摘要
目的探讨舒适护理在输尿管结石体外碎石术中的应用效果及其在改善预后的意义。方法将2014年1月-2016年2月在我院接受输尿管结石体外碎石术的100例患者按随机数表法分为研究组和对照组（n=50）,作为本次研究对象。对照组采用常规护理,研究组患者在常规护理的基础上给予舒适护理。记录两组患者的住院时间和结石排尽时间;术前术后焦虑评分,比较两组患者手术的碎石成功率、一次穿刺成功、护理满意度、并发症发生率。结果研究组患者的住院时间和结石排尽时间短于对照组;一次穿刺成功率（90.00%）明显高于对照组（56.00%）,术后,两组患者的焦虑程度评分与术前比较,均有下降,研究组患者的焦虑程度评分明显低于对照组,差异具有统计学意义（P〈0.05）;且护理总满意度（90.00%）均高于对照组（72.00%）,并发症发生率低于对照组,差异具有统计学意义（P〈0.05）;术后两组患者的碎石成功率（100.00%、98.00%）比较,差异无统计学意义（P〉0.05）。结论舒适护理在输尿管结石体外碎石术患者中的应用效果良好,提高一次穿刺成功率,缓解焦虑情绪,并且能有效提高护理满意度,改善预后。
Objective To study the effect of comfortable nursing in extracorporeal lithotripsy of ureteral calculi and its significance of improving the prognosis. Methods 100 cases of patients with ureteral calculi using extracorporeal lithotripsy in our hospital from January 2014 to February 2016 were selected as the research object.According to the random number table method,they were divided into study group and control group（n=50）.Patients in control group were treated with routine nursing care,and patients in study group were treated with comfort care on the basis of the control group. Hospital time and stone comes to the best of time of the two groups were recorded and compared.Preoperative anxiety score,surgical success rate of rubble,puncture success,nursing satisfaction and incidence of complications were compared. Results Hospital stay and stone drain of study group were shorter than those of control group.One successful rate of puncture（90%） was significantly higher than that of the control group（56%）.Postoperatively,anxiety scores of the two groups were lower than preoperative.Anxiety score of study group was significantly lower than that of control group,and the difference was statistically significant（P〈0.05）.One time puncture success rate of study group（90.00%） was significantly higher than that of the control group（56%）, and the total nursing satisfaction of study group（90.00%） was higher than that of the control group（72.00%）, differences were significant（P〈0.05）.Complication rate of the study group was lower than that of control group,the difference was statistically significant（P〈0.05）.But there was no significant difference on gravel success rate（100.00%,98.00%） between the two groups,（P〉0.05）. Conclusion Comfort nursing for nursing care of patients with ureteral calculi with extracorporeal lithotripsy can significantly improve the therapeutic effect,relieve anxiety,and improve the success rate of a puncture.It can effectively improve the patients�
出处
《中国医药科学》
2016年第19期100-102,167,共4页
China Medicine And Pharmacy
关键词
输尿管结石
体外碎石术
舒适护理
预后
Ureteral stones
Extracorporeal lithotripsy
Prognosis
Comfort care
Effect
