预见性护理在微创经皮肾镜穿刺取石术后患者中的应用效果  

Effects of predictive nursing on patients after minimally invasive percutaneous nephrolithotomy

作　　者：刘文琴 LIU Wenqin(Duchang County Second People’s Hospital,Jiujiang 332600 Jiangxi,China)

机构地区：[1]都昌县第二人民医院,江西九江332600

出　　处：《中国民康医学》2023年第9期190-192,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察预见性护理在微创经皮肾镜穿刺取石术后患者中的应用效果。方法:选取2019年10月至2022年5月该院收治的76例微创经皮肾镜穿刺取石术后患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各38例。对照组给予常规护理,观察组在对照组基础上采用预见性护理,比较两组术后首次排气时间、术后首次下床活动时间、住院时间、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、简明健康调查问卷(SF-36)评分和尿路感染发生率。结果:观察组术后首次排气时间、术后首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组HAMA、HAMD评分均低于护理前,且观察组均低于对照组,差异有统计学意义(P<0.05);护理后,两组SF-36各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组尿路感染发生率为5.26%,明显低于对照组的34.21%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用预见性护理可缩短微创经皮肾镜穿刺取石术后患者术后首次排气时间、术后首次下床活动时间和住院时间,降低HAMA、HAMD评分和尿路感染发生率,以及提高SF-36评分,效果优于单纯常规护理。Objective:To observe effects of predictive nursing on patients after minimally invasive percutaneous nephrolithotomy.Methods:A prospective study was conducted on 76 patients after minimally invasive percutaneous nephrolithotomy admitted to this hospital from October 2019 to May 2022.They were divided into observation group and control group according to the random number table method,38 cases in each group.The control group was given routine nursing,while the observation group was given predictive nursing on the basis of that of the control group.The postoperative first exhaust time,the postoperative first ambulation time,the hospitalization time,the Hamilton anxiety scale(HAMA)score,the Hamilton depression scale(HAMD)score,the short form health survey(SF-36)score,and the incidence of urinary tract infection were compared between the two groups.Results:The postoperative first exhaust time,the postoperative first ambulation time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the HAMA and HAMD scores of the two groups were lower than those before the nursing,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of each dimension of SF-36 in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of urinary tract infection in the observation group was 5.26%,which was significantly lower than 34.21% in the control group(P<0.05).Conclusions:On the basis of the routine nursing,the predictive nursing can shorten the first exhaust time,the first ambulation time and the hospitalization time of the patients after minimally invasive percutaneous nephrolithotomy,reduce the HAMA and HAMD scores and the incidence of urinary tract infection,

关 键 词：预见性护理 肾结石 微创经皮肾镜穿刺取石术 HAMA评分 HAMD评分 尿路感染 

分 类 号：R473.6[医药卫生—护理学]