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快速康复外科理念护理在肾结石患者术后康复中的应用效果

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目的:探讨快速康复外科理念护理在肾结石患者术后康复中的应用效果。方法:选取 2019年 1月—2022年 12月于余干县中医院行经皮肾镜取石术治疗的68例肾结石患者为研究对象,按照随机数字表法将患者分为对照组与观察组,各34例。对照组采用常规护理,观察组采用快速康复外科护理。比较两组的术后康复指标、疼痛程度、心理状态、生活质量、肾功能、炎性指标、并发症发生情况和护理满意度。结果:观察组尿管拔出时间、下床活动时间、排气时间和术后住院时间均短于对照组,差异均有统计学意义(P<0。05)。护理后,两组抑郁自评量表、焦虑自评量表和数字疼痛评分法评分均较护理前降低,且观察组均低于对照组,差异均有统计学意义(P<0。05);两组活质量综合评定问卷评分均较护理前提高,且观察组高于对照组,差异均有统计学意义(P<0。05)。护理后两组尿素氮、肌酐、胱抑素C水平均较护理前上升,且观察组均高于对照组,差异均有统计学意义(P<0。05)。护理后两组白细胞介素-10、白细胞计数、C反应蛋白均较护理前下降,且观察组均低于对照组,差异均有统计学意义(P<0。05)。观察组并发症发生率为 5。88%,低于对照组的 23。53%,差异有统计学意义(P<0。05)。观察组护理满意度为91。18%,高于对照组的64。71%,差异有统计学意义(P<0。05)。结论:快速康复外科理念护理有利于改善肾结石手术患者的心理状态,减轻术后疼痛和炎症反应,改善肾功能,加快术后康复,减少并发症的发生,有助于提高患者的生活质量和护理满意度。
Application Effect of Rapid Rehabilitation Surgical Concept Nursing in Postoperative Rehabilitation of Patients with Kidney Stones
Objective:To explore the effect of rapid rehabilitation surgical nursing in postoperative rehabilitation of patients with kidney stones.Methods:A total of 68 patients with kidney stones who underwent percutaneous nephrolithotomy in Yugan County Hospital of Traditional Chinese Medicine from January 2019 to December 2022 were selected as the study objects.According to random number table method,the patients were divided into a control group and an observation group,with 34 cases in each group.The control group received routine nursing,the observation group received rapid rehabilitation surgical nursing.Postoperative rehabilitation indexes,pain degree,psychological state,quality of life,renal function,makers,complications and nursing satisfaction were compared between the two groups.Results:Urinary tube extraction time,getting out of bed activity time,exhaust time and postoperative hospitalization time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of Self-rating Depression Scale,Self-rating Anxiety Scale and digital pain scoring in 2 groups were lower than before nursing,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Before nursing the scores of life quality comprehensive assessment questionnaire in both groups were higher than before nursing,and the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Before nursing the levels of urea nitrogen,creatinine and cystatin C in two groups were higher than before nursing,and observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Before nursing interleukin-10,white blood cell count and C-reactive protein in two groups were decreased compared with before nursing,and the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.88%,which was lower than 23.53%in the control group,the difference was statistically significant(P<0.05).Nursing satisfaction in the observation group was 91.18%,which was higher than 64.71%in the control group,the difference was statistically significant(P<0.05).Conclusion:The nursing concept of rapid rehabilitation surgery is conducive to improving the psychological state of patients with kidney stone surgery,alleviating postoperative pain and inflammation,improving renal function,speeding up postoperative rehabilitation,reducing the occurrence of complications,and contributing to improving the quality of life and nursing satisfaction of patients.

Kidney stonesRapid rehabilitation surgical nursingPostoperative painPostoperative rehabilitationQuality of life

潘仲敏、胡建党

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江西省余干县疾病预防控制中心,江西 上饶 3351001

江西省余干县中医院外科,江西 上饶 3351002

肾结石 快速康复外科护理 术后疼痛 术后康复 生活质量

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(17)