循证护理干预对输尿管结石患者术后疼痛、情绪及康复的影响分析

Effect of Evidence-based Nursing Intervention on Postoperative Pain,Mood and Rehabilitation in Patients with Ureteral Calculi

目的探究输尿管结石患者应用循证护理干预对术后疼痛、情绪及康复的影响。方法该次80例研究对象是方便选取2016年5月—2019年5月在该院行手术治疗的输尿管结石患者,分组方法是系统抽样法,研究组(40例)用循证护理干预,常规组(40例)用基础护理,比较两组术后疼痛程度、情绪变化、康复效果。结果护理后,研究组术VAS评分后2 d(6.95±1.16)分、术后3 d(6.07±0.89)分、术后4 d(3.94±0.51)分、术后5 d(3.11±0.15)分,低于常规组VAS评分后2 d(7.52±1.23)分、术后3 d(6.64±1.12)分、术后4 d(5.23±0.96)分、术后5 d(4.37±0.52)分,差异有统计学意义(t=2.131、2.519、7.505、14.725,P<0.05);研究组SDS抑郁评分(29.46±1.55)分、SAS焦虑评分为(31.06±1.85)分低于常规组的(34.23±2.17)分、(36.74±1.27)分,差异有统计学意义(t=11.313、16.009,P<0.05);研究组术后肛门排气时间(17.64±1.17)h、开始进食时间(2.02±1.19)h、住院时长(9.62±1.23)d优于常规组(28.52±1.42)h、(15.73±5.28)h、(12.47±1.58)d,差异有统计学意义(t=37.399、16.020、9.002,P<0.05)。结论输尿管结石患者应用循证护理干预能有效减轻术后疼痛程度,纠正不良情绪,加速术后康复。

Objective To investigate the effect of evidence-based nursing intervention on postoperative pain,mood and rehabilitation in patients with ureteral stones.Methods Convenient select the 80 cases studied were patients with ureteral calculi who underwent surgical treatment in the hospital from May 2016 to May 2019.The grouping method was a systematic sampling method.The study group(40 cases)used evidence-based nursing intervention and the routine group(40 patients)basic nursing was used to compare the degree of postoperative pain,mood changes,and rehabilitation effects between the two groups.Results After nursing,the study group had a VAS score of 2 d(6.95±1.16)points,3 d after operation(6.07±0.89)points,4 d after operation(3.94±0.51)points,and 5 d after operation(3.11±0.15)points.The VAS score of the conventional group was 2 d(7.52±1.23)points,3 d after the operation(6.64±1.12)points,4 d after the operation(5.23±0.96)points,and 5 d after the operation(4.37±0.52)points.The differences were statistically significant(t=2.131,2.519,7.505,14.725,P<0.05);the SDS depression score(29.46±1.55)points and SAS anxiety score of the study group(31.06±1.85)points were lower than those of the conventional group at(34.23±2.17)points,(36.74±1.27)points,and the differences were statistically significant(t=11.313,16.009,P<0.05);the postoperative anal exhaust time(17.64±1.17)h,the time to start eating(2.02±1.19)h,and the length of hospital stay(9.62±1.23)d in the study group were better than those in the conventional group(28.52±1.42)h,(15.73±5.28)h,(12.47±1.58)d,the difference was statistically significant(t=37.399,16.020,9.002,P<0.05),and the difference was statistically significant.Conclusion Evidence-based nursing intervention for patients with ureteral calculi can effectively reduce the degree of postoperative pain,correct adverse emotions,and accelerate postoperative recovery.