基于循证的预见性护理干预在经尿道手术后CRBD患者中的应用效果  

Application Effect of Evidence-based Predictive Nursing Intervention in Patients with CRBD after Transurethral Surgery

作　　者：黄晓丽[1] 曾静 郭婷 HUANG Xiaoli;ZENG Jing;GUO Ting(Shiyan People's Hospital of Bao’an District,Shenzhen,Shenzhen 518108,China;不详)

机构地区：[1]深圳市宝安区石岩人民医院,广东深圳518108

出　　处：《中外医学研究》2023年第29期92-95,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：深圳市宝安区科技计划基础研究项目(2021JD368)。

摘　　要：目的:探讨经尿道手术后尿管相关膀胱刺激征(CRBD)患者采用基于循证的预见性护理干预的临床效果。方法:选择2021年3月─2022年3月在深圳市宝安区石岩人民医院行钬激光碎石手术、并在术后留置尿管的120例患者,根据不同的护理方法将其分为两组,将采用常规围手术期护理干预的患者纳入对照组(n=60),将在常规围手术期护理基础上采用基于循证的预见性护理干预的患者纳入观察组(n=60),比较两组术后不同阶段的CRBD严重程度、疼痛程度,护理前后负面情绪和生活质量及并发症发生率。结果:观察组术后1 h、2 h、6 h、12 h的CRBD评分和数字评定量表(NRS)评分均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组生理、心理、社会关系、环境评分均高于对照组,差异有统计学意义(P<0.05)。观察组的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:经尿道手术后CRBD患者采用基于循证的预见性护理干预的效果较显著,不仅能有效减轻其CRBD程度和疼痛程度,还能缓解其负面情绪,提高其生活质量,减少并发症的发生。Objective:To investigate the clinical effect of evidence-based predictive nursing intervention for patients with urinary catheter-related bladder irritation(CRBD)after transurethral surgery.Method:A total of 120 patients who underwent holmium laser lithotripsy and urinary catheter indwelling in Shiyan People's Hospital of Bao’an District,Shenzhen from March 2021 to March 2022 were selected.They were divided into two groups according to different nursing methods,patients receiving routine perioperative nursing intervention were included in the control group(n=60),and patients receiving evidence-based predictive nursing intervention based on routine perioperative nursing intervention were included in the observation group(n=60).The severity of CRBD,pain at different stages after surgery,negative emotion and quality of life before and after nursing and the incidence of complications were compared between the two groups.Result:The CRBD scores and numerical rating scale(NRS)scores of the observation group at 1 h,2 h,6 h and 12 h after surgery were lower than those of the control group,the differences were statistically significant(P<0.05).After nursing,the selfrating anxiety scale(SAS)score and self-rating depression scale(SDS)score of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After nursing,the physiological,psychological,social and environmental scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The complication rate in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Evidence-based predictive nursing intervention for patients with CRBD after transurethral surgery has a significant effect.It can not only effectively reduce the degree of CRBD and pain,but also alleviate their negative emotions,improve their quality of life,and reduce the occurrence of complications.

关 键 词：尿管相关膀胱刺激征 预见性护理干预 疼痛程度 负面情绪 生活质量 

分 类 号：R473.6[医药卫生—护理学]