基于质量改进项目降低经皮肾镜碎石术后患者低体温的应用效果  

Effect of reducing hypothermia in patients with percutaneous nephrolithotripsy after quality improvement project

作　　者：周萍[1] 朱春勤[2] 程琼 张文静[1] 王燕[1] 徐素萍[1] 夏婷婷[1] Zhou Ping;Zhu Chunqin;Cheng Qiong;Zhang Wenjing;Wang Yan;Xu Suping;Xia Tingting(West Fifih Urology Ward,Jjangsu Hospial of Traditional Chinese Medicine,Nanjing 210029,China;Department of Nursing,Jiangsu Hospital of Traditional Chinese Medicine,Nanjing 210029,China)

机构地区：[1]江苏省中医院南院西五泌尿外科病区,南京210029 [2]江苏省中医院护理部,南京210029

出　　处：《国际泌尿系统杂志》2023年第2期231-235,共5页International Journal of Urology and Nephrology

基　　金：江苏省中医药局科技项目(LZ11039)。

摘　　要：目的 分析经皮肾镜碎石术后患者通过质量改进项目改善低体温的临床效果.方法 选择2019年12月至2020年11月本院收治的行经皮肾镜碎石术的166例肾结石患者为研究对象,根据奇偶数顺序分为常规组和质量改进组,每组各83例.两组患者均行经皮肾镜碎石术治疗,术后低体温预防护理中,分别行常规护理、护理质量改进项目干预.在两组患者手术前后分别予以体温测量,统计术后低体温发生率及术后不良事件的发生率.结果 在出手术室时即刻、回病房后2 h、回病房后6 h、回病房后12 h时,质量改进组患者的低体温发生率均低于常规组(9.64%、8.43%、3.61%、1.20%vs.24.10%、19.28%、13.25%、8.43%,均 P<0.05).质量改进组患者的术后寒颤、感染、切口出血、低血压等不良事件的总发生率低于常规组(7.23%vs.18.07%,P<0.05).结论 通过护理质量改进项目的干预,能有效降低经皮肾镜碎石术后低体温的发生率以及降低低体温相关不良事件的发生率.Objective To analyze the clinical significance of reducing the incidence of hypothermia after percutaneous nephrolithotomy through quality improvement project.Methods From December 2019 to November 2020,166 patients with renal calculi who underwent percutaneous nephrolithotomy in our hospital were selected as the research objects.According to the odd and even order,they were divided into a conventional group and a quality improvement group,with 83 cases in each group.Patients in the two groups were treated with percutaneous nephrolithotomy.In the preventive nursing of postoperative hypothermia,routine nursing and nursing quality improvement project intervention were carried out respectively.The body temperature of the two groups was measured before and after operation,and the incidence of postoperative hypothermia and the incidence of postoperative adverse events were counted.Results The incidence of hypothermia in the quality improvement group was lower than that in the conventional group immediately after leaving the operating room and 2,6 and 12 hours after returning to the ward(9.64%,8.43%,3.61%,1.20%vs.24.10%,19.28%,13.25%,8.43%,all P<0.05).The total incidence of postoperative shivering,infection,incision bleeding,hypotension and other adverse events in the quality improvement group was lower than that of the conventional group(7.23%vs.18.07%,P<0.05).Conclusions The intervention of nursing quality improvement project can effectively reduce the incidence of hypothermia after percutaneous nephrolithotomy,and reduce the incidence of hypothermia related adverse events.

关 键 词：肾结石 肾造口术 经皮 低体温 

分 类 号：R699.2[医药卫生—泌尿科学]