针对性护理对输尿管镜下钬激光碎石术患者的影响

The Effect of Targeted Nursing on Patients Undergoing Ureteroscopic Holmium Laser Lithotripsy

目的分析针对性护理对输尿管镜下钬激光碎石术患者的影响。方法随机选取2017年5月至2018年4月期间接受输尿管结石钬激光碎石术患者80例,按随机分配的原则将患者分为观察组和对照组,对照组采取术后常规的护理方法。观察组采取术后针对性的护理方法,于术后分别统计、比较两组患者对术后护理的满意程度、住院天数以及病情恢复程度,并对两组进行比较分析。结果对照组的输尿管镜下钬激光碎石术后各项指标恢复时间(患者的术后血常规恢复正常时间、尿常规恢复正常时间、疼痛感消失时间)均长于观察组各项指标恢复所需时间(P<0.05);对照组患者总的治疗有效率为95.49%,观察组患者总的治疗有效率为73.12%,对照组患者的治疗总有效率明显低于观察组患者(P<0.05);对照组对护理的满意程度明显低于观察组(P<0.05)。结论采取针对性的护理方法不但能够明显提高患者的疗效,减少炎症感染的发生,减少术后并发症的出现,缩短输尿管结石病人的住院时间,而且可以提高患者对护理的满意水平,从医患沟通方面来讲,减少了医患矛盾与医闹事件,营造了良好和谐的医院氛围。总之,输尿管镜下钬激光碎石术围术期采取针对性的护理方法可于临床上进一步推广应用。

Objective To analyze the effect of targeted nursing on patients undergoing ureteroscopic holmium laser lithotripsy.Methods Eighty patients who received holmium laser lithotripsy for ureteral calculi from May 2017 to April 2018 were randomly selected and divided into observation and control groups according to the principle of random allocation.The control group was given conventional postoperative nursing methods.The observation group adopted the targeted nursing method after the operation.After the operation,the satisfaction degree,hospitalization days,and recovery degree of the two groups of patients were counted and compared respectively,and the two groups were compared and analyzed.Results The recovery time of all indexes in the control group after holmium laser lithotripsy under ureteroscope(the recovery time of blood routine,urine routine,and the pain disappeared time of patients after the operation)is longer than that in the observation group,P<0.05;The total effective rate of the patients in the control group was 95.49%,the total effective rate of the patients in the observation group was 73.12%,the total effective rate of the patients in the control group was significantly lower than that of the patients in the observation group,P<0.05;The satisfaction degree of the control group was significantly lower than that of the observation group(P<0.05).Conclusion Taking targeted nursing methods can significantly improve patients'curative effect,reduce the occurrence of inflammatory infection,reduce the occurrence of postoperative complications,shorten the hospitalization time of ureteral calculi patients,and improve the satisfaction level of patients with nursing.It can reduce the conflicts between doctors and patients and medical incidents,and create a good and harmonious hospital atmosphere from doctor-patient communication.