个体化护理在肾结石患者经皮肾镜超声碎石术中的作用  

Effect of Individualized Nursing in Percutaneous Nephroscopic Ultrasonic Lithotripsy of Patients with Kidney Stones

作　　者：丁芳[1] Ding Fang(Department of Urology,Macheng People's Hospital,Macheng 438399,Hubei Province,China)

机构地区：[1]麻城市人民医院泌尿外科,湖北麻城438399

出　　处：《中外医药研究》2024年第6期132-134,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析个体化护理在肾结石患者经皮肾镜超声碎石术中的作用。方法:选取2022年1—12月麻城市人民医院拟行经皮肾镜超声碎石术的肾结石患者70例作为研究对象,采用随机数字表法分为对照组与观察组,各35例。对照组实施围术期常规护理,观察组在对照组基础上实施个体化护理。比较两组护理效果、术后恢复情况、心理状态、并发症发生情况、满意度。结果:观察组护理总有效率高于对照组,差异有统计学意义(P=0.022);观察组下床活动时间、拔管时间早于对照组,住院时间短于对照组,差异有统计学意义(P<0.05);护理后,两组汉密尔顿焦虑量表、汉密尔顿抑郁量表评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P=0.014)。观察组护理总满意度高于对照组,差异有统计学意义(P=0.029)。结论:个体化护理在肾结石患者经皮肾镜超声碎石术中的作用显著,可加快患者康复速度,改善心理状态,降低并发症发生率,提高护理满意度。Objective:To analyze the effect of individualized nursing in percutaneous nephroscopic ultrasonic lithotripsy for patients with kidney stones.Methods:A total of 70 patients with kidney stones who were to undergo percutaneous nephroscopic ultrasonic lithotripsy were selected as the study objects in Macheng People's Hospital from January to December 2022,and were divided into control group and observation group by random number table method,with 35 cases in each group.The control group received perioperative routine nursing,and the observation group received individualized nursing based on the control group.The nursing effect,postoperative recovery,psychological state,complications and satisfaction of the two groups were compared.Results:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P=0.022);the time of getting out of bed and extubation in the observation group was earlier than that in the control group,and the time of hospitalization was shorter than that in the control group,the difference was statistically significant(P<0.05);after nursing,the scores of Hamilton anxiety Scale and Hamilton Depression Scale in two groups were lower than before nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.014);the total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.029).Conclusion:Individualized nursing plays a significant role in percutaneous nephroscopic ultrasonic lithotripsy for patients with kidney stones,which can accelerate the recovery speed,improve the psychological state,reduce the incidence of complications and enhance nursing satisfaction.

关 键 词：肾结石 经皮肾镜超声碎石术 个体化护理 

分 类 号：R473.6[医药卫生—护理学]