预见性护理干预在尿路结石体外冲击波碎石术患者中的效果影响  

The Effect of Predictive Nursing Intervention on Patients Undergoing Extracorporeal Shock Wave Lithotripsy for Urinary Tract Stones

作　　者：徐玲 刘樱 XU Ling;LIU Ying(Department of Surgery,Anyuan District People's Hospital,Pingxiang 337000,China)

机构地区：[1]萍乡市安源区人民医院外科,萍乡337000

出　　处：《中国医药指南》2024年第4期139-142,共4页Guide of China Medicine

摘　　要：目的研究分析预见性护理干预在尿路结石体外冲击波碎石术(ESWL)患者中的效果。方法选取我院在2021年9月至2023年10月期间收治的60例行ESWL的尿路结石患者60例作为研究对象,按照随机抽签法分为观察组(n=30,采取预见性护理干预)和对照组(n=30,采取常规护理干预)。对比两组的术后康复情况(首次排气时间、结石排出时间、住院时间)、术后不同时间段的疼痛程度(VAS评分)、心理状态(SAS评分、SDS评分)、结石排净率、并发症发生情况和生活质量(SF-36评分)。结果观察组术后康复情况优于对照组(P<0.05);两组术后24 h、48 h、72 h的VAS评分均要低于术后12 h,且上述各时间段VAS评分比较,均是观察组低于对照组(P<0.05);护理前的SAS评分和SDS评分两组对比无差异(P>0.05),而护理后观察组都要低于对照组(P<0.05);结石排净率、SF-36各维度均是观察组更高,并发症总发生率则是观察组更低(P<0.05)。结论在尿路结石体外冲击波碎石术患者中,采取预见性护理有着良好的应用优势,能够改善患者的情绪状态,减轻术后疼痛,提高结石排净率,预防并发症发生。Objective To study and analyze the effectiveness of predictive nursing intervention in patients undergoing extracorporeal shock wave lithotripsy(ESWL)for urinary tract stones.Methods Sixty patients with urinary tract stones who underwent ESWL and were admitted to our hospital from September 2021 to October 2023 were selected as the study subjects.They were randomly divided into an observation group(n=30,with predictive nursing intervention)and a control group(n=30,with routine nursing intervention).Compare the postoperative rehabilitation status(first exhaust time,stone discharge time,hospital stay),pain level(VAS score),psychological state(SAS score,SDS score),stone clearance rate,complication occurrence,and quality of life(SF-36 score)between the two groups at different postoperative time periods.Results The postoperative recovery of the observation group was better than that of the control group(P<0.05);The VAS scores of the two groups at 24 h,48 h,and 72 h after surgery were lower than those at 12h after surgery,and the VAS scores of the observation group were lower than those of the control group during the above time periods(P<0.05);There was no difference in SAS and SDS scores between the two groups before nursing(P>0.05),while the observation group after nursing was lower than the control group(P<0.05);The stone clearance rate and SF-36 dimensions were higher in the observation group,while the total incidence of complications was lower in the observation group(P<0.05).Conclusions In patients undergoing extracorporeal shock wave lithotripsy for urinary tract stones,adopting predictive care has good application advantages.It can improve the patient's emotional state,reduce postoperative pain,increase stone clearance rate,and prevent complications.

关 键 词：预见性护理干预 尿路结石 体外冲击波碎石术 

分 类 号：R691.4[医药卫生—泌尿科学] R473.6[医药卫生—外科学]