摘要
目的探讨全方位管理对经皮肾镜碎石术肾结石患者术后疼痛、饮食习惯及生活质量的影响。方法回顾性分析2012年1月至2015年1月于我院住院的66例肾结石患者临床资料,其中33例实施常规护理,另外33例实施全方位管理护理措施,比较两组患者术后的镇痛时间及干预前后SF-36、VAS评分、饮食习惯;比较两组患者术后并发症。结果观察组患者术后镇痛时间(12.35±2.63)h较对照组(15.46±2.62)h显著较低(P<0.05);干预后SF-36(90.12±6.54)分显著高于对照组(74.61±6.73)分(P<0.05),VAS(3.37±1.32)分显著低于对照组(4.68±1.45)分,差异有统计学意义(P<0.05)。观察组总不良饮食习惯发生率、并发症发生率为18.18%、12.12%低于对照组42.42%、33.33%(P<0.05)。结论对经皮肾镜碎石术肾结石患者,实施全方位管理措施可降低患者的术后镇痛时间,避免患者不良饮食习惯的发生,提高患者的生活质量。
Objective To investigate the effects of all-round management on postoperative pain,eating habits and quality of life in patients with renal calculi treated with percutaneous nephrolithotomy. Methods The clinical data of 66 patients with renal calculi admitted to our hospital from January 2012 to January 2015 were analyzed retrospectively. Among them 33 cases were treated with routine nursing and the other 33 cases with comprehensive management measures. Comparison was made in postoperative analgesia time and SF-36,VAS scores and eating habits before and after the intervention between the two groups. The postoperative complications were compared between the two groups. Results The postoperative analgesia time of the observation group was significantly lower (12.35±2.63) h than that of the control group (15.46±2.62) h,( P <0.05). After intervention,SF-36 score (90.12±6.54) of the observation group was significantly higher than that of the control group (74.61±6.73)( P <0.05),and VAS score (3.37±1.32) of the observation group was significantly lower than that of the control group (4.68±1.45) with statistical significant difference ( P < 0.05). The incidence of total adverse eating habits and complication rate of the observation group were 18.18% and 12.12% respectively,lower than those of the control group (42.42%,33.33%),( P <0.05). Conclusion The implementation of all-round management measures for patients undergoing percutaneous nephrolithotomy can reduce the postoperative analgesia time,avoid the occurrence of poor eating habits and improve patients’ quality of life.
作者
袁玲
Yuan Ling(The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000 China)
出处
《锦州医科大学学报》
CAS
2019年第3期100-102,共3页
Journal of Jinzhou Medical University
关键词
全方位管理
经皮肾镜碎石术
饮食习惯
生活质量
all-round management
percutaneous nephrolithotomy
eating habits
quality of life
