以快速康复理论为基础的量化护理干预在ESWL患者预后转归和预防复发中的作用

Role of Quantitative Nursing Intervention Based on Rapid Rehabilitation Theory in Prognostic Regression and Prevention of Recurrence in Patients with ESWL

目的:分析以快速康复理论为基础的量化护理干预在体外冲击波碎石(ESWL)患者预后转归和预防复发中的作用。方法:选取2018年11月—2021年10月开封市人民医院收治的180例拟行体外冲击波碎石患者作为研究对象,随机将其分为研究组和对照组,每组各90例。对照组实施常规量化护理干预,研究组实施以快速康复理论为基础的量化护理干预,对比两组患者术后血尿、出血、感染发生率、住院时间、住院费用、复发率及术后生活质量相关指标评分。结果:研究组患者碎石后血尿、出血及感染发生率低于对照组,差异有统计学意义(χ^(2)=4.709、4.745、4.091,P<0.05)。研究组患者住院时间、住院费用及复发率低于对照组,差异有统计学意义(t=4.414、9.459,P<0.05;χ^(2)=5.714,P<0.05)。研究组患者术后各项生活质量评分高于对照组,差异有统计学意义(t=2.999、9.990、6.465、6.629、5.210,P<0.05)。结论:体外冲击波碎石患者实施以快速康复理论为基础的量化护理干预,可有效控制在患者碎石后血尿、出血及感染发生率,缩短住院时间和降低复发率及住院费用,改善生活质量。

Objective:To analyze the role of a quantitative nursing intervention based on the theory of rapid rehabilitation in the prognostic regression and prevention of recurrence in patients with extracorporeal shock wave lithotripsy(ESWL).Methods:180 patients admitted to the hospital for proposed extracorporeal shock wave lithotripsy from November 2018 to October 2021 were selected as the study subjects,and they were randomly divided into the study group and the control group,with 90 cases in each group.The control group implemented conventional quantitative nursing care,and the research group implemented quantitative nursing intervention based on rapid rehabilitation theory.Postoperative hematuria bleeding,incidence of infection,hospitalization time,hospitalization cost,recurrence rate and postoperative quality of life-related index scores were compared between the two groups.Results:The incidence of bleeding,hematuria and infection after lithotripsy was lower in the study group than in the control group,and the difference was statistically significant(χ^(2)=4.709,4.745,4.091,P<0.05).The hospitalization time,hospitalization cost and recurrence rate of patients in the study group were lower than those in the control group,and the differences were statistically significant(t=4.414,9.459,P<0.05;χ^(2)=5.714,P<0.05).All postoperative quality of life scores of patients in the study group were higher than those of the control group,and the difference was statistically significant(t=2.999,9.990,6.465,6.629,5.210,P<0.05).Conclusion:Extracorporeal shock wave lithotripsy patients to implement quantitative nursing interventions based on the theory of rapid rehabilitation,can effectively control the hematuria bleeding,and the incidence of infection after lithotripsy,shorten the length of hospitalization and reduce the recurrence rate and the hospitalization costs,and improve the quality of life.