综合性护理干预在经尿道软性输尿管镜碎石术围术期的应用效果  

Application effect of comprehensive nursing intervention in perioperative period of transurethral soft ureteroscopic lithotripsy

作　　者：赖桂华[1] 刘兰英[1] 蒙美英[1] 李莉莉[1] 李龙凤[1] 李建梅 彭恬 LAI Gui-hua;LIU Lan-ying;MENG Mei-ying;LI Li-li;LI Long-feng;LI Jian-mei;PENG Tian(Department of Urology,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院泌尿外科

出　　处：《中国当代医药》2019年第32期223-226,共4页China Modern Medicine

摘　　要：目的探讨综合性护理干预在经尿道软性输尿管镜碎石术围术期的应用效果。方法选取2015年1月~2018年1月我院收治的80例输尿管结石患者作为研究对象,按照随机数字表法分为对照组(40例)和实验组(40例)。对照组采用常规护理干预,实验组采用综合护理干预。比较两组的手术指标、并发症发生率、复发率、满意度。结果实验组手术时间为(40.91±4.53)min,短于对照组的(49.24±5.01)min,差异有统计学意义(P<0.05);实验组术后首次进食时间为(5.34±0.64)h,短于对照组的(6.72±0.79)h,差异有统计学意义(P<0.05);实验组住院时间为(3.26±0.31)d,短于对照组的(4.69±0.37)d,差异有统计学意义(P<0.05);实验组并发症发生率为10.00%,低于对照组的52.50%,差异有统计学意义(P<0.05);实验组术后6个月复发率为0.00%,低于对照组的10.00%,差异有统计学意义(P<0.05);实验组术后1年复发率为2.50%,低于对照组的17.50%,差异有统计学意义(P<0.05);实验组护理总满意度为95.00%,高于对照组的77.50%,差异有统计学意义(P<0.05)。结论对经尿道软性输尿管镜碎石术治疗输尿管结石患者围术期应用综合护理干预可缩短治疗时间,降低并发症发生率及复发率,提高患者满意度,值得推广应用。Objective To explore the effect of comprehensive nursing intervention on perioperative period of transurethral soft ureteroscopic lithotripsy.Methods Eighty patients with ureteral calculi admitted to our hospital from January 2015 to January 2018 were enrolled in the study.They were divided into the control group(40 cases)and the experimental group(40 cases)according to the random number table method.The control group was received routine nursing intervention.The experimental group was used comprehensive nursing intervention.The surgical index,complication rate,recurrence rate,and satisfaction degree of the two groups were compared.Results The operation time of the experimental group was(40.91±4.53)min,which was shorter than that of the control group for(49.24±5.01)min,and the difference was statistically significant(P<0.05).The initial feeding time of the experimental group was(5.34±0.64)h,shorter than the control group for(6.72±0.79)h,the difference was statistically significant(P<0.05).The hospitalization time of the experimental group was(3.26±0.31)d,which was shorter than that of the control group for(4.69±0.37)d,the difference was statistically significant(P<0.05).The complication rate of the experimental group was 10.00%,which was lower than that of the control group(52.50%),the difference was statistically significant(P<0.05).The recurrence rate of the experimental group was 0.00%after 6 months after surgery lower than that of the control group(10.00%),the difference was statistically significant(P<0.05).The 1-year recurrence rate was 2.50%in the experimental group,which was lower than that of the control group(17.50%),the difference was statistically significant(P<0.05).The satisfaction of the experimental group was 95.00%,which was higher than 77.50%of the control group,and the difference was statistically significant(P<0.05).Conclusion Perioperative period application of comprehensive nursing intervention for transurethral soft ureteroscopic lithotripsy in the treatment of ureteral calculi can sh

关 键 词：尿道软性输尿管镜碎石术 围术期 护理 

分 类 号：R473.6[医药卫生—护理学]