临床护理路径在输尿管结石围手术期护理中的应用

Application of Clinical Nursing Pathway in Perioperative Care of Ureteral Calculus

目的探究在输尿管结石患者围手术期临床护理中应用临床护理路径的价值。方法抽取2023年1月至2023年12月我院收治的输尿管结石患者84例为研究对象,基于随机数字表法分为对照组与试验组,对照组42例接受常规护理干预模式,试验组42例接受临床护理路径干预模式。对比两组术后疼痛评分、疾病健康知识掌握评分、护理满意度评分、术后生活质量评分及并发症发生情况。结果干预前,两组疼痛评分对比差异无统计学意义(P>0.05),干预后24 h、48 h,试验组疼痛评分均比对照组低(均P<0.05);试验组患者疾病健康知识掌握评分、护理满意度评分均高于对照组(均P<0.05);试验组各项生活质量评分均低于对照组(均P<0.05);和对照组(23.81%)比较,试验组并发症发生率(7.14%)更低(P<0.05)。结论在输尿管结石患者围手术期护理中开展临床护理路径相比常规护理模式效果更显著,可有效缓解患者术后疼痛感,提升患者对疾病健康知识的掌握程度和对护理的满意程度,同时还能提升患者生活质量,降低并发症风险。

Objective To explore the value of clinical nursing pathway in perioperative nursing of patients with ureteral calculi.Methods A total of 84 patients with ureteral calculi admitted to our hospital from January 2023 to December 2023 were selected as the subjects.They were divided into control group and experimental group by random number table method.The 42 patients in the control group received routine nursing intervention mode.The 42 patients of experimental group received clinical nursing pathway intervention mode.The following indexes were compared between the two groups:postoperative pain score,disease and health knowledge mastery score,nursing satisfaction score,postoperative quality of life score and complications.Results Before intervention,there was no significant difference in pain score between the two groups(P>0.05).24 hours and 48 hours after intervention,pain score of the experimental group was lower than that of the control group(all P<0.05).The scores of disease health knowledge and nursing satisfaction of experimental group were higher than those of control group(all P<0.05).The score of quality of life in experimental groups were lower than that in control group(all P<0.05).Compared with the control group(23.81%),the complication rate of experimental group(7.14%)was lower(P<0.05).Conclusions Clinical nursing pathway in perioperative nursing of patients with ureteral calculi was more effective than conventional nursing mode,which can effectively relieve patients'postoperative pain,improve patients'grasp of disease and health knowledge and satisfaction with nursing,improve patients'quality of life and reduce the risk of complications.