延续护理在微创手术治疗上尿路结石术后留置双“J”管患者出院后的应用效果

Application effect of continuative nursing in discharged patients with double "J" tubes after minimally invasive surgery for upper urinary calculi

目的探讨微创手术治疗泌尿系上尿路结石术后留置双“J”管患者出院后应用延续护理的价值.方法选取2016年10月~2018年4月我院接受微创手术治疗的132例上尿路结石患者作为研究对象,随机分为对照组与试验组,每组各66例.对照组应用常规护理,试验组应用延续护理.比较两组患者出院后的并发症发生情况及护理总满意度.结果试验组患者腰痛、膀胱刺激征、肉眼血尿、寒战发热的发生率及再次住院率均低于对照组,差异有统计学意义(P<0.05);试验组患者的护理总满意度为90.9%,高于对照组的72.7%,差异有统计学意义(P<0.05).结论延续护理应用于泌尿系上尿路结石微创治疗术后携带双“J”管的出院患者,可以降低患者出院后的并发症发生率,提高患者的护理满意度,值得推广与应用.

Objective To explore the value of continuous nursing in discharged patients with postoperative indwelling double "J" tubes after minimally invasive surgery for upper urinary tract calculi. Methods A total of 132 cases of upper urinary calculi who received minimally invasive surgery in our hospital from October 2016 to April 2018 were selected as study subjects, and randomly divided into control group and experimental group, with 66 cases in each group. The patients in the control group were treated with routine nursing, while the experimental group were treated with continuous nursing. The posthospital complications and total nursing satisfaction were compared between the two groups. Results The incidence of lumbago, bladder irritation, gross hematuria, chills and fever and the rate of readmission in the experimental group were lower than those in the control group, with statistically significant differences (P< 0.05). The total nursing satisfaction of the experimental group was 90.9%, which was higher than 72.7% of the control group (P<0.05). Conclusion The application of continuative care in discharged patients with double "J" tube after minimally invasive treatment of upper urinary tract calculi can reduce the occurrence of postdischarge complications, and improve the nursing satisfaction of patients, which is worthy of popularization and application.