全面优化围术期护理在微创经皮肾镜碎石治疗肾结石患者中的应用效果  

The Application Effect of Comprehensively Optimizing Perioperative Care in Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Kidney Stone Patients

作　　者：袁雪 Yuan Xue(Zunyi City Xishui County People's Hospital,Zunyi 564600,Guizhou Province,China)

机构地区：[1]遵义市习水县人民医院,贵州遵义564600

出　　处：《中外医药研究》2024年第3期132-134,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨肾结石患者经微创经皮肾镜碎石治疗后应用全面优化围术期护理的效果。方法:选取2021年6月-2023年5月于遵义市习水县人民医院接受微创经皮肾镜碎石治疗的肾结石患者60例作为研究对象,采用随机数字表法分为对照组和试验组,各30例。对照组采取常规围术期护理干预,试验组在对照组基础上行全面优化围术期护理干预。比较两组患者的术中指标、术后恢复指标、护理质量。结果:试验组手术时长短于对照组,术中出血量少于对照组,术后24h疼痛评分低于对照组,体温恢复时间、血尿持续时间、下床活动时间、拔管时间、出院时间短于对照组,差异有统计学意义(P<0.05)。试验组护理人员态度、沟通及应急反应速度、专业知识掌握、护理操作规范评分均高于对照组,差异有统计学意义(P<0.001)。结论:全面优化肾结石患者微创经皮肾镜碎石治疗围术期护理干预,可有效改善手术指标,促进患者术后恢复,提升护理质量。Objective:To explore the effect of comprehensively optimizing perioperative care in patients with kidney stones treated with minimally invasive percutaneous nephrolithotomy.Methods:60 patients with kidney stones who received minimally invasive percutaneous nephrolithotomy at Zunyi City Xishui County People's Hospital,from June 2021 to May 2023 were selected as the research subjects.The patients were divided into a control group and an experimental group using the random number table method,with 30 cases in each group.The control group received routine perioperative nursing intervention,and the experimental group received comprehensive optimization of perioperative nursing intervention based on the control group.The intraoperative indicators,postoperative recovery indicators,and nursing quality of the two groups of patients were compared.Results:The operation duration of the experimental group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,and the pain score 24 hours after surgery was lower than that of the control group;the body temperature recovery time,hematuria duration,out-of-bed activity time,extubation time,and discharge time were shorter than those in the control group,and the differences were statistically significant(P<0.05);the attitude,communication and emergency response speed,professional knowledge mastery,and nursing operation standard scores of the nursing staff in the experimental group were all higher than those in the control group,and the differences were statistically significant(P<0.001).Conclusion:Comprehensively optimizing the perioperative nursing intervention for minimally invasive percutaneous nephrolithotomy in patients with kidney stones can effectively improve surgical indicators,promote patients'postoperative recovery,and improve the quality of care.

关 键 词：微创经皮肾镜碎石术 肾结石 围术期护理 护理质量 

分 类 号：R473.6[医药卫生—护理学]