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无缝隙护理在输尿管软镜钬激光碎石术患者中的应用效果

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目的:观察无缝隙护理在输尿管软镜钬激光碎石术(FURL)患者中的应用效果.方法:选取2020年11月至2022年11月于该院行FURL的 72 例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 36 例.对照组实施常规护理,观察组在对照组基础上实施无缝隙护理,两组均护理至出院.比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、术后不同时间(术后 24、36、72 h)疼痛[视觉模拟评分法(VAS)]评分,并发症发生率及护理满意度.结果:护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);术后 24、36、72 h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.56%(2/36),低于对照组的22.22%(8/36),差异有统计学意义(P<0.05);观察组护理满意度为94.44%(34/36),高于对照组的 75.00%(27/36),差异有统计学意义(P<0.05).结论:无缝隙护理应用于FURL患者可降低负性情绪、疼痛评分和并发症发生率,提高护理满意度,效果优于常规护理.
Application effects of seamless nursing in patients undergoing flexible ureteroscopic Holmium laser lithotripsy
Objective:To observe application effects of seamless nursing in patients undergoing flexible ureteroscopic Holmium laser lithotripsy(FURL).Methods:A prospective study was conducted on 72 patients who underwent FURL in the hospital from November 2020 to November 2022.According to the random number table method,they were divided into control group and observation group,36 cases in each group.The control group received routine nursing,while the observation group received the seamless nursing on the basis of that of the control group.Both groups were treated until the patient was discharged.The scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]before and after the nursing,the scores of pain[visual analogue scale(VAS)]at different time points(24,36,72 h after the surgery),the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 24,36 and 72 h after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.56%(2/36),which was lower than 22.22%(8/36)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 94.44%(34/36),which was higher than 75.00%(27/36)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The seamless nursing in the FURL patients can reduce the negative emotions,the pain scores and the incidence of complications,and improve the nursing satisfaction.Moreover,it is superior to the routine nursing.

Flexible ureteroscopic Holmium laser lithotripsySeamless nursingPainNegative emotionComplicationNursing satisfaction

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高安市中医院手术室,江西 宜春 330800

输尿管软镜钬激光碎石术 无缝隙护理 疼痛 负性情绪 并发症 护理满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(16)
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