微创经皮肾镜碎石取石术个性化舒适体位护理的应用  

Application experience of personalized comfortable posture nursing in minimally invasive percutaneous nephrolithotripsy

作　　者：李友芳[1] 张培[1] 刘莹[1] 

机构地区：[1]西安市交通大学第二附属医院泌尿外科,陕西西安710004

出　　处：《中国临床研究》2017年第2期275-278,共4页Chinese Journal of Clinical Research

基　　金：西安交通大学医学院第二附属医院科研基金[YJ(HL)201408]

摘　　要：目的探讨个性化舒适体位护理在微创经皮肾镜碎石取石术期间的应用效果。方法选取2013年7月至2015年6月接受微创经皮肾镜碎石取石术治疗的肾结石患者52例作为研究对象,在患者知情同意并签署知情同意书下将其分为观察组和对照组,各26例;对照组实施常规手术室护理,观察组在对照组基础上实施个性化舒适体位护理;比较两组不同时期生命指标变化、手术时间、术中出血量、舒适度、满意度及术后不良反应情况。结果麻醉前后两组各指标值比较无统计学差异(P均>0.05);不同体位后、术中60 min、术中120 min及术毕两组收缩压及脉搏比较均有统计学差异(P均<0.05);不同体位后及术毕两组舒张压比较均有统计学差异(P均<0.05);俯卧位后及术中120 min两组呼吸频率比较均有统计学差异(P均<0.05);观察组手术时间、术中出血量及术后总不良反应率均显著低于对照组(P均<0.05);观察组舒适度及满意度均显著高于对照组(P均<0.05)。结论个性化舒适护理能最大限度满足微创经皮肾镜碎石取石术患者及手术治疗需要,不但能确保患者生命指标保持平稳,同时还能减轻患者痛苦,避免术后不良反应,且患者舒适度及满意度极高。Objective To investigate the application effects of personalized comfortable posture nursing in minimally invasive percutaneous nephrolithotripsy. Methods A total of 52 patients with kidney stone received minimally invasive percutaneous nephrolithotripsy（ PCNL） between July 2013 and June 2015 were selected as research objects. The patients were divided into observation group（ n = 26） and control group（ n = 26） after signed a informed consent form. Routine operation room nursing was given in control group. On the basis of routine operation room nursing,personalized comfortable posture nursing was given in observation group. Life index changes in different periods,operative time,intraoperative blood loss,comfort level,satisfaction degree and postoperative adverse reaction were compared between two groups. Results There were no significant differences in life indexes before and after anesthesia（ all P 0. 05）. There were significant differences in systolic blood pressure and pulse rate at different posture,at intraoperative 60-and 120-min and the end of the operation between two groups（ all P 0. 05）. There were significant differences in diastolic blood pressure at different posture and at the end of the operation（ all P 0. 05）. There were significant differences in breath rate after prone position and at intraoperative 60-and 120-min（ all P 0. 05）. The operative time,intraoperative blood loss and incidence of postoperative adverse reaction in observation group were significantly lower than those in control group（ all P 0. 05）,and comfort level,satisfaction degree in observation group were significantly better than those in control group（ all P 0. 05）. Conclusions Personalized comfortable posture nursing can furthest satisfy the needs of patients performing minimally invasive PCNL. It not only can ensure stability of life indexes but also can alleviate patients＇ sufferings,avoid postoperative adverse reaction and improve patients＇ comfort level and satisfaction degree.

关 键 词：微创经皮肾镜碎石取石术 个性化舒适护理 应用体会 舒适度 满意度 

分 类 号：R692.4[医药卫生—泌尿科学]