人性化护理循证干预联合全程精细化护理应用于超微通道经皮肾镜术的临床效果

Clinical Effect of Humanized Nursing Evidence-Based Intervention Combined with Whole-Process Refined Nursing Applied in Ultra-Microchannel Percutaneous Nephroscopy

目的:探讨人性化护理循证干预联合全程精细化护理应用于超微通道经皮肾镜术中的临床效果。方法:选取2019年1月-2021年3月常德市第一人民医院行超微通道经皮肾镜术的患者62例为研究对象,根据门诊就诊单双号分为试验组与常规组,各31例。常规组给予全程精细化护理干预,试验组在常规组基础上给予人性化护理循证干预。比较两组患者护理满意度、并发症发生率、生活质量、心理状态[焦虑自评量表(SAS)]、疼痛情况。结果:试验组护理满意度高于常规组,差异有统计学意义(P<0.05);试验组并发症发生率低于常规组,差异有统计学意义(P<0.05)。护理前,试验组精神健康、躯体功能、生活自理、社会功能生活质量评分与对照组比较,差异无统计学意义(P>0.05);护理后,试验组精神健康、躯体功能、生活自理、社会功能生活质量评分高于常规组,差异有统计学意义(P<0.05)。护理前,两组患者SAS评分比较,差异无统计学意义(P>0.05);护理后,两组患者SAS评分均降低,试验组低于常规组,差异有统计学意义(P<0.05)。护理前,两组患者疼痛评分比较,差异无统计学意义(P>0.05);护理后,两组患者疼痛评分均降低,试验组低于常规组,差异有统计学意义(P<0.05)。结论:人性化护理循证干预联合全程精细化护理应用于超微通道经皮肾镜术中,可提升患者生活质量,改善患者负性情绪,提高患者护理满意度,降低患者疼痛感。

Objective: To investigate the clinical effect of humanized nursing evidence-based intervention combined with wholeprocess refined nursing in ultra-microchannel percutaneous nephroscopy. Methods: A total of 62 patients who underwent ultramicrochannel percutaneous nephroscopy in the Changde First People’s Hospital from January 2019 to March 2021 were selected as the study subjects, and the patients were divided into experimental group and conventional group according to the single and even numbers of outpatient visits. The conventional group was given whole-process refined nursing intervention, and the experimental group was given humanized nursing evidence-based intervention on the basis of the conventional group. The nursing satisfaction, complication rate, quality of life, psychological state [Self-rating Anxiety Scale(SAS)], and pain status of patients were compared between the two groups. Results: Nursing satisfaction in the experimental group was higher than that in the conventional group, and the difference was statistically significant(P<0.05). The incidence of complications in the experimental group was lower than that in the conventional group, and the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in the quality of life scores of mental health, physical function, self-care and social function between the experimental group and the conventional group(P>0.05). After nursing, the quality of life scores of mental health, physical function, self-care and social function in the experimental group were higher than those in the conventional group, and the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in SAS scores between the two groups(P>0.05). After nursing, the SAS score in two groups was reduced, and the experimental group was lower than the conventional group, and the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in the pain scores between the two groups(P>0.05). After nursing, the pain scores in two groups were reduced, and the experimental group was lower than the conventional group, and the difference was statistically significant(P<0.05). Conclusion: Humanized nursing evidence-based intervention combined with whole-process refined nursing applied to ultra-microchannel percutaneous nephroscopy can improve patients’ quality of life, ameliorate patients’ negative emotions, improve patients’ nursing satisfaction,and reduce patients’ pain.