心理干预对经皮肾镜取石术患者围术期的效果观察  

Observing the Effect of Mental Intervention during Perioperative Period of Percutaneous Nephrolithotripsy

作　　者：陈曼佳[1] 李林芬[1] 郑映玲[1] 

机构地区：[1]汕头大学医学院第二附属医院泌尿外科,广东汕头515041

出　　处：《河北医学》2010年第5期614-616,共3页Hebei Medicine

摘　　要：目的:探讨心理干预对经皮肾镜取石术病人围术期康复预后的影响。方法:将90例肾结石、输尿管上段结石病人随机分成两组,实验组和对照组各45例。实验组在围术期间,根据病人存在心理问题进行有针对性、充分的心理护理,对照组仅接受常规护理,不做特殊指导。对比两组病人在术中胸闷、呼吸困难的发生率、一次性穿刺成功率、术后有效应对疼痛不适方面差异。结果:能够有效应对术中体位不适,未出现胸闷、呼吸困难,实验组43例,对照组32例,两组比较差异非常显著(P<0.01)。一次性穿刺成功,实验组41例,对照组32例,实验组明显高于对照组(P<0.05)。术后能有效应对疼痛不适,实验组35例,对照组20例,实验组明显高于对照组(P<0.01)。结论:经皮肾镜取石术病人围手术期间进行心理干预能保证患者完成术前正规体位适应性训练,减少术中体位不适发生,保证呼吸、循环系统平稳,保证手术顺利进行,提高病人遵医行为,有效应对术后疼痛的发生,促进病人早日康复。Objective：To investigate the effect of rehabilitation prognosis through mental intervention during perioperative period of percutaneous nephrolithotripsy.Method：90 patients with kidney stones and ureteral superior segment stones were taken percutaneous nephrolithotripsy,these hospitalized patients were randomly divided into two groups,each experimental group and control group had 45 cases.The experimental group in during perioperative period,according to the patients who had psychological issues were given relevant and adequate psychological care,and the control group received only routine care,not did a special guide.Compared different aspects of two groups of patients incidence of chest distress and dyspnea in the intraopcrative,one-time puncture success rate,effectively deal with postoperative pain.Result：Those patients can effectively deal with postural discomfort,no chest tightness,dyspnea,the experimental group had 43 cases,the control group had 32 cases,the difference is significant （p0.01）.and the success of a one-time puncture experimental group had 41cases,the control group had 32 cascs,experimental group was significantly higher （p0.05）.Those can effective response to postoperative pain and discomfort,the experimental group had 35 cases,however the control group had 20 cases,the experimental group was significantly higher （p0.01）.Conclusion：The patients who arc taken mental intervention during perioperative period of percutaneous nephrolithotripsy,can guarantee patients completed the preopcrative normal postural adaptability training,reduce postural discomfort in surgery,to ensure the respiratory,circulatory stable,to ensure smooth operations,improve patient compliance with medical behavior,effective response to the occurrence of postoperative pain and promote patient recovery.

关 键 词：心理干预 经皮肾镜取石术 护理 围术期 

分 类 号：R473.6[医药卫生—护理学]