护理干预对微创经皮肾镜取石术治疗肾结石患者的临床效果及满意度评价

Nursing Intervention for Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Renal Calculi in Patients with Clinical Effect Evaluation and Correlation Analysis of Complications

目的研究肾结石患者接受微创经皮肾镜取石术治疗期间实施护理干预的效果,以期提高护理质量。方法根据简单随机化法将某院2019年10月1月-2020年9月30日期间随机抽取的肾结石患者100例分为两组,对照组50例进行常规护理,观察组50例实施整体护理。对比不同护理模式对两组患者依从性、术后恢复情况、并发症发生情况、护理满意度的影响。结果观察组患者按时检查、饮食规律、自我检测、坚持治疗方面遵医比例分别为100.00%、90.00%、88.00%、92.00%,均高于对照组的56.00%、64.00%、44.00%和62.00%,差异具有统计学意义,P<0.05;观察组患者的下床活动时间、住院时间分别为(2.29±0.68)天、(16.82±3.04)天,均短于对照组的5.34±1.27天和24.30±3.45天,差异具有统计学意义,P<0.05;观察组患者的并发症总发生率6.00%低于对照组的24.00%,护理满意度98.00%高于对照组84.00%,差异具有统计学意义,P<0.05。结论在肾结石患者接受微创经皮肾镜取石术治疗期间实施整体护理干预有助于改善其依从性,减少并发症的发生,促进患者术后尽快恢复,效果令人满意。

Objective To study the effect of nursing intervention on patients with renal calculi undergoing minimally invasive percutaneous nephrolithotomy,and to analyze the influence on complications.Methods According to the simple randomized method,100 patients with renal calculi randomly selected from our hospital from October 1,2019 to September 30,2020 were divided into two groups,50 cases in the control group were given routine nursing,and 50 cases in the observation group were given holistic nursing.The effects of different nursing modes on the compliance,postoperative recovery,complications and nursing satisfaction of the two groups were compared.Results The proportion of patients in the observation group in terms of timely inspection,diet,self-test and adherence to treatment were 100.00%,90.00%,88.00% and 92.00% respectively,which were higher than those in the control group(56.00%,64.00%,44.00% and 62.00%,respectively),and the difference was statistically significant(P<0.05);the time of getting out of bed and hospitalization in the observation group were(2.29±0.68)D and(16.82±3.04)d,which were shorter than those in the control group,and the difference was statistically significant The complication rate of the observation group(6.00%)was lower than that of the control group(24.00%),and the nursing satisfaction rate(98.00%)was higher than that of the control group(84.00%),the difference was statistically significant(P<0.05).Conclusion The implementation of holistic nursing intervention in patients with renal calculi undergoing minimally invasive percutaneous nephrolithotomy is helpful to improve their compliance,reduce the occurrence of complications,and promote the recovery of patients as soon as possible.