人性化护理在泌尿系结石患者中的应用效果探析
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摘要
目的:探析人性化护理在泌尿系结石患者中的应用效果。方法:选取2016年1月-2018年1月本院泌尿外科接收的90例结石患者作为此次研究对象,依据护理方式将其分为对照组与观察组,各45例。对照组采用常规护理,观察组在对照组基础上实施人性化护理,对比两组干预前后焦虑、舒适度情况,统计两组术后住院时间、并发症发生率以及患者满意度。结果:入院时,两组焦虑程度对比差异无统计学意义(P>0.05);观察组手术前1 d、手术后1 d焦虑程度均低于对照组,差异均有统计学意义(P<0.05);观察组术后6 h、1 d、3 d时BCS评分均明显低于对照组,差异均有统计学意义(P<0.05);观察组住院时间明显短于对照组,且术后并发症发生率低于对照组,差异均有统计学意义(P<0.05);观察组护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:人性化护理在泌尿系结石患者中的应用效果显著,能有效改善患者负性情绪,提高其就医舒适度体验,对促进病情恢复意义重大,值得在临床推广实施。
Objective:To discuss the application effect of humanistic nursing in urinary calculus patients.Method:A total of 90 urinary calculus patients treated in urology department of our hospital January 2016 to January 2018 were selected and divided into the control group(n=45)and the observation group(n=45)according to different nursing modes.The control group was given conventional nursing care,on the basis of the control group,the observation group was given humanistic nursing.The anxiety degree,comfort levels,hospitalization time,complication rate and nursing satisfaction of two groups were compared.Result:At admission,the anxiety degree between two groups was not significantly different(P>0.05).The anxiety degree in the observation group at 1 d before surgery and 1 d after surgery were lower than those of the control group(P<0.05).At 6 h,1 d and 3 d after surgery,the Bruggrmann comfort scale(BCS)scores in the observation group were significantly lower than those of control group(P<0.05).The hospitalization time and postoperative complication rate of the observation group were lower than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Humanistic nursing can remarkably increase the clinical effect,relieve the negative emotions,improve the comfort level and promote the fast recovery.It is worthy of clinical promotion and application.
Objective:To discuss the application effect of humanistic nursing in urinary calculus patients.Method:A total of 90 urinary calculus patients treated in urology department of our hospital January 2016 to January 2018 were selected and divided into the control group(n=45)and the observation group(n=45)according to different nursing modes.The control group was given conventional nursing care,on the basis of the control group,the observation group was given humanistic nursing.The anxiety degree,comfort levels,hospitalization time,complication rate and nursing satisfaction of two groups were compared.Result:At admission,the anxiety degree between two groups was not significantly different(P>0.05).The anxiety degree in the observation group at 1 d before surgery and 1 d after surgery were lower than those of the control group(P<0.05).At 6 h,1 d and 3 d after surgery,the Bruggrmann comfort scale(BCS)scores in the observation group were significantly lower than those of control group(P<0.05).The hospitalization time and postoperative complication rate of the observation group were lower than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Humanistic nursing can remarkably increase the clinical effect,relieve the negative emotions,improve the comfort level and promote the fast recovery.It is worthy of clinical promotion and application.
引文
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[13]周政云,吴蓉,李红艳等.钬激光碎石术治疗泌尿系统结石50例全程视频健康教育[J].齐鲁护理杂志,2014,20(4):13-15.
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[16]王红林.人性化护理对腹腔镜胆囊切除术患者健康认知度和行为依从性的影响[J].河南医学研究,2017,26(20):3840,封3.
[17]霍转梅.人性化护理对胆结石手术患者术前焦虑的影响分析[J].北方药学,2013,10(9):160-161.
[18]夏捷,张跃,包雪青等.人性化护理干预对胆结石患者术前情绪的影响[J].中华现代护理杂志,2014,20(33):4203-4205.
[19]龚淑飞.人性化护理对胆结石手术患者术前焦虑的影响分析[J].现代实用医学,2016,28(9):1253-1254.
[20]田丰,董杰,王龙信等.输尿管镜钬激光碎石与后腹腔镜输尿管切开取石治疗上段输尿管结石的临床效果比较[J].东南国防医药,2014,16(4):370-372.
[2]丁梅.泌尿系结石疼痛的心理护理分析[J].国际护理学杂志,2013,32(11):2538-2540.
[3]孟凡英.综合护理在泌尿系统结石患者术后护理中的应用[J].中华现代护理杂志,2016,22(35):5144-5146.
[4]肖翠蓉,李芳.泌尿系统结石患者的饮食危险因素调查及护理干预对策[J].实用临床医药杂志,2016,20(2):165-166.
[5]潘月.优质护理服务在泌尿外科护理中的临床应用[J].中国社区医师,2018,34(1):149,151.
[6]郭姝馨,陈绵绵,黄娅娇等.延续护理对泌尿系统结石患者疾病自我效能和自我管理的效果[J].国际护理学杂志,2014,33(9):2431-2433.
[7]华静,倪静玉,王梅芳等.分层护理关怀行为对住院患者满意度的影响[J].中华现代护理杂志,2011,17(24):2916-2915.
[8]陈丹芸,赖贤林.个性化护理对泌尿系统结石疼痛患者的护理效果观察[J].中国实用医药,2017,12(1):160-162.
[9]杨柳.不同护理方式在泌尿系统结石微创手术中的临床应用分析[J].中国继续医学教育,2017,9(28):138-140.
[10]许春婵,许广换,陈诗敏等.个性化护理对泌尿系统结石疼痛患者的护理效果分析[J].国际医药卫生导报,2014,20(17):2749-2752.
[11]李冰,罗丽,李雪等.不同护理方式对小儿泌尿系统结石微创手术的影响研究[J].山西医药杂志,2016,45(14):1707-1709.
[12]朱柯平,郑小红.结石性脓肾病人行腔内泌尿外科技术治疗的围术期护理[J].全科护理,2017,15(25):3120-3121.
[13]周政云,吴蓉,李红艳等.钬激光碎石术治疗泌尿系统结石50例全程视频健康教育[J].齐鲁护理杂志,2014,20(4):13-15.
[14]张少凤,谢珠红,钟爱英等.经皮肾镜术联合EMS碎石清石术治疗泌尿系统结石的手术配合[J].浙江临床医学,2017,19(8):1537-1538.
[15]付善云,王畅.喀斯特地区泌尿系统结石病的临床特点及护理干预[J].护士进修杂志,2014,29(10):954-955.
[16]王红林.人性化护理对腹腔镜胆囊切除术患者健康认知度和行为依从性的影响[J].河南医学研究,2017,26(20):3840,封3.
[17]霍转梅.人性化护理对胆结石手术患者术前焦虑的影响分析[J].北方药学,2013,10(9):160-161.
[18]夏捷,张跃,包雪青等.人性化护理干预对胆结石患者术前情绪的影响[J].中华现代护理杂志,2014,20(33):4203-4205.
[19]龚淑飞.人性化护理对胆结石手术患者术前焦虑的影响分析[J].现代实用医学,2016,28(9):1253-1254.
[20]田丰,董杰,王龙信等.输尿管镜钬激光碎石与后腹腔镜输尿管切开取石治疗上段输尿管结石的临床效果比较[J].东南国防医药,2014,16(4):370-372.