手术室临床护理路径在输尿管软镜碎石患者中的应用效果分析  

Analysis on Application Effect of Clinical Nursing Path in Operating Room on Patients Undergoing Flexible Ureteroscopic Lithotripsy

作　　者：周炎 张曌[1] Zhou Yan;Zhang Zhao(Huadong Hospital Affiliated to Fudan University,Shanghai 200052,China)

机构地区：[1]复旦大学附属华东医院,上海200052

出　　处：《中国社区医师》2022年第36期132-134,共3页Chinese Community Doctors

摘　　要：目的:分析输尿管软镜碎石患者采用手术室临床护理路径的效果。方法:选取2020年12月-2021年12月于复旦大学附属华东医院实施输尿管软镜碎石的100例患者为研究对象,通过单双号抽签法分为两组,各50例。对照组给予基础护理,观察组采用手术室临床护理路径。对比两组心理状态、康复效果、治疗依从性、生活质量及护理满意度。结果:护理前,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组尿管留置时间、下床活动时间以及总住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组治疗总依从率高于对照组,差异有统计学意义(P<0.05)。观察组情感功能、躯体功能、角色功能、社会功能评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:手术室临床护理路径在输尿管软镜碎石术患者中应用效果显著,可明显改善患者心理状态,患者康复速度较快,住院时间短,治疗依从性高,生活质量明显提升,值得临床应用并予以推广。Objective: To analyze the effect of clinical nursing path in the operating room on the patients undergoing flexible ureteroscopic lithotripsy. Methods: A total of 100 patients who underwent flexible ureteroscopic lithotripsy in Huadong Hospital Affiliated to Fudan University from December 2020 to December 2021 were selected as the study subjects. They were divided into two groups according to the odd and even number lottery method, with 50 cases in each group. The control group carried out basic nursing, while the observation group carried out clinical nursing path in the operating room. The psychological state, rehabilitation effect, treatment compliance, quality of life and nursing satisfaction of the two groups were compared. Results: Before nursing,there was no significant difference in the scores of Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS)between the two groups(P>0.05);After nursing, the SAS and SDS scores in the observation group were lower than those in the control group, with a statistically significant difference(P<0.05). The indwelling time of urinary tube, the time of ambulation and the total hospitalization time in the observation group were shorter than those in the control group, and the difference was statistically significant(P<0.05). The total compliance rate of treatment in the observation group was higher than that in the control group, with a statistically significant difference(P<0.05). The scores of emotional function, physical function, role function and social function in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05). The total satisfaction of nursing in the observation group was higher than that in the control group, with a statistically significant difference(P<0.05). Conclusion: The clinical nursing path in the operating room has a significant application effect in the patients undergoing flexible ureteroscopic lithotripsy, it can significantly improve the psychological status of pa

关 键 词：手术室临床护理路径 输尿管软镜碎石术 心理状态 康复 

分 类 号：R473.6[医药卫生—护理学]