健康教育路径联合个体化舒适护理在复杂性肾结石患者机器人辅助腹腔镜下肾盂切开取石术中的应用效果  

Application effect of health education pathway combined with individualized comfort care on patients after robot-assisted laparoscopic pyelolithotomy for complex renal calculi

作　　者：叶莹 张海伟[1] YE Ying;ZHANG Haiwei(Department of Anesthesiology and Surgery,Jiangsu Province Hospital,Nanjing 210029,China)

机构地区：[1]江苏省人民医院麻醉手术科,江苏南京210029

出　　处：《机器人外科学杂志（中英文）》2024年第6期1231-1236,共6页Chinese Journal of Robotic Surgery

基　　金：江苏省自然科学基金(BK20220726)。

摘　　要：目的:探究健康教育路径联合个体化舒适护理对于行机器人辅助腹腔镜下肾盂切开取石术的复杂性肾结石患者的应用效果。方法:选取2022年1月—2023年1月在江苏省人民医院接受机器人辅助腹腔镜下肾盂切开取石术治疗的110例复杂性肾结石患者,按照随机数字表法分为对照组(n=55)和研究组(n=55),对照组采用常规护理方法进行干预,研究组采用健康教育路径联合个体化舒适护理进行干预,比较两组患者的临床指标、疼痛情况、心理状况、生活质量、不良事件发生情况和肾功能指标。结果:研究组的手术时间、术中出血量、首次下床活动时间、首次排气时间、住院时间均低于对照组,3 d排净率高于对照组(P<0.05)。干预后两组患者McGill疼痛问卷简表(SF-MPQ)和抑郁-焦虑-压力量表(DASS-21)中的各项评分均低于干预前,且研究组各项评分均低于对照组(P<0.05)。干预后两组患者威斯康星州结石生活质量量表(WISQOL)评分均高于干预前,且研究组评分高于对照组(P<0.05)。干预期间研究组患者不良事件总发生率低于对照组(P<0.05)。干预后两组患者血肌酐(Scr)、β2微球蛋白(β2-MG)水平均低于干预前,且研究组水平低于对照组(P<0.05)。结论:对于行机器人辅助腹腔镜下肾盂切开取石术的复杂性肾结石患者,采用健康教育路径联合个体化舒适护理可有效改善患者的临床指标及肾功能指标,缓解疼痛程度和不良情绪,减少不良事件发生率,提高生活质量,有利于患者预后康复,可推广使用。Objective:To investigate the application effect of health education pathway combined with individualized comfort nursing on patients who underwent robot-assisted laparoscopic pyelolithotomy for complex renal calculi.Methods:110 patients with complex renal calculi who underwent robot-assisted laparoscopic pyelolithotomy in Jiangsu Province Hospital from January 2022 to January 2023 were selected and divided into the control group(n=55)and the study group(n=55)using a random number table.The control group was intervened by conventional nursing care,while the study group was intervened by health education combined with individualized comfort care.The clinical indicators,pain level,psychological condition,quality of life,occurrence of adverse events and renal function indexes of patients in the two groups were compared.Results:The operative time,intraoperative bleeding,first time to get out of bed,first postoperative exhaust time,and length of hospital stay of patients in the study group were lower than those in the control group,and the 3 d evacuation rate was higher than that in the control group(P<0.05).The scores of short-form of McGill pain questionnaire(SF-MPQ)and depression anxiety stress scale(DASS-21)in the two groups after intervention were lower than those before intervention,and they were lower in the study group than those in the control group(P<0.05).The Wisconsin Stone quality of life questionnaire(WISQOL)scores were higher in the two groups after intervention than those before intervention,and they were higher in the study group than those in the control group(P<0.05).The total incidence rate of adverse events during the intervention was lower in the study group than that in the comparison group(P<0.05).The levels of blood creatinine(Scr)andβ2-microglobulin(β2-MG)were lower in the two groups after intervention than those before intervention,and they were lower in the study group than those in the control group(P<0.05).Conclusion:Application of health education pathway combined with individualized co

关 键 词：健康教育路径 个体化舒适护理 复杂性肾结石 肾盂切开取石术 

分 类 号：R473.73[医药卫生—护理学] R692.4[医药卫生—临床医学]