系统护理在经皮肾镜治疗输尿管结石患者中的应用效果

Effect of Systematic Nursing on Patients with Ureteral Calculi Treated by Percutaneous Nephroscopy

目的观察系统护理干预对经皮肾镜治疗输尿管结石患者术后疼痛、并发症发生情况的影响。方法选取2019年3月-2020年3月在我院采用经皮肾镜治疗输尿管结石的82例患者为研究对象。采用随机数字表法分为对照组和观察组,各41例。对照组给予常规护理,观察组实施系统化护理干预,比较两组患者术后不同时间段(术后第1、5天)疼痛(VAS)评分、手术指标(术后胃肠功能恢复时间、住院时间、住院费用)、并发症发生率及护理满意度。结果观察组术后第1、5天VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组术后胃肠功能恢复时间、住院时间、住院费用均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为7.31%,低于对照组的26.83%,差异有统计学意义(P<0.05);观察组护理满意度为97.56%,高于对照组的85.36%,差异有统计学意义(P<0.05)。结论系统护理有助于减轻经皮肾镜治疗输尿管结石减轻术后疼痛,降低并发症发生率,促进患者术后恢复,缩短住院时间,减少住院费用,提高护理满意度。

Objective To study the effect of systematic nursing on patients with ureteral calculi treated by percutaneous nephroscopy.Methods From March 2019 to March 2020,82 patients with ureteral calculi treated by percutaneous nephrolithotomy in our hospital were selected as study subjects.The patients were randomly divided into control group and observation group,with 41 cases in each group.The control group was given routine nursing,and the observation group was given systematic nursing intervention,the pain score(VAS)in different time periods(1 and 5 d after operation),surgical indices(postoperative gastrointestinal function recovery time,hospitalization time,hospitalization cost),complication rate and nursing satisfaction were compared between the two groups.Results The VAS on 1 and 5 d after operation in the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05);the recovery time of gastrointestinal function,hospitalization time and hospitalization cost of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05);the complication rate of the observation group was 7.31%,which was lower than 26.83%of the control group,and the difference was statistically significant(P<0.05);the nursing satisfaction of the observation group was 97.56%,which was higher than 85.36%of the control group,and the difference was statistically significant(P<0.05).Conclusion Systematic nursing is useful for reducing postoperative pain for patients with ureteral calculi treated by percutaneous nephroscopy,reducing complication rate,promoting postoperative recovery,shorten hospitalization time,reducing hospitalization cost and improving the nursing satisfaction.