品管圈活动在PCNL患者术后恢复效果的影响观察

Effects of Quality Control Circle Activity on Postoperative Recovery Effects of PCNL Patients

目的探究品管圈用于经皮肾镜取石术(PCNL)对术后恢复的影响。方法将2017年2月-2018年2月在我院接受PCNL的肾结石患者按随机数字表法分为观察组(n=60)和对照组(n=60),对照组按常规临床路径进行护理干预,观察组按品管圈活动方式护理,比较两组患者术后基本情况、数字评定量表(NRS)及并发症发生率。结果观察组手术时间、术中出血量、术后肾造瘘管留置时间、住院时间、术后恢复工作时间均显著低于对照组(P<0.05);两组患者术后各时间节点VAS评分较术前均明显下降,且观察组显著低于对照组(P<0.05);该组术后并发症发生率亦显著低于对照组(P<0.05)。结论对PCNL患者应用品管圈活动的护理方法可减轻术后疼痛,减少并发症,更利于术后恢复。

Objective To explore the effects of quality control circle in percutaneous nephrolithotomy(PCNL)on postoperative recovery.Methods Patients with renal calculi receiving PCNL in our hospital from February 2017 to February 2018 were divided into observation group(n=60)and control group(n=60)according to the random number table method.Control group was given routine clinical pathway for nursing intervention,and observation group was given quality control circle activity for nursing.The postoperative basic conditions,Numeric Rating Scale(NRS)and incidence rate of complications were compared between the two groups.Results The operative time,intraoperative blood loss,postoperative renal fistula indwelling time,hospital stay and postoperative recovery time in observation group were significantly lower than those in control group(P<0.05).The VAS scores in the two groups at different time points after operation were significantly decreased compared with those before operation,and the score in observation group was significantly lower than that in control group(P<0.05).The incidence rate of postoperative complications group was also significantly lower than that in control group(P<0.05).Conclusion Nursing method of quality control circle activity for PCNL patients can reduce postoperative pain,reduce complications and facilitate postoperative recovery.