延续性护理对双J管留置患者拔管依从性的影响研究
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摘要
目的探讨延续性护理对双J管留置患者拔管依从性的影响。方法收集苏州高新区人民医院泌尿外科2015年4月-2018年4月因肾、输尿管中上段结石行输尿管软镜钬激光碎石术后留置双J管的患者共196例,随机分为对照组和研究组,各98例。对照组采用常规护理,研究组在常规护理的基础上,采用延续性护理方法,对比2组患者在按时拔管率、双J管知识知晓情况、护理服务满意度及术后并发症方面的差异。结果研究组的按时拔管率(100.00%)高于对照组(90.82%),差异有统计学意义(χ~2=9.24,P<0.05)。研究组患者在留置管路的目的及意义、每日饮水量、排尿知识、运动知识以及拔管时间方面的知晓情况明显好于对照组,差异有统计学意义(χ~2=9.78,P<0.05)。研究组患者的护理服务满意度(98.99%)高于对照组(93.88%),差异有统计学意义(χ~2=10.21,P<0.05)。研究组患者的并发症发生率(15.31%)明显低于对照组(33.67%),差异有统计学意义(χ~2=20.42,P<0.05)。结论延续性护理可以提升患者对治疗的依从性、减少术后并发症的发生、提高患者对护理服务的满意度,值得在临床推广应用。
Objective To explore the effect of continuous nursing on the extubation compliance of patients with indwelling double J tube. Methods 196 patients with indwelling double J-tube after holmium laser lithotripsy under flexible ureteroscope were enrolled,from April 2015 to April 2018, they were randomly divided into control group and research group. The control group was given routine nursing care, while the research group was given continuous nursing on the basis of routine nursing care. The average awareness of J tube method, nursing service satisfaction and postoperative complications were compared in the rate of timely extubation and double J-tube indwelling after holmium laser lithotripsy with flexible ureteroscope and holmium laser lithotripsy between two groups. Results The punctual extubation rate in the study group(100.00%) was higher than that in the control group(90.82%). The difference was statistically significant(χ~2=9.24, P<0.05). The awareness of the purpose and significance of indwelling catheter, daily water consumption, urination, exercise and extubation time in the study group was significantly higher than that in the control group(χ~2=9.78, P<0.05). The satisfaction of nursing service in the study group(98.99%) was higher than that in the control group(93.88%). The difference was statistically significant(χ~2=10.21, P<0.05). The incidence of complications in the study group(15.31%) was significantly lower than that in the control group(33.67%). The difference was statistically significant(χ~2= 20.42, P<0.05). Conclusion Continuous nursing can improve the compliance of patients with treatment, reduce the occurrence of postoperative complications, and improve the satisfaction of patients with nursing care. It is worthy to popularize in clinical use.
Objective To explore the effect of continuous nursing on the extubation compliance of patients with indwelling double J tube. Methods 196 patients with indwelling double J-tube after holmium laser lithotripsy under flexible ureteroscope were enrolled,from April 2015 to April 2018, they were randomly divided into control group and research group. The control group was given routine nursing care, while the research group was given continuous nursing on the basis of routine nursing care. The average awareness of J tube method, nursing service satisfaction and postoperative complications were compared in the rate of timely extubation and double J-tube indwelling after holmium laser lithotripsy with flexible ureteroscope and holmium laser lithotripsy between two groups. Results The punctual extubation rate in the study group(100.00%) was higher than that in the control group(90.82%). The difference was statistically significant(χ~2=9.24, P<0.05). The awareness of the purpose and significance of indwelling catheter, daily water consumption, urination, exercise and extubation time in the study group was significantly higher than that in the control group(χ~2=9.78, P<0.05). The satisfaction of nursing service in the study group(98.99%) was higher than that in the control group(93.88%). The difference was statistically significant(χ~2=10.21, P<0.05). The incidence of complications in the study group(15.31%) was significantly lower than that in the control group(33.67%). The difference was statistically significant(χ~2= 20.42, P<0.05). Conclusion Continuous nursing can improve the compliance of patients with treatment, reduce the occurrence of postoperative complications, and improve the satisfaction of patients with nursing care. It is worthy to popularize in clinical use.
引文
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[3] 徐肖肖,王仙友,刘丁乙,等.输尿管软镜碎石术后 D-J管留置并发症原因分析与护理对策[J].浙江医学,2017,39(19):1715-1717.
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[5] 李武学,赵兴华,许长宝,等.输尿管镜治疗复杂性输尿管结石留置双J管时间的临床观察[J].实用医学杂志,2017,33(2):256-258.
[6] 张银穗,史小艳,陈沛.输尿管软镜钬激光碎石术480例围手术期护理探讨[J].中国基层医药,2016,23(3):478-480.
[7] 肖奇贵,李小妹.延续护理干预对肝癌术后病人身心健康恢复的影响[J].护理研究,2014,28(1):324-327.
[8] 黄金月,周家仪,王少玲,等.高级护理实践导论[M].2版.北京:人民卫生出版社,2012.
[9] JACKSON C,KASPER E W,WILLIAMS C,et al.Incremental benefit of a home visit following discharge for patients with multiple chronic conditions receiving transitional Care[J].Popul Health Manag,2016,19(3):163-170.
[2] ZANETTI S P,BOERI L,CATELLANI M,et al.Retrograde intrarenal surgery(RIRS),regular and small sized percutaneous nephro-lithotomy (PCNL) in daily practice:European Association of Urology Section of Urolithiasis (EULIS) Survey[J].Arch Ital Urol Androl,2016,88(3):212-216.
[3] 徐肖肖,王仙友,刘丁乙,等.输尿管软镜碎石术后 D-J管留置并发症原因分析与护理对策[J].浙江医学,2017,39(19):1715-1717.
[4] 闫永吉,刘建和,陈戬,等.输尿管镜钬激光碎石处理长期留置双J管3 例报道[J].昆明医学院学报,2012,33(3):118-119.
[5] 李武学,赵兴华,许长宝,等.输尿管镜治疗复杂性输尿管结石留置双J管时间的临床观察[J].实用医学杂志,2017,33(2):256-258.
[6] 张银穗,史小艳,陈沛.输尿管软镜钬激光碎石术480例围手术期护理探讨[J].中国基层医药,2016,23(3):478-480.
[7] 肖奇贵,李小妹.延续护理干预对肝癌术后病人身心健康恢复的影响[J].护理研究,2014,28(1):324-327.
[8] 黄金月,周家仪,王少玲,等.高级护理实践导论[M].2版.北京:人民卫生出版社,2012.
[9] JACKSON C,KASPER E W,WILLIAMS C,et al.Incremental benefit of a home visit following discharge for patients with multiple chronic conditions receiving transitional Care[J].Popul Health Manag,2016,19(3):163-170.