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基于多点反馈的优化冲洗流程在泌尿外科术后护理管理中的应用

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目的 探讨基于多点反馈的优化冲洗流程在泌尿外科术后护理管理中的应用效果.方法 选取2022年1-6月接受常规护理管理的52例泌尿外科手术患者的资料为对照组,将2022年7-12月接受基于多点反馈的优化冲洗流程管理的55例泌尿外科手术患者的资料为研究组.比较两组不良事件(膀胱痉挛、继发出血、尿管堵塞)发生情况、冲洗液用量、舒适度及护理质量.结果 研究组发生膀胱痉挛5例,继发出血1例,尿管堵塞2例,不良事件总发生率为14.55%(8/55);对照组发生膀胱痉挛10例,继发出血3例,尿管堵塞3例,不良事件总发生率为30.77%(16/52);研究组不良事件总发生率低于对照组(P<0.05).研究组冲洗液用量少于对照组,舒适状况量表评分、护理可及性、主动服务性、人文关怀、健康教育及护理质量总分均高于对照组(P<0.05).结论 在泌尿外科术后护理管理中应用基于多点反馈的优化冲洗流程能降低不良事件发生率,减少冲洗液用量,提高患者舒适度及术后护理质量.
Application of Optimized Flushing Process Based on Multi-point Feedback in Postoperative Nursing Management of Urology Surgery
Objective To explore the application effect of optimized flushing process based on multi-point feedback in postoperative nursing management of urology surgery.Methods This study was a historical controlled study.The data of 52 patients with urological surgery who performed routine nursing management from January to June 2022 were selected as the control group.The data of 55 patients with urology surgery who performed process management based on multi-point feedback optimization from July to December 2022 were selected as the study group.The occurrence of adverse events(bladder spasms,secondary bleeding and blocked urinary catheters),the amount of flushing fluid used,comfort level and quality of care were compared between two groups.Results There were 5 cases of bladder spasms,1 case of secondary bleeding,and 2 cases of urethral obstruction in the study group.The total incidence of adverse events was 14.55%(8/55).The control group had 10 cases of bladder spasms,3 cases of secondary bleeding,and 3 cases of urethral obstruction.The total incidence of adverse events was 30.77%(16/52).The total incidence of adverse events in the study group was lower than that in the control group(P<0.05).The amount of flushing fluid used by the study group patients was less than that of the control group,and the scores of comfort scale,nursing accessibility,proactive service,humanistic care,health education and nursing quality were all higher than those of the control group(P<0.05).Conclusion The application of optimized flushing process based on multi-point feedback in postoperative nursing management of urology can reduce the incidence of adverse events,reduce the amount of flushing fluid,improve patient comfort,and improve postoperative nursing quality.

urologymulti-point feedbackbladder irrigationcomfort levelnursing quality

李森、李蕊、侯彩平

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新乡医学院第三附属医院事业发展部,河南新乡 453003

新乡医学院第三附属医院普外二泌尿介入科,河南新乡 453003

泌尿外科 多点反馈 膀胱冲洗 舒适度 护理质量

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(4)
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