临床护理路径用于经尿道腔内手术治疗膀胱结石效果评价

目的探讨临床护理路径在经尿道腔内手术治疗膀胱结石中的应用效果及对患者炎性指标的影响。方法选择医院2017年2月至2019年2月收治的膀胱结石经尿道腔手术治疗患者84例,按护理方式的不同分为对照组与研究组,各42例。对照组患者给予常规护理,研究组患者给予临床护理路径护理干预。结果治疗后,研究组C反应蛋白(CRP)、白细胞介素6(IL-6)和白细胞介素8(IL-8)水平显著低于对照组(P<0.05);研究组健康知识掌握评分显著高于对照组(t=11.661,P<0.05);研究组并发症发生率为7.14%,显著低于对照组的28.57%(χ^2=6.574,P<0.05);研究组护理总满意度为90.48%,显著高于对照组的71.43%(χ^2=4.941,P<0.05)。结论给予膀胱结石经尿道腔手术治疗患者临床护理路径干预,能有效提高患者健康知识水平,降低炎性反应与并发症总发生率,提高护理满意度。

Objective To investigate the effect of clinical nursing pathway in the treatment of bladder calculi by transurethral surgery and its influence on the inflammatory index of patients.Methods From February 2017 to February 2019,84 patients with bladder calculi were treated by transurethral surgery.According to the different nursing methods,they were divided into the control group and the research group,42 cases in each group.The patients in the control group were given routine nursing,while the patients in the study group were given clinical nursing intervention.Results After treatment,the levels of Creactive protein(CRP),interleukin-6(IL-6)and interleukin-8(IL-8)in the study group were significantly lower than those in the control group(P<0.05),the scores of mastering health knowledge in the study group were significantly higher than those in the control group(t=11.661,P<0.05),the incidence of complications in the study group was 7.14%,which was significantly lower than 28.57%in the control group(χ^2=6.574,P<0.05).The total satisfaction of nursing was 90.48%in the study group,which was significantly higher than 71.43%in the control group(χ^2=4.941,P<0.05).Conclusion The intervention of clinical nursing pathway can effectively improve the health knowledge level of patients,reduce the incidence of inflammatory reaction and complications,and improve the satisfaction of nursing.