微创经皮肾镜钬激光碎石术治疗患者围手术期循证护理方案构建及应用价值

Construction and application value of evidence-based nursing scheme in the perioperative period of minimally-invasive percutaneous nephrolithotomy with holmium laser

目的探讨经皮肾镜钬激光碎石术(MPCNL)治疗患者围手术期循证护理方案构建及应用价值。方法选取2019年1月至2021年12月安徽省亳州市人民医院接受MPCNL治疗的90例肾结石患者为研究对象,根据随机数字表法将其分为常规组和干预组,各45例。常规组行常规围手术期护理,干预组行循证护理下围手术期护理。比较两组术后疼痛程度及康复速度情况。结果干预后,两组疼痛分级指数、视觉模拟评分法、现时疼痛强度评分及简化麦吉尔疼痛问卷总分均低于干预前,且干预组低于常规组,差异有统计学意义(P<0.05);干预组术后肛门排气、下床、导尿管及肾造瘘管拔除时间、住院天数均短于常规组,差异有统计学意义(P<0.05)。结论肾结石患者MPCNL术治疗中行循证护理下围手术期护理,可有效帮助患者减轻术后疼痛感,促进患者术后康复速度加快。

Objective To explore the construction and application value of evidence-based nursing scheme in the perioperative period of minimally-invasive percutaneous nephrolithotomy with holmium laser(MPCNL).Methods A total of 90 patients with kidney stones who received MPCNL treatment at Bozhou People’s Hospital in Anhui Province from January 2019 to December 2021 were selected as the research objects.According to random number table method,the patients were divided into routine group and intervention group,with 45 cases in each group.The routine group received routine perioperative nursing,and the intervention group received evidence-based nursing under perioperative nursing.The degree of postoperative pain the speed of recovery were compared between the two groups.Results After intervention,pain grading index,visual analog score,current pain intensity score,and total score of simplified McGill pain questionnaire in both groups were lower than those before intervention,and the intervention group was lower than the conventional group,and the differences were statistically significant(P<0.05);the time of anal exhaust,getting out of bed,catheter and nephrostomy extraction,and the length of hospital stay in the intervention group were shorter than those in the routine group,and the differences were statistically significant(P<0.05).Conclusion Evidence based nursing and perioperative nursing for patients with renal calculi during MPCNL,can effectively help patients reduce postoperative pain and accelerate their postoperative rehabilitation.