Effect of predictive Nursing Intervention of Position and Hypothermia on Patients with Ureteral Calculi After Ureteroscopic Holmium Laser Lithotripsy
Objective To observe the effect of position and hypothermia predictive nursing intervention on patients with ureteral calculi after ureteroscopic holmium laser lithotripsy.Methods Sixty patients with ureteral calculi diagnosed and treated in our hospital from August 2018 to August 2020 were selected as the research objects.They were divided into control group and observation group by random number table method,with 30 patients in each group.Both groups were treated with ureteroscopic holmium laser lithotripsy.The control group was given routine nursing.The observation group was treated with body position and hypothermia predictive nursing intervention.The stone clearance rate,clinical operation index,body temperature,heart rate(HR),mean arterial pressure(MAP),incidence of postoperative complications and nursing satisfaction were compared between the two groups.Results The stone clearance rate of the observation group was 93.33％,which was higher than 83.33％of the control group(P＜0.05).The exhaust time,defecation time and VAS score on the first day after operation in the observation group were lower than those in the control group(P＜0.05).The body temperature of the observation group was higher than that of the control group at 30 min after operation,1 h after operation,at the end of operation and 1 h after operation(P＜0.05).The HR and MAP of the observation group were lower than those of the control group at 30 min,1 h and the end of operation(P＜0.05).The incidence of postoperative complications in the observation group was 6.67％,which was lower than 16.67％in the control group(P＜0.05).The nursing satisfaction of the observation group was 96.67％,which was higher than 86.67％of the control group(P＜0.05).Conclusion Predictive nursing intervention of position and hypothermia can promote the recovery of patients with ureteral calculi after ureteroscopic holmium laser lithotripsy,shorten the time of getting out of bed and exhaust after operation,reduce the pain of patients,improve the stone clearance rate,reduce the incidence of complications,improve the satisfaction of nursing,reduce the impact on heart rate and arterial pressure,and has a relatively better effect.
Predictive nursing intervention of position and hypothermiaUreteral calculiUreteroscopic holmium laser lithotripsyStone clearance rate
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维普
