个体化护理干预对肾结石术后患者肾造瘘管及并发症的影响效果分析(1)
【摘要】 目的：探討个体化护理干预措施应用于肾结石术后患者对其肾造瘘管及并发症的影响效果。方法：选取2017年7月-2019年7月在笔者所在医院接受手术治疗的68例肾结石患者作为研究对象，所有患者应用随机数字表法随机分为对照组(34例)和研究组(34例)。对照组术后采取常规护理干预措施，研究组则在对照组的基础上采取个体化护理干预措施。比较两组术后下地时间、肾造瘘管和导尿管拔除时间、住院时间、满意度评分及术后并发症发生率。结果：研究组术后下地时间、肾造瘘管和导尿管拔除时间、住院时间均短于对照组，满意度评分高于对照组，差异均有统计学意义(P<0.05)。研究组并发症总发生率低于对照组，差异有统计学意义(P<0.05)。结论：对肾结石手术患者在常规护理干预措施的基础上给予个体化护理干预措施能有效缩短患者术后下地时间、肾造瘘管及导尿管拔出时间和住院时间，在保证手术效果的同时显著降低术后各种并发症的发生风险，有助于促进患者术后的恢复，提高其对护理服务的满意度，值得临床推广应用。
【关键词】 肾结石 经皮肾镜碎石术 个体化护理干预 肾造瘘管 并发症
doi：10.14033/j.cnki.cfmr.2020.03.043 文献标识码 B 文章编号 1674-6805(2020)03-0-03
[Abstract] Objective： To explore the effect of individualized nursing intervention on renal fistula and complications in patients with renal calculi after operation. Method： A total of 68 patients with renal calculi who underwent surgical treatment from July 2017 to July 2019 in our hospital were selected， and were randomly divided into the control group (34 cases) and the research group (34 cases). The patients in the control group received routine nursing intervention after operation， while the patients in the study group received individualized nursing intervention on the basis of the control group. The postoperative downtime， extraction time of renal fistula and catheter， hospitalization time， satisfaction score and the incidence of complications were compared between the two groups. Result： The postoperative downtime， extraction time of renal fistula and catheter， hospitalization time in the study group were shorter than those of the control group， and the satisfaction score was higher than that in the control group， the differences were statistically significant (P<0.05). The total incidence of complications in the study group was lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion： Individualized nursing intervention on the basis of routine nursing intervention can effectively shorten the time after operation， the time of withdrawal of nephrostomy and catheter and the time of hospitalization，while ensuring the effect of the operation while significantly reducing the risk of the occurrence of various postoperative complications， it is helpful to promote the recovery of patients after operation and improve their satisfaction with nursing services， which is worthy of clinical application.
[Key words] Renal calculi Percutaneous nephrolithotomy Individualized nursing intervention Renal fistula Complications, 百拇医药(林珊 陈雅娥 黄小玲)
【关键词】 肾结石 经皮肾镜碎石术 个体化护理干预 肾造瘘管 并发症
doi：10.14033/j.cnki.cfmr.2020.03.043 文献标识码 B 文章编号 1674-6805(2020)03-0-03
[Abstract] Objective： To explore the effect of individualized nursing intervention on renal fistula and complications in patients with renal calculi after operation. Method： A total of 68 patients with renal calculi who underwent surgical treatment from July 2017 to July 2019 in our hospital were selected， and were randomly divided into the control group (34 cases) and the research group (34 cases). The patients in the control group received routine nursing intervention after operation， while the patients in the study group received individualized nursing intervention on the basis of the control group. The postoperative downtime， extraction time of renal fistula and catheter， hospitalization time， satisfaction score and the incidence of complications were compared between the two groups. Result： The postoperative downtime， extraction time of renal fistula and catheter， hospitalization time in the study group were shorter than those of the control group， and the satisfaction score was higher than that in the control group， the differences were statistically significant (P<0.05). The total incidence of complications in the study group was lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion： Individualized nursing intervention on the basis of routine nursing intervention can effectively shorten the time after operation， the time of withdrawal of nephrostomy and catheter and the time of hospitalization，while ensuring the effect of the operation while significantly reducing the risk of the occurrence of various postoperative complications， it is helpful to promote the recovery of patients after operation and improve their satisfaction with nursing services， which is worthy of clinical application.
[Key words] Renal calculi Percutaneous nephrolithotomy Individualized nursing intervention Renal fistula Complications, 百拇医药(林珊 陈雅娥 黄小玲)
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