医护患协同管理模式在肾结石患者护理干预中的应用

Application of collaborative management model in nursing intervention for patients with kidney stone

目的探讨在肾结石患者护理服务中开展医护患协同管理的价值。方法选取2023年1—11月我院收治的50例肾结石患者作为研究对象,采用抽签法分为对照组和观察组,每组25例。对照组患者采用常规护理干预,观察组患者采用医护患协同管理模式进行干预,比较2组患者的肾功能指标、术后恢复情况、心理状态、并发症发生情况及护理满意度。结果干预前,2组患者血肌酐及尿素氮水平比较,差异无统计学意义(P>0.05);干预后,观察组患者的血肌酐及尿素氮水平均低于对照组,差异均有统计学意义(P<0.05)。观察组患者导尿管留置时间、引流管留置时间、肛门排气时间、下床活动时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者焦虑自评量表(SAS)及抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组患者的SAS及SDS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者的并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论医护患协同管理用于肾结石患者的护理干预,有助于改善患者肾功能,缩短术后恢复时间,减轻负性情绪,降低并发症发生风险,且护理满意度较高,值得临床推广。

Objective To explore the value of collaborative management in the nursing of patients with kidney stones.Methods Fifty patients with kidney stones admitted to our hospital from January to November 2023 were selected and randomly assigned to a control group and an observation group,with 25 patients in each group.The control group received routine nursing intervention,while the observation group received collaborative management.The renal function indicators,postoperative recovery,psychological state,incidence of complications,and degree of satisfaction with nursing of the two groups were compared.Results Before intervention,no significant differences were observed in blood creatinine and urea nitrogen levels between the two groups(P>0.05).After intervention,the blood creatinine and urea nitrogen levels in the observation group were significantly lower than those in the control group(P<0.05).The catheter indwelling time,drainage tube indwelling time,time to first flatus,time to first ambulation,and hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).Before intervention,no significant differences were noted in the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores between the two groups(P>0.05).After intervention,the SAS and SDS scores in the observation group were significantly lower than those in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).The degree of satisfaction with nursing in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Collaborative management in the nursing of patients with kidney stones is beneficial to potentiating renal function,shortening postoperative recovery time,alleviating negative emotions,reducing the risk of complications,and achieving higher degree of satisfaction with nursing,justifying a wider clinical promotion.