综合性护理干预预防经皮肾镜超声碎石术后并发症的临床效果
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摘要
目的探讨综合性护理干预预防经皮肾镜超声碎石术后并发症的临床效果。方法选取2017年1月～2018年2月于我院行经皮肾镜超声碎石术患者98例,按照随机数字表法将其分为对照组与观察组,每组各49例。对照组患者给予常规护理,观察组患者在对照组基础上实施综合性护理干预。比较两组患者术后并发症发生情况、住院时间及拔除造瘘管时间,并采用问卷调查的形式对患者护理满意度进行调查。结果观察组患者术后并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组患者的住院时间、拔除瘘管时间均显著短于对照组,差异有统计学意义(P<0.05)。观察组患者的护理总满意度显著高于对照组,差异有统计学意义(P<0.05)。结论开展综合性护理干预,能有效降低经皮肾镜超声碎石术后并发症发生率,促进患者术后恢复,同时可提高护理质量。
Objective To investigate the clinical effect of comprehensive nursing intervention on the prevention of postoperative complications after percutaneous nephrolithotripsy. Methods A total of 98 patients who underwent percutaneous nephrolithotripsy from January 2017 to February 2018 in our hospital were enrolled. The patients were divided into control group and observation group according to the random number table method, with 49 cases in each group. In the control group, routine nursing was used, while in the observation group, comprehensive nursing intervention was carried out on the basis of the control group. The postoperative complications, hospitalization time, and time to remove nephrostomy tube were compared between the two groups. Questionnaire was used to investigate patients'satisfaction.Results The total incidence of postoperative complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). The hospitalization time and the time of removal of nephrostomy tube in the observation group were significantly shorter than those in the control group, and the differences were statistically significant(P<0.05). The total satisfaction of patients in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Comprehensive nursing intervention can effectively reduce the incidence of postoperative complications of percutaneous nephrolithotripsy, promote postoperative recovery, and improve the nursing quality.
Objective To investigate the clinical effect of comprehensive nursing intervention on the prevention of postoperative complications after percutaneous nephrolithotripsy. Methods A total of 98 patients who underwent percutaneous nephrolithotripsy from January 2017 to February 2018 in our hospital were enrolled. The patients were divided into control group and observation group according to the random number table method, with 49 cases in each group. In the control group, routine nursing was used, while in the observation group, comprehensive nursing intervention was carried out on the basis of the control group. The postoperative complications, hospitalization time, and time to remove nephrostomy tube were compared between the two groups. Questionnaire was used to investigate patients'satisfaction.Results The total incidence of postoperative complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). The hospitalization time and the time of removal of nephrostomy tube in the observation group were significantly shorter than those in the control group, and the differences were statistically significant(P<0.05). The total satisfaction of patients in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Comprehensive nursing intervention can effectively reduce the incidence of postoperative complications of percutaneous nephrolithotripsy, promote postoperative recovery, and improve the nursing quality.
引文
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[12]刘翔,王娜,卢爽.集束化护理在减少经皮肾镜超声碎石术后留置肾造瘘管患者术后并发症中的应用[J].新疆医学,2016,46(4):456-458.
[13]王宁,张倩,王祥福.个性化护理干预对经皮肾镜超声碎石术后并发症的预防效果[J].当代护士(上旬刊),2018,25(8):74-77.
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[16]韩珊菲.综合护理干预在腹腔镜治疗胆囊结石中的应用效果[J].中华现代护理杂志,2014,49(2):198-200.
[2]李勇敬.个体化护理在肾结石经皮肾镜超声碎石术后患者中的应用效果[J].实用临床医药杂志,2016,20(10):106-108.
[3]卢东,蒋小雷,吴明辉,等.经皮肾镜超声吸附碎石术对感染性肾结石患者炎症介质及应激激素的影响研究[J].海南医学院学报,2016,22(7):680-682.
[4]徐毅,童炎岳,雷樟明,等.经皮肾镜超声碎石术在感染性肾结石中的疗效及对患者应激激素的影响观察[J].中华医院感染学杂志,2017,27(6):1309-1312.
[5]方宏,张莉.聚焦解决模式对经皮肾镜超声碎石术患者负性情绪的影响[J].中国医药导报,2017,14(1):150-153.
[6]郑云,祖雄兵,贺书云,等.经皮肾镜下超声气压弹道碎石清石系统与钬激光处理复杂性肾结石的对比研究[J].中国内镜杂志,2016,22(1):24-27.
[7]钱玮,陶伟,单玉喜.经皮肾镜下超声联合气压弹道碎石取石术后出血的护理[J].江苏医药,2014,40(5):614-615.
[8]姚敏敏.经皮肾镜下肾造瘘气压弹道联合超声碎石术的护理研究[J].现代中西医结合杂志,2014,23(30):3409-3410.
[9]章敏.经皮肾镜碎石术后主要并发症原因分析及护理[J]解放军护理杂志,2014,31(6):45-47.
[10]杨清荣,马莉,杨秋香,等.经皮肾镜碎石术的围手术期护理新模式探索[J].华西医学,2014,29(9):1726-1729.
[11]季玉兰.人性化护理应用于经皮肾镜碎石术后并发尿脓毒血症的护理效果分析[J].临床检验杂志(电子版),2017,6(2):251-252.
[12]刘翔,王娜,卢爽.集束化护理在减少经皮肾镜超声碎石术后留置肾造瘘管患者术后并发症中的应用[J].新疆医学,2016,46(4):456-458.
[13]王宁,张倩,王祥福.个性化护理干预对经皮肾镜超声碎石术后并发症的预防效果[J].当代护士(上旬刊),2018,25(8):74-77.
[14]Giusti G,De Lisa A.A smart trick to perform a flexible renoscopy during percutaneous nephrolithotripsy[J].Indian J Urol,2018,34(3):233-234.
[15]徐中英,赖良,张国平.双镜联合治疗胆囊结石合并胆总管结石并发症的观察及护理[J].中国实用护理杂志,2015,31(6):423-425.
[16]韩珊菲.综合护理干预在腹腔镜治疗胆囊结石中的应用效果[J].中华现代护理杂志,2014,49(2):198-200.