护理干预在泌尿微创手术中的效果观察  

Effect observation of nursing intervention in minimally invasive urinary surgery

作　　者：罗春丽[1] 罗石英 李木秀[1] 龙鸿远 钟晓玲[1] 

机构地区：[1]广东省廉江市人民医院,广东廉江524400

出　　处：《中国医药科学》2016年第19期96-99,共4页China Medicine And Pharmacy

摘　　要：目的观察分析护理干预在泌尿微创手术中的临床效果,并探讨临床中可行的护理模式。方法选取2015年3月-2016年3月于我院接受泌尿外科手术治疗的106例患者,根据随机数字表法分为对照组与观察组,每组患者53例。其中对照组患者采用常规护理方式,观察组患者在常规护理基础上,进行干预性护理。对比两组患者手术的护理满意度、疼痛评分以及生存质量评分。结果观察组施行干预性护理患者的护理满意度（94.3%）明显好于对照组（75.5%）（χ^2=7.36,P=0.007）。观察组患者的术后12h（2.7±0.3）、术后24h（2.5±0.4）及术后48h疼痛评分（2.3±0.3）显著低于对照组患者（3.3±0.2）,（3.1±0.3）,（2.9±0.3）（t=12.11,8.74,10.3,P=0.014,0.005,0.011）,观察组患者术后并发症发生率（7/53,13.2%）显著低于对照组患者（1/53,1.8%）（χ^2=4.87,P=0.027）,同时在生存质量评分：躯体功能（64.41±7.23）、生理机能（67.42±6.33）、情感角色（70.24±8.13）、心理健康（70.24±8.13）、社交能力（69.23±7.89）及生存质量总分（73.24±7.40）均显著高于对照组患者（t=12.96,14.45,13.34,13.49,13.67,3.14,P=0.001,0.001,0.001,0.001,0.001,0.002）。结论护理干预对泌尿微创手术患者效果较好,可显著提高临床护理满意度,降低术后疼痛感及并发症的发生,同时提升患者术后生存质量,是一种在临床中切实可行的护理模式。Objective To observe and analysis the clinical effect of nursing intervention in minimally invasive urinary surgery. Methods 106 patients accepting minimally invasive urinary surgery in our hospital from March 2015 to March 2016 were selected and randomly divided into the control group and the observation group with 53 cases in each. The patients of control group were treated with routine nursing, and the patients of observation group were treated with intervening nurse based on the routine nursing. The nursing satisfactions, scores of pain and life quality after the minimally invasive urinary surgery of the two groups were compared. Results The nursing satisfaction of patients in observation group was 94.3%, which were significantly better than that in control group with 75.5%（χ^2=7.36,P=0.007）. The pain scores of 12 h in observation group after operation were（2.7±0.3）, 24h（2.5±0.4）, 48h（2.5±0.4）, which were significantly lower than those in control group with 3.3±0.2, 3.1±0.3, 2.9±0.3（t=12.11, 8.74, 10.3, P=0.014, 0.005, 0.011）. The incidence of complication in the observation group was 5/53, 11.3%, which was lower than that in control group with 1/53, 1.8%（χ^2=4.87, P=0.027）. At the same time, the quality of life scores： the somatic function（64.41±7.23）, physiological function（64.41±7.23）, emotional role（70.24±8.13）, mental health（70.24±8.13）, social acceptability（69.23±7.89） and total score of life quality（73.24±7.40） were all observably higher than the patients in control group（t=12.96, 14.45, 13.34, 13.49, 13.67, 3.14, P=0.001, 0.001, 0.001, 0.001, 0.001, 0.002）. Conclusion Clinical effect of intervening nurse to patients with minimally invasive urinary surgery is positive. It can improve the nursing satisfaction, reduce the pain after urinary surgery, and improve the life quality. It is a feasible clinical nursing pattern.

关 键 词：护理干预 泌尿外科 微创手术 护理模式 

分 类 号：R473.6[医药卫生—护理学]