输尿管镜下碎石术治疗输尿管结石患者的临床护理配合体会

Clinical Care Coordination Experience of Patients with Ureteral Stones Treated by Ureteroscopic Lithotripsy

目的:分析输尿管镜下碎石术治疗输尿管结石患者的临床护理配合效果。方法:选取2017年10月—2020年12月广州市第十二人民医院行输尿管镜下碎石术的82例输尿管结石患者作为研究对象,按随机数表法分为试验组(n=41)和对照组(n=41)。对照组予以常规护理,试验组在对照组的基础上予以全面护理。对比两组患者围术期情况、一次性碎石成功率、心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、干预前后视觉疼痛模拟评分量表(VAS)变化。结果:试验组术中出血量较对照组少,手术时间、疼痛消失时间较对照组短,差异有统计学意义(t=19.959、6.616、10.590,P<0.05);试验组一次性碎石成功率较对照组高,差异有统计学意义(χ^(2)=4.100,P<0.05);干预后,试验组SAS、SDS评分较对照组低,差异有统计学意义(t=11.696、9.638,P<0.05);干预后,试验组VAS评分较对照组低,差异有统计学意义(t=0.823、4.844,P<0.05);试验组并发症发生率较对照组低,差异有统计学意义(χ^(2)=4.100,P<0.05)。结论:输尿管镜下碎石术治疗输尿管结石患者采取临床护理配合,可减少术中出血量,促进手术顺利进展,提高一次性碎石成功率,并可改善患者心理状况,减轻疼痛度,降低并发症发生率,促进患者术后恢复。

Objective:To analyze the effect of clinical care coordination in patients with ureteral stones treated by ureteroscopic lithotripsy.Methods:82 patients with ureteral stones who underwent ureteroscopic lithotripsy in the hospital from October 2017 to December 2020 were selected as the study subjects,and were divided into the experimental group(n=41)and the control group(n=41)according to the randomized number table method.The control group was given routine nursing care,and the experimental group was given comprehensive nursing care on the basis of the control group.The perioperative conditions,the success rate of one-time lithotripsy,the psychological conditions[Self-assessment Scale of Anxiety(SAS),Self-assessment Scale of Depression(SDS)],and changes in visual pain analog scale(VAS)before and after the intervention were compared between the two groups.Results:The experimental group had less intraoperative bleeding and shorter operation time and pain disappearance time than the control group,and the difference was statistically significant(t=19.959,6.616,10.590,P<0.05).The success rate of one-time lithotripsy was higher in the experimental group than in the control group,and the difference was statistically significant(χ^(2)=4.100,P<0.05).After the intervention,SAS and SDS scores were lower in the experimental group than in the control group,and the difference was statistically significant(t=11.696,9.638,P<0.05).After the intervention,VAS scores were lower in the test group than in the control group,and the difference was statistically significant(t=0.823,4.844,P<0.05).The complication rate was lower in the test group than in the control group,and the difference was statistically significant(χ^(2)=4.100,P<0.05).Conclusion:Ureteroscopic lithotripsy for the treatment of ureteral stone patients to take clinical nursing cooperation,can reduce intraoperative bleeding,promote the smooth progress of the operation,improve the success rate of one-time lithotripsy,and can improve the patients’psychological condition,reduce the degree of pain,reduce the incidence of complications,and promote the patients’postoperative recovery.