循证护理联合疼痛护理对泌尿系统结石患者术后疼痛及并发症的影响

Effect of Evidence-based Nursing Combined with Pain Nursing on Postoperative Pain and Complications in Patients with Urinary Calculi

目的研究循证护理联合疼痛护理对泌尿系统结石患者术后疼痛及并发症的影响。方法选取2020年1月-2022年6月在我院诊治的60例泌尿系统结石患者为研究对象,采用随机数字表法分为对照组和观察组,各组30例。对照组开展常规护理,观察组在对照组基础上给予循证护理联合疼痛护理干预,比较两组不同时间段疼痛评分、泌尿功能指标(最大尿流量、残余尿量)、并发症发生率及护理满意度。结果观察组与对照组术后24 h疼痛评分比较,差异无统计学意义(P>0.05);观察组术后48、72 h疼痛评分均小于对照组(P<0.05);两组干预后最大尿流量均大于干预前,残余尿量均小于干预前,且观察组最大尿流量大于对照组,残余尿量小于对照组(P<0.05);观察组并发症发生率(6.67%)小于对照组(16.67%)(P<0.05);观察组护理满意度(96.67%)高于对照组(83.33%)(P<0.05)。结论循证护理联合疼痛护理可减轻泌尿系统结石患者术后疼痛度,预防并发症发生,提高护理满意度,促进泌尿功能恢复,值得临床应用。

Objective To study the effect of evidence-based nursing combined with pain nursing on postoperative pain and complications in patients with urinary calculi.Methods A total of 60 patients with urinary calculi diagnosed and treated in our hospital from January 2020 to June 2022 were selected as the research objects.They were divided into control group and observation group by random number table method,with 30 patients in each group.The control group was given routine nursing,and the observation group was given evidence-based nursing combined with pain nursing intervention on the basis of the control group.The pain score,urinary function index(maximum urine flow,residual urine volume),complication rate and nursing satisfaction were compared between the two groups at different time periods.Results There was no significant difference in pain score between the observation group and the control group after 24 h of operation(P>0.05).The pain scores of the observation group after 48 and 72 h of operation were lower than those of the control group(P<0.05).The maximum urine flow of the two groups after intervention was greater than that before intervention,and the residual urine volume was less than that before intervention,while the maximum urine flow of the observation group was greater than that of the control group,and the residual urine volume was less than that of the control group(P<0.05).The incidence of complications in the observation group(6.67%)was lower than that in the control group(16.67%)(P<0.05).The nursing satisfaction of the observation group(96.67%)was higher than that of the control group(83.33%)(P<0.05).Conclusion Evidence-based nursing combined with pain nursing can reduce postoperative pain in patients with urinary calculi.Meanwhile,it can prevent complications,improve nursing satisfaction,and promote the recovery of urinary function,which is worthy of clinical application.