intervention were compared between the two groups.The postoperative complications were compared between the two groups.Results The postoperative analgesia time was significantly shorter in the observation group[(12.35±2.63)h]than that in the control group[(15.46±2.62)h](P<0.05).After intervention,SF-36 score in the observation group(90.12±6.54)was significantly higher than that in the control group(74.61±6.73)(P<0.05),and VAS score(3.37±1.32)was significantly lower than that in the control group(4.68±1.45).The difference was statistically significant(P<0.05).The incidence of total poor eating habits and complication rate in the observation group were 18.18%and 12.12%respectively,lower than those in the control group(42.42%,33.33%)(P<0.05).Conclusion The implementation of all-round management measures on patients with renal calculi after percutaneous nephrolithotomy can reduce the postoperative analgesia time,avoid the occurrence of poor eating habits and improve their quality of life.