摘要
目的 分析肾结石围术期采取疼痛护理干预的效果,以得提升患者术后康复效果。方法 将2020年2月—2021年2月在天津市泰达医院行手术治疗的100例肾结石患者纳入研究,以随机抽签法分为观察组和对照组,各50例。对照组实施常规护理,执行入院检查指导、健康教育及术前准备工作,做好术后生命体征监护及安全护理、康复指导;观察组在对照组基础上实施疼痛护理。疼痛护理的内容包括术前心理护理、疼痛教育,术后疼痛评估、疼痛干预。比较两组患者术后住院时间、术后并发症情况、干预前后疼痛程度。结果 观察组患者术后住院时间为(17.4±3.1)d,短于对照组的(24.3±4.6)d,差异有统计学意义(P<0.05);观察组并发症发生率为4.0%,明显低于对照组的16.0%,差异有统计学意义(P<0.05)。护理前,两组VAS评分差异无统计学意义(P>0.05);护理后,两组VAS评分均低于护理前,且观察组优于对照组,差异有统计学意义(P<0.05)。结论 肾结石手术治疗期间,采取疼痛护理干预,能够缓解疼痛,降低术后并发症对患者机体舒适度的影响,保证患者诊疗依从性,有助于提升患者术后康复效果,获得较好的预后。
Objective To analyze the effect of perioperative pain nursing intervention for renal calculi,in order to improve the postoperative rehabilitation effect of patients. Methods A total of 100 patients with renal calculi who were operated in Tianjin TEDA Hospital from February 2020 to February 2021 were included in the study. They were divided into control group and observation group by random lot method with 50 cases in each group. Control group implemented routine nursing,given hospital examination guidance, health education and preoperative preparation, and conduited postoperative vital signs monitoring,safety nursing and rehabilitation guidance. Observation group took pain nursing on the basis of control group. The contents of pain nursing included preoperative psychological nursing,pain education,postoperative pain evaluation and pain intervention. The postoperative hospital stay, postoperative complications and pain degree before and after intervention between the two groups were compared. Results The postoperative hospital stay in the observation group was(17.4±3.1)d,which was shorter than that of the control group with(24.3±4.6)d,and the difference was statistically significant(P<0.05). The incidence of complications was 4.0% in the observation group,which was lower than 16.0% in the control group,and the difference was statistically significant(P<0.05). Before nursing,there was no significant difference in VAS scores between the two groups(P>0.05). After nursing,the VAS scores were lower than those before nursing in both two groups,and the score in the observation group was better than that in the control group,and the differences were statistically significant(P <0.05). Conclusion During the surgical treatment of renal calculi, pain nursing intervention could alleviate pain, reduce the impact of postoperative complications on patients’ body comfort,ensure patients’ diagnosis and treatment compliance,help to improve patients’ postoperative rehabilitation effect and obtain a better prognosis.
作者
付淑玲
FU Shu-ling(Department of Thoracic Surgery,Tianjin TEDA Hospital,Tianjin 300457,China)
出处
《中国城乡企业卫生》
2022年第10期198-200,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
肾结石
手术治疗
围术期护理
疼痛护理
并发症
住院时间
Renal calculi
Surgical treatment
Perioperative nursing
Pain nursing
Complication
Hospital stay
