基于ACE-Star循证模式的快速康复护理在输尿管软镜钬激光碎石术患者中的应用

Application of rapid rehabilitation nursing based on ACE-STAR evidence-based mode in patients undergoing soft ureteroscopic holmium laser lithotripsy

目的探讨基于ACE-Star循证模式的快速康复护理在输尿管软镜钬激光碎石术患者中的应用效果。方法选取2018年3月至2022年3月广州医科大学附属广州市第八人民医院收治的输尿管软镜钬激光碎石术患者94例,依据随机数字表法分为研究组与对照组,每组47例。研究组男24例、女23例,年龄(40.05±12.21)岁;对照组男26例、女21例,年龄(39.67±11.78)岁。对照组采取常规护理,研究组在对照组基础上采取基于ACE-Star循证模式的快速康复护理。分析两组术后康复情况、并发症发生率、术后疼痛程度、护理满意度。统计学方法采用独立样本t检验、χ^(2)检验。结果研究组首次排便时间为(14.79±5.35)h、首次排气时间为(7.28±2.84)h、首次下床活动时间为(3.11±1.05)h、住院时间为(7.53±1.71)d,均短于对照组的(25.28±7.75)h、(12.68±4.04)h、(5.15±1.29)h、(9.28±1.59)d,两组比较差异均有统计学意义(均P<0.001);研究组并发症发生率低于对照组[4.26%(2/47)比17.02%(8/47)],两组比较差异有统计学意义(χ^(2)=4.029,P=0.045);术后不同时间段研究组的视觉模拟评分法评分均低于对照组(均P<0.05);研究组患者的护理满意度高于对照组[93.62%(44/47)比78.72%(37/47)],两组比较差异有统计学意义(χ^(2)=4.374,P=0.036)。结论采取基于ACE-Star循证模式的快速康复护理对输尿管软镜钬激光碎石术患者实施干预,可减轻术后疼痛程度,降低并发症发生率,利于缩短术后康复进程,且患者满意度较高。

Objective To explore the effect applying rapid rehabilitation nursing based on ACE-STAR evidence-based mode in patients undergoing soft ureteroscopic holmium laser lithotripsy.Methods A total of 94 patients undergoing soft ureteroscopic holmium laser lithotripsy at Guangzhou Eighth People's Hospital,Guangzhou Medical University from March 2018 to March 2022 were selected,and were divided into a study group and a control group by the random number table method,with 47 cases in each group.There were 24 males and 23 females in the study group,and they were(40.05±12.21)years old.There were 26 males and 21 females in the control group,and they were(39.67±11.78)years old.The control group took routine nursing;in addition,the study group took rapid rehabilitation nursing based on ACE-STAR evidence-based mode.The postoperative recovery,incidences of complications,postoperative pain degrees,and satisfaction with nursing of the two groups were analyzed.The independent-sample t test andχ2 test were applied.Results The times to first defecation,exhaust,and ambulation and hospital stay were(14.79±5.35)h,(7.28±2.84)h,(3.11±1.05)h,(7.53±1.71)d in the study group,and were(25.28±7.75)h,(12.68±4.04)h,and(5.15±1.29)h,and(9.28±1.59)d in the control group,with statistical differences between these two groups(all P<0.05).The incidence of complications in the study group was lower than that in the control group[4.26%(2/47)vs.17.02%(8/47)],with a statistical difference between these two groups(χ^(2)=4.029,P=0.045).The scores of Visual Analogue Scale 6,12,24,and 48 h after the operation in the study group were lower than those in the control group(all P<0.05).The satisfaction with nursing in the study group was higher than that in the control group[93.62%(44/47)vs.78.72%(37/47)],with a statistical difference between these two groups(χ^(2)=4.374,P=0.036).Conclusion Rapid rehabilitation nursing based on ACE-STAR evidence-based mode for patients undergoing soft ureteroscopic holmium laser lithotripsy can reduce their postoperative pain and the incidence of complications,and shorten the postoperative rehabilitation process,with high patient satisfaction.