目的导向OEC护理模式在肾结石FURS围术期护理中的应用效果及对并发症的影响  

Application Effect of Goal-oriented OEC Nursing Mode in Perioperative Nursing of FURS for Renal Calculi and its Influence on Complications

作　　者：诸华丽 ZHU Huali(Hospital-Acquired Infection Control Department,Gao′an Ruizhou Hospital,Gao'an 330800,Jiangxi,China)

机构地区：[1]高安市瑞州医院院感科,江西高安330800

出　　处：《医学信息》2025年第6期156-159,共4页Journal of Medical Information

摘　　要：目的研究目的导向OEC护理模式在肾结石输尿管软镜(FURS)围术期护理中的应用效果及对并发症的影响。方法以2020年5月-2023年5月瑞州医院行FURS术治疗的48例肾结石患者为研究对象,经随机数字表法分为对照组(24例)与观察组(24例),对照组给予常规围术期护理,观察组则在其基础上应用目的导向OEC护理模式,比较两组术后恢复情况(首次下床时间、首次排尿时间、术后住院时间)、疼痛程度[视觉模拟评分(VAS)]、负面情绪[焦虑自评量表(SAS)]、围术期应激指标[心率(HR)、平均动脉压(MAP)]、并发症及护理满意度。结果与对照组比较,观察组术后首次下床时间、首次排尿时间、术后住院时间均更短(P<0.05);与护理前比较,两组护理后VAS、SAS评分均更低,且与对照组比较,观察组护理后VAS、SAS评分更低(P<0.05);与护理前比较,两组术后应激指标(HR、MAP)均升高,但与对照组比较,观察组术后应激指标(HR、MAP)更低(P<0.05);与对照组比较,观察组手术并发症发生率更低,护理满意度评分更高(P<0.05)。结论目的导向OEC护理模式可加快FURS肾结石患者的术后恢复速度,减轻其疼痛程度与负性情绪,缓解围术期应激反应,提高患者的护理满意度。Objective To study the application effect of goal-oriented OEC nursing mode in perioperative nursing of renal calculi with flexible ureteroscope(FURS)and its influence on complications.Methods Forty-eight patients with renal calculi who underwent FURS in Ruizhou Hospital from May 2020 to May 2023 were randomly divided into control group(24 patients)and observation group(24 patients).The control group was given routine perioperative nursing,while the observation group was given goal-oriented OEC nursing mode on the basis of the control group.The postoperative recovery(first time to get out of bed,first urination time,postoperative hospital stay),pain degree[Visual Analogue Scale(VAS)],negative emotion[Self-rating Anxiety Scale(SAS)],perioperative stress index[heart rate(HR),mean arterial pressure(MAP)],complications and nursing satisfaction were compared between the two groups.Results Compared with the control group,the first time of getting out of bed,the first time of urination and the time of hospitalization after operation in the observation group were shorter(P<0.05).Compared with before nursing,the VAS and SAS scores of the two groups after nursing were lower,and compared with the control group,the VAS and SAS scores of the observation group after nursing were lower(P<0.05).Compared with before nursing,the postoperative stress indexes(HR,MAP)of the two groups had increased,but compared with the control group,the postoperative stress indexes(HR,MAP)of the observation group were lower(P<0.05).Compared with the control group,the incidence of surgical complications in the observation group was lower,and the nursing satisfaction score was higher(P<0.05).Conclusion Goal-oriented OEC nursing model can accelerate the postoperative recovery rate of renal calculi patients with FURS,reduce their pain degree and negative emotions,relieve perioperative stress response,and improve patients'nursing satisfaction.

关 键 词：肾结石 输尿管软镜 围术期护理 目的导向OEC护理模式 

分 类 号：R473.6[医药卫生—护理学]