联合评估策略下萧氏双C护理模式在经皮肾镜碎石术围手术期病人中的应用  

Application of Xiao′s double-C nursing model based on combined evaluation strategy in percutaneous nephrolithotomy perioperative patients

作　　者：娄小华[1] 徐九云[2] 吴立新[2] LOU Xiao-hua;XU Jiu-yun;WU Li-xin(Department of Urology,The Anqing Affiliated Hospital of Anhui Medical University,Anqing Anhui 246000,China;Department of Nursing,The Anqing Affiliated Hospital of Anhui Medical University,Anqing Anhui 246000,China)

机构地区：[1]安徽省安庆市立医院泌尿外科,246000 [2]安徽省安庆市立医院护理部,246000

出　　处：《蚌埠医学院学报》2023年第8期1163-1167,共5页Journal of Bengbu Medical College

基　　金：安徽医科大学科研基金资助项目(2019xkj238)。

摘　　要：目的:探讨基于联合评估策略下的萧氏双C护理模式在经皮肾镜碎石术(PCNL)围手术期病人中的应用效果。方法:将54例接受PCNL治疗的肾结石病人随机分为观察组和对照组,各27例。对照组采用传统护理方法,观察组运用基于联合评估策略下的萧氏双C护理模式,比较2组病人术后排气时间、术后住院时间、术后24 h疼痛程度、出血、漏尿以及病人舒适度及护理满意度。结果:干预后,观察组术后排气时间、总住院时间及术后24 h疼痛程度、静脉补液时间和补液总量均明显低于对照组(P<0.05~P<0.01),舒适度及护理满意度明显高于对照组(P<0.01),而2组病人术后出血、漏尿差异无统计学意义(P>0.05)。结论:基于联合评估策略下的萧氏双C护理在不增加病人术后血尿、漏尿并发症情况下,可促进胃肠功能恢复,缩短住院时间,利于机体康复,且提高病人舒适感和护理满意度。Objective:To explore the effect of Xiao′s double-C nursing model based on combined evaluation strategy in percutaneous nephrolithotomy(PCNL)perioperative patients.Methods:Fifty-four patients with kidney stones treated with PCNL were randomly divided into observation group and control group,with 27 patients in each group.The control group used traditional nursing methods,and the observation group used Xiao′s double-C nursing model based on combined evaluation strategy.The postoperative exhaust time,postoperative hospital stay,postoperative pain degree at 24 hours,bleeding,urine leakage,patient comfort and nursing satisfaction were compared between the two groups.Results:After intervention,the observation group showed significantly lower postoperative exhaust time,total hospital stay,postoperative pain level at 24 hours,intravenous fluid infusion duration,and total fluid infusion volume compared with the control group(P<0.05 to P<0.01),while comfort and nursing satisfaction were significantly higher than those of the control group(P<0.01).However,there was no statistically significant difference in postoperative blood and urine leakage between the two groups(P>0.05).Conclusions:Xiao′s double-C nursing based on combined evaluation strategy can promote the recovery of gastrointestinal function,shorten the length of hospital stay,and improve patient comfort and nursing satisfaction without increasing postoperative complications of hematuria and urine leakage.

关 键 词：肾结石 经皮肾镜取石术 萧氏双C护理模式 围手术期护理 

分 类 号：R691.4[医药卫生—泌尿科学]