延续护理和体位指导在体外冲击波碎石治疗肾下盏结石患者中的疗效观察  

Continuous nursing and posture guidance in patients with lower calyceal calculi treated by ESWL

作　　者：张苏君[1] 吴云鸿[1] 徐丽 吴岩[1] Zhang Sujun;Wu Yunhong;Xu Li;Wu Yan(Wuxi Second People's Hospital,Wuxi 214002,China;Wuxi Ninth People's Hospital,Wuxi 214062,China)

机构地区：[1]无锡市第二人民医院,214002 [2]无锡市第九人民医院,214062

出　　处：《国际医药卫生导报》2021年第4期600-603,共4页International Medicine and Health Guidance News

摘　　要：目的本院碎石的患者采用了延续性护理和体位指导的模式,探究其对患者排石的疗效。方法选取2018年1月至2020年1月来无锡市第二人民医院门诊行体外冲击波碎石治疗的62例患者作为研究对象,根据门诊号奇偶分为观察组和对照组,各31例,对照组患者使用常规护理模式,观察组患者采用延续性护理和体位指导,对比两组患者对疾病知识的掌握能力、居家时不良反应发生率、排石效果及两组患者按时服药、按时复诊、饮食和体位依从性。结果观察组患者知识掌握率为93.54%(29/31),对照组为74.19%(23/31),两组比较差异有统计学意义(P<0.05)。观察组并发症发生率为12.90%(4/31)、对照组为35.48%(11/31),观察组排石率为90.32%(28/31)、对照组为67.74%(21/31),两组以上指标比较差异均有统计学意义(均P<0.05);观察组按时服药、按时复诊、饮食和体位依从性均优于对照组(均P<0.05)。结论肾下盏结石患者行体外冲击波碎石术后应采用延续性护理和体位指导相结合的护理方式,可有助于患者提升对疾病的知识掌握程度和增强康复依从性,同时也有助于结石排出,减少并发症的发生。Objective To explore the effect of the mode of continuous nursing and posture guidance in patients undergoing lithotripsy in our hospital.Methods From January 2018 to January 2020,62 patients undergoing ESWL in outpatient department of our hospital were selected and were divided into observation group and control group according to the parity of outpatient numbers,31 cases in each group.The patients in the control group were treated with routine nursing mode,and the patients in the observation group were treated with continuous nursing and posture guidance.The ability of mastering disease related knowledge,the incidence of adverse reactions at home,the effect of stone removal,the compliances of taking medicine on time,revisiting on time,diet,and posture were compared between the two groups.Results The rate of knowledge mastering was 93.54%(29/31)in the observation group,74.19%(23/31)in the control group(P<0.05);the rate of complications was 12.90%(4/31)in the observation group,and 35.48%(11/31)in the control group(P<0.05);the rate of stone removal was 90.32%(28/31)in the observation group and 67.74%(21/31)in the control group(P<0.05).The compliances of taking medicine on time,revisiting on time,diet,and posture of the observation group were better than those of the control group(all P<0.05).Conclusion Continuous nursing and posture guidance in patients with lower calyceal calculi after ESWL help patients to improve their knowledge of the disease and enhance their rehabilitation compliance,at the same time,it also help to remove the calculi and reduce the occurrence of complications.

关 键 词：结石 延续性护理 体外冲击波碎石 

分 类 号：R473.6[医药卫生—护理学]