急诊特殊护理干预对肾绞痛患者的缓解效果  

Effects of emergency special care interventions on patients with renal colic

作　　者：张凡[1] 张江磊[2] 张志昱 Zhang Fan;Zhang Jianglei;Zhang Zhiyu(Department of Emergency,the First Affiliated Hospital of Soochow University,Suzhou 215000,Jiangsu,China;Department of Urology,the First Affiliated Hospital of Soochow University,Suzhou 215000,Jiangsu,China)

机构地区：[1]苏州大学附属第一医院急诊科,江苏苏州215000 [2]苏州大学附属第一医院泌尿外科,江苏苏州215000

出　　处：《泌尿外科杂志（电子版）》2022年第2期10-12,16,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的比较不同护理干预措施对肾绞痛患者疼痛缓解的效果。方法对苏州大学附属第一医院2020年6月1日至2020年7月31日急诊收治的肾绞痛患者的护理模式进行前瞻性分析,随机对患者进行特殊护理与常规护理,通过治疗前、治疗后视觉模拟评分(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及满意度调查表比较不同护理措施对肾绞痛患者疼痛缓解效果的差异。结果共纳入患者248例,其中男166例,女82例;年龄16~82岁,平均年龄(44.72±14.81)岁;结石位于左侧者121例,位于右侧者127例;结石位于肾脏者28例,输尿管上段77例,输尿管中段23例,输尿管下段100例;结石直径2.05~22.31 mm,平均直径(5.29±2.42)mm。采用随机数表法将患者分为特殊护理组及常规护理组,其中特殊护理组127例,常规护理组121例。两组间在年龄、性别、结石左右侧、结石部位、结石大小、就诊时VAS、SAS、SDS等评分差异无统计学意义(P>0.05),而在就诊接受治疗后VAS、SAS、SDS及患者满意度方面差异有统计学意义(P<0.05)。结论急诊特殊护理能够缓解肾绞痛患者的疼痛症状,并提高患者就医满意水平。Objective To compare the effects of two nursing interventions on pain relief in patients with renal colic.Methods From June 1 to July 31,2020,patients diagnosed with renal colic in the emergency department of the First Affiliated Hospital of Soochow University were analyzed prospectively.Patients with renal colic were randomly administered special care or routine care,and differencesin pain relief were compared with a visual analogue scale(VAS),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and satisfaction questionnaire.Results A total of 248 patients were included in this study,comprising 166 males and 82 females,16-82 years of age,with an average age of(44.72±14.81)years.Calculi were on the left side in 121 cases and the right side in 127 cases.Stones were found in the kidneys in 28 cases,upper ureter in 77 cases,middle ureter in 23 cases,and lower ureter in 100 cases.The stone diameter was 2.05-22.31 mm,with an average of(5.29±2.42)mm.Patients were assigned to the special care group and routine care group with a random table method;127 cases were in the special care group,and 121 cases were in the routine care group.No statistically significant differences were observed between groups in terms of age,sex,stones on the left or right sides,stone position,stone diameter,VAS,SAS and SDS at the time of treatment(P>0.05),whereas statistically significant differences were observed in VAS,SAS,SDS and patient satisfaction after treatment(P<0.05).Conclusions Emergency special care can relieve pain symptoms in patients with renal colic and increase patient satisfaction with their medical experience.

关 键 词：肾绞痛 疼痛护理 视觉模拟评分 焦虑自评量表 

分 类 号：R248.2[医药卫生—中医临床基础]