逆行肾内输尿管软镜碎石日间手术病人延迟出院的危险因素  

Study on risk factors of delayed discharge in patients undergoing retrograde intrarenal surgery

作　　者：朱洁清[1] 黄莉燕[1] 黄佩绿[1] 彭雪娟[1] ZHU Jieqing;HUANG Liyan;HUANG Peilv;PENG Xuejuan(The First Affiliated Hospital of Guangxi Medical University,Guangxi 530021 China)

机构地区：[1]广西医科大学第一附属医院,广西530021

出　　处：《护理研究》2023年第21期3852-3856,共5页Chinese Nursing Research

基　　金：广西壮族自治区卫生健康委员会自筹经费科研项目,编号:Z20190819。

摘　　要：目的:分析逆行肾内输尿管软镜碎石(RIRS)日间手术病人延迟出院的危险因素,为减少RIRS日间手术病人延迟出院制订措施提供依据。方法:回顾性分析某三级甲等医院泌尿外科病区2019年7月—2022年12月行RIRS日间手术病人的临床资料,将病人分为正常出院组(住院时间≤48 h)和延迟出院组(住院时间>48 h),分析其延迟出院的危险因素。结果:共纳入786例RIRS日间手术病人,其中延迟出院病人119例,延迟出院发生率15.14%。Logistic回归分析显示,年龄[OR=1.159,95%CI(1.124,1.195)]、手术时间[OR=1.092,95%CI(1.060,1.125)]、疼痛[OR=6.552,95%CI(3.292,13.043)]、术后发热[OR=2.824,95%CI(1.269,6.285)]是RIRS日间手术病人延迟出院的独立影响因素。结论:RIRS日间手术病人存在延迟出院的风险,护理人员要重视影响RIRS日间手术病人延迟出院的危险因素,加强围术期危险因素的评估与管理,对高风险病人进行精准化干预。Objective:To analyze the risk factors of delayed discharge in patients undergoing day surgery of retrograde intrarenal surgery(RIRS),and to provide clinical basis for formulating measures to reduce the delayed discharge rate.Methods:The clinical data of patients who underwent RIRS day surgery in the urology ward of a tertiary Grade A hospital from July 2019 to December 2022 were retrospectively analyzed.The patients were divided into normal discharge group(hospitalization time≤48 h)and delayed discharge group(hospitalization time>48 h).U Logistic regression were used to analyze the risk factors of delayed discharge.Results:A total of 786 patients with RIRS day surgery were included in this study,among which 119 patients(15.14%)were delayed in discharge.Logistic regression analysis showed that age(OR=1.159,95%CI 1.124-1.195),operation time(OR=1.092,95%CI 1.060-1.125),pain(OR=6.552,95%CI 3.292-13.043),postoperative fever(OR=2.824,95%CI 1.269-6.285)were independent influencing factors for delayed discharge in patients undergoing RIRS day surgery.Conclusions:Patients undergoing RIRS day surgery have a risk of delayed discharge.Nursing staff should pay attention to the risk factors affecting delayed discharge in patients with RIRS day surgery,strengthen the evaluation and management of perioperative risk factors,and carry out precise intervention for patients with high risk.

关 键 词：逆行肾内输尿管软镜碎石术 日间手术 延迟出院 影响因素 护理 

分 类 号：R473.6[医药卫生—护理学]