体位护理在微创经皮肾镜碎石取石术中的应用

Application of body position nursing in minimally invasive percutaneous nephroscope lithoipsy

目的探讨体位护理在微创经皮肾镜碎石取石术中的应用效果。方法将2017年6月～2018年6月在我院接受微创经皮肾镜碎石取石术治疗的350例患者作为主要研究对象,采用随机分配的原则进行分组,各175例。对照组实施常规护理,观察组患者给予常规护理+体位护理,比较两组患者的护理效果。结果从两组的手术时间和术中出血量比较上来看,观察组患者的优势更为突出,手术时间更短,出血量更少,且观察组患者的住院时间短于对照组,差异有统计学意义(P <0.05);通过比较两组患者的护理舒适度评分和护理满意度评分,发现观察组患者的舒适度和满意度显著高于对照组,差异有统计学意义(P<0.05);从两组的手术安全性比较上来看,对照组患者的不良反应发生率显著高于观察组,差异有统计学意义(P <0.05)。结论通过对经皮肾镜碎石取石术患者实施体位护理可以优化手术指标,患者的舒适度和满意度较高,同时可提高手术的安全性,缩短住院时间,值得进一步推广和应用。

Objective To explore the application effect of position nursing in minimally invasive percutaneous nephroscope lithoipsy. Methods 350 patients who underwent minimally minimally invasive percutaneous nephroscope lithoipsy in our hospital from June 2017 to June 2018 were selected as research objects.They were divided into two groups with 175 cases in each group according to the principle of random distribution.The control group was given routine nursing while the observation group was given routine nursing combined with positional nursing.Nursing effects of the two groups were compared. Results From the comparison of the operation time and intraoperative blood loss in the two groups,the observation group had more prominent advantages such as shorter operation time and less bleeding.And the hospitalization stay of the observation group was shorter than that of the control group.The difference was statistically significant (P < 0.05).By comparing the nursing comfort score and nursing satisfaction score of the two groups,the comfort score and satisfaction score of the observation group were significantly higher than the control group and the difference was statistically significant (P < 0.05).By comparison of surgical safety between the two groups, the incidence of adverse reactions in the control group was significantly higher than that in the observation group and the difference was statistically significant (P < 0.05). Conclusion Body position nursing in patients undergoing minimally invasive percutaneous nephroscope lithoipsy can optimize surgical index.The patient’s comfort and satisfaction are high.In addition,it can improve safety of the operation and shorten hospital stay,which is worthy of further promotion and application.