预见性护理对输尿管钬激光碎石术治疗肾结石的疗效影响

Effect of Predictive Nursing Intervention on Patients of Renal Calculus Nephrolithiasis Given Ureteral Holmium Laser Lithotripsy

目的探讨预见性护理干预对输尿管钬激光碎石术治疗肾结石的疗效影响。方法选取2019年10月至2021年10月,肾结石患者60例,按照随机数字表法分为对照组和观察组,每组患者各30例。两组患者均行输尿管钬激光碎石术治疗,治疗功率60 W。术后对照组采用常规护理干预;观察组采用预见性护理干预,记录两组患者一次碎石成功率,以及围手术期指标包括体温恢复正常时间、症状消失时间、下床活动时间、手术时间和住院时间。分别采用焦虑自评(self-rating anxiety scale,SAS)量表和抑郁自评(self-rating depression scale,SDS)量表对患者的焦虑和抑郁情绪进行评价;采用生命质量评测量表评定生活质量改变。并记录术后肾周积液、发热、出血、膀胱痉挛等并发症发生情况和护理满意度。结果观察组术后围手术期指标均短于对照组(P<0.05),观察组一次性碎石成功率高于对照组(P<0.05)。观察组SAS评分、SDS评分均低于对照组(P<0.05);观察组生活质量评分和护理满意度高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。术后2周,两组均无重度肾积水,且观察组总肾积水发生率显著低于对照组(P<0.05)。结论肾结石输尿管钬激光碎石术治疗患者应用预见性护理干预疗效确切,可有效改善患者的焦虑、抑郁状态和生活质量,降低并发症发生率,提高护理满意度。

Objective To investigate the effect of predictive nursing intervention on patients of renal calculus nephrolithiasis given ureteral holmium laser lithotripsy.Methods Totally 60 patients of renal calculi treated with ureteral holmium laser lithotripsy in our hospital over the period from Oct.2019 to Oct.2021 were selected and divided randomly into two groups:the control group(n=30)and observation group(n=30).The patients in the control group were given routine nursing intervention,and those in the observation group were giben predictive nursing intervention.The clinical indicators,lithotripsy success rate,psychological state,life quality,complication rate and nursing satisfaction before and after intervention were compared between the two groups.Results The perioperative period of the patients in the observation group were shorter than those in the control group(P<0.05).After the intervention,the SAS and SDS scores were lower in the observation group than in the control group.The scores of life quality and nursing satisfaction in the control group were higher than those in the control group(P<0.05),and the incidence of complications was lower in the observation group than in the control group(P<0.05).Two weeks after the operation,the success rate of one-time lithotripsis in the observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Moreover,no severe hydronephrosis occurred in either group,and the incidence of total hydronephrosis in the observation group was significantly lower than that in the control group(P<0.05).Conclusions Predictive nursing intervention will effectively improve the psychological state and life quality of patients of renal calculus nephrolithiasis given ureteral holmium laser lithotripsy,reduce incidence of complications and improve nursing satisfaction with definite curative effect.