优质护理在微创经皮肾镜术治疗HIV感染合并肾结石护理中的体会  

Experience of high-quality nursing care in minimally invasive percutaneous nephroscopy for HIV infection complicated with kidney stones

作　　者：李蕾 王志华 Li Lei;Wang Zhihua(Health Care Department,Guangzhou Eighth People's Hospital,Guangzhou 510060,China;Urinary Surgery,Guangzhou Eighth People's Hospital,Guangzhou 510060,China)

机构地区：[1]广州市第八人民医院医保科,510060 [2]广州市第八人民医院泌尿外科,510060

出　　处：《国际医药卫生导报》2021年第24期3881-3883,共3页International Medicine and Health Guidance News

摘　　要：目的探究优质护理在微创经皮肾镜术治疗人类免疫缺陷病毒(HIV)感染合并肾结石中的护理效果。方法选择广州市第八人民医院于2017年3月至2020年10月收治的48例HIV感染合并肾结石患者为研究对象,采用随机数字表法将其分为对照组与观察组,各24例。对照组男21例,女3例,年龄(51.34±3.42)岁;观察组男21例,女3例,年龄(51.62±3.54)岁。对照组患者采用常规护理干预,观察组患者采用优质护理进行干预,比较两组患者并发症发生率、住院天数、肌酐水平。计数资料组间比较采用χ^(2)检验,计量资料组间比较采用独立样本t检验。结果观察组患者的并发症发生率显著低于对照组[4.17%(1/24)比16.67%(4/24)],差异有统计学意义(χ^(2)=8.3697,P=0.0038)。观察组患者住院天数显著少于对照组[(7.62±1.05)d比(10.86±1.26)d],观察组患者的肌酐水平低于对照组[(71.68±2.46)μmol/L比(82.56±4.56)μmol/L],差异均有统计学意义(均P<0.0001)。结论在临床上采用优质护理对微创经皮肾镜术治疗HIV感染合并肾结石患者进行干预,能够有效提升患者对护理结果的满意程度,并降低患者并发症的发生率,值得在临床上普及与推广。Objective To explore the effect of high-quality nursing in minimally invasive percutaneous nephroscopy for human immunodeficiency virus(HIV)infection with kidney stones.Methods A total of 48 HIV-infected patients with kidney stones admitted to Guangzhou Eighth People's Hospital from March 2017 to October 2020 were selected as the research objects,and were divided into a control group and an observation group by the randomnumber tablemethod,24 cases in each group.There were 21 males and 3 females in the control group,aged(51.34±3.42)years;there were 21 males and 3 females in the observation group,aged(51.62±3.54)years.The control group received routine nursing care intervention,and the observation group received high-quality nursing care.The incidence of complications,hospital stay,and creatinine level were compared between the two groups.χ^(2) test was used for counting data comparison between groups,and independent sample t test was used for quantitative data comparison between groups.Results The incidence of complications in the observation group was significantly lower than that in the control group[4.17%(1/24)vs.16.67%(4/24)],with a statistically significant difference(χ^(2)=8.3697,P=0.0038).The hospital stay in the observation group was significantly less than that in the control group[(7.62±1.05)d vs.(10.86±1.26)d],and the creatinine level in the observation group was lower than that in the control group[(71.68±2.46)μmol/L vs.(82.56±4.56)μmol/L],with statistically significant differences(both P<0.0001).Conclusions The clinical use of high-quality nursing care in minimally invasive percutaneous nephroscopy for HIV-infected patients with kidney stones can effectively improve the patients'satisfaction on nursing results and reduce the incidence of complications.It is worth clinically popularization and promotion.

关 键 词：优质护理 微创经皮肾镜术 HIV感染 肾结石 

分 类 号：R473[医药卫生—护理学]