首页|基于循证理念的快速康复护理在肾结石微创手术中的应用效果

基于循证理念的快速康复护理在肾结石微创手术中的应用效果

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目的 探讨基于循证理念的快速康复护理在肾结石微创手术中的应用效果.方法 选取2021年7月至2022年12月在信阳市中心医院接受肾结石微创手术的134例患者作为研究对象,按照随机数字表法分为观察组和对照组.围手术期给予对照组(67例)传统护理干预,给予观察组(67例)基于循证理念的快速康复护理.对两组患者术后恢复情况和并发症发生情况进行评价,分别采用视觉模拟评分法(VAS)和匹兹堡睡眠质量指数问卷(PSQI)评价两组术后疼痛程度和睡眠质量.结果 观察组术后肠鸣音恢复时间、肛门排气时间、首次下床时间以及住院时间均短于对照组(P<0.05);术后第3天,两组VAS评分和PSQI评分均降低,并且观察组评分低于对照组(P<0.05);观察组术后并发症发生率(2.99%)低于对照组(11.94%)(P<0.05).结论 基于循症理念的快速康复护理可缩短肾结石微创手术患者术后恢复时间,改善疼痛程度和睡眠质量,降低并发症风险,在围手术期临床护理中的应用效果较好.
Application Effect of Rapid Rehabilitation Nursing Based on Evidence-Based Concept in Minimally Invasive Renal Calculus Surgery
Objective To explore the application effect of rapid rehabilitation nursing based on evidence-based concept in minimally invasive renal calculus surgery.Methods A total of 134 patients who underwent minimally invasive renal calculus surgery in Xinyang Central Hospital from July 2021 to December 2022 were selected as the study objects,and were randomly divided into observation group and control group.The control group(67 cases)was given traditional nursing intervention during perioperative period,and the observation group was given rapid rehabilitation nursing based on evidence-based concept.Postoperative recovery and complications were evaluated between the two groups.Visual analog scale(VAS)and Pittsburgh sleep quality index(PSQI)were used to evaluate postoperative pain and sleep quality between the two groups.Results Postoperative bowel sound recovery time,anal exhaust time,first getting out of bed time and hospital stay time in observation group were shorter than those in control group(P<0.05).At the 3rd day after surgery,the scores of VAS and PSQI were decreased in both groups,and the scores in observation group were lower than those in control group(P<0.05).The incidence of postoperative complications in observation group(2.99%)was lower than that in control group(11.94%)(P<0.05).Conclusion Rapid rehabilitation nursing based on evidence-based concept could shorten the postoperative recovery time of patients with minimally invasive renal calculus surgery,improve the degree of pain and sleep quality,reduce the risk of complications,and the application effect was better in perioperative clinical nursing.

evidencerapid rehabilitation nursingrenal calculuspainsleep

刘小红、祝孟义、王璐

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信阳市中心医院泌尿外科,河南信阳 464000

循证 快速康复护理 肾结石 疼痛 睡眠

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(9)
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