分析综合护理干预在泌尿系结石患者术后的应用效果及对患者睡眠质量的影响

To Analyze the Effect of Comprehensive Nursing Intervention in Patients with Urinary Calculi after Operation and the Influence on Sleep Quality

目的:分析综合护理干预在泌尿系结石患者术后的应用效果及对患者睡眠质量的影响。方法:选取2021年1月至2022年1月福建省泉州市惠安县医院收治的泌尿结石患88例作为研究对象,按照随机数字表法分为观察组和对照组,每组44例。对照组给予常规护理干预,观察组给予综合护理干预。采用匹兹堡睡眠质量指数(PSQI)对患者睡眠质量开展评价,采用本院自制护理满意度调查问卷开展满意度调查,比较2组患者护理满意度,采用视觉模拟评分法(VAS)对患者疼痛程度开展评价,同时对患者最大尿流量、残余尿量进行统计和对比。结果:护理后,观察组最大尿流量显著高于对照组,残余尿量显著少于对照组,2组比较差异有统计学意义(均P<0.05);护理后1周及2周后,观察组PSQI评分显著低于对照组,2组比较差异有统计学意义(均P<0.05);护理1周、护理2周后,观察组VAS评分显著低于对照组,2组比较差异有统计学意义(均P<0.05);观察组护理满意度显著高于对照组,2组比较差异有统计学意义(P<0.05)。结论:开展综合护理干预可极大促进患者泌尿功能的恢复,改善患者睡眠质量,缓解疼痛,促进护患关系的亲近,值得临床推广使用。

Objective:To analyze the effect of comprehensive nursing intervention in patients with urinary calculi after operation and the influence on sleep quality.Methods:A total of 88 patients with urinary calculi admitted to Hui′an County Hospital from January 2021 to January 2022 were selected as the research objects.According to random number table method,they were divided into observation group and control group,with 44 cases in each group.The control group was given routine nursing intervention,and the observation group was given comprehensive nursing intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality of the patients,and the self-made nursing satisfaction questionnaire was used to carry out a satisfaction survey.The nursing satisfaction of 2 groups was compared.The Visual Analogue Scale(VAS)was used to evaluate the pain degree of the patients,and the maximum urine flow and residual urine volume were statistically and compared.Results:After nursing,the maximum urine flow in the observation group was significantly higher than the control group,and the residual urine volume was significantly lower than the control group,and the differences between the 2 groups were statistically significant(P s<0.05).After 1 week and 2 weeks of nursing,PSQI score of the observation group was significantly lower than the control group,and the difference between the 2 groups was statistically significant(P s<0.05).After nursing for 1 week and 2 weeks,VAS score of the observation group was significantly lower than that the control group,and the differences between the 2 groups were statistically significant(P s<0.05).The nursing satisfaction of the observation group was significantly higher than the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Comprehensive nursing intervention can greatly promote the recovery of patients′urinary function,improve patient′s sleep quality,relieve pain,promote the close relationship between nurses and patients,and is worthy of clinical promotion and use.