夜间急诊个性化护理干预联合药物治疗肾绞痛的效果评价  

Effect Evaluation of Night Emergency Individualized Nursing Intervention Combined with Drugs in Treatment of Renal Colic

作　　者：杨静 刘俊强 Yang Jing;Liu Jun-qiang(Department of Emergency,Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi 214000,Jiangsu Province,China;Department of Urology Surgery,The 904th Hospital of Joint Logistic Support Force of Chinese PLA,Wuxi 214000,Jiangsu Province,China)

机构地区：[1]南京医科大学附属无锡人民医院急诊科,江苏无锡214000 [2]中国人民解放军联勤保障部队第九〇四医院泌尿外科,江苏无锡214000

出　　处：《中国社区医师》2022年第31期92-94,共3页Chinese Community Doctors

基　　金：2021年度江苏大学临床医学科技发展基金研究项目(JLY2021140)。

摘　　要：目的:探究个性化护理措施联合药物治疗夜间急诊肾绞痛患者的临床效果。方法:选取2020年11月-2021年11月南京医科大学附属无锡人民医院夜间急诊收治的82例上尿路结石致肾绞痛患者为研究对象,根据护理方式的不同分为观察组和对照组,各41例。对照组实施急诊常规护理,观察组在对照组基础上实施个性化护理。比较两组视觉模拟量表(VAS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及护理满意度。结果:治疗前,两组VAS评分比较,差异无统计学意义(P>0.05);治疗后0.5 h、1 h,观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗前,两组SAS、SDS评分比较,差异无统计学意义(P>0.05);治疗后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:个性化护理干预措施联合止痛药物治疗夜间急诊肾绞痛患者具有良好的临床效果,可减轻患者肾绞痛症状,缓解患者负性情绪,提高护理满意度,具有临床应用价值。Objective:To explore the clinical effect of individualized nursing intervention combined with drugs in the treatment of renal colic patients at night emergency.Methods:A total of 82 patients with renal colic caused by upper urinary tract calculi in the Night Emergency Department of Wuxi People's Hospital Affiliated to Nanjing Medical University from November 2020 to November 2021 were selected as the study subjects.According to the difference of nursing methods,the patients were divided into an observation group and a control group,with 41 cases in each group.The control group implemented routine emergency nursing,and the observation group implemented individualized nursing on the basis of control group.The visual analogue scale(VAS)score,self-rating anxiety scale(SAS),self-rating depression scale(SDS)score and nursing satisfaction were compared between the two groups.Results:There was no statistically significant difference in the VAS score between two groups before treatment(P>0.05).At 0.5 h after treatment and 1 h after treatment,the VAS score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in SAS and SDS scores between the two groups(P>0.05).After treatment,the SAS and SDS scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Nursing satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Individualized nursing intervention measures combined with analgesic drugs have significant clinical effect in treatment of renal colic patients at night emergency.It can alleviate the symptoms of renal colic,relieve the negative emotions,improve nursing satisfaction and have clinical application value.

关 键 词：夜间急诊 肾绞痛 个性化护理 负性情绪 护理满意度 

分 类 号：R473.6[医药卫生—护理学]