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基于加速康复外科理念的护理在肾结石手术患者中的应用效果

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目的:观察基于加速康复外科(ERAS)理念的护理在肾结石手术患者中的应用效果.方法:选取 2022 年 9 月至 2023 年9月于该院行肾结石手术的80例患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各40例.对照组实施常规围术期护理,观察组在对照组基础上实施基于ERAS理念的护理,两组均护理 1 周.比较两组术后不同时间(术后 12、24、48 h)疼痛[视觉模拟评分法(VAS)]评分、护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分,并发症发生率,以及护理满意度.结果:观察组术后 12、24、48 h VAS评分均低于对照组,差异有统计学意义(P<0.05);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);观察组并发症发生率为 2.50%(1/40),低于对照组的 20.00%(8/40),差异有统计学意义(P<0.05);观察组护理满意度为 97.50%(39/40),高于对照组的 75.00%(30/40),差异有统计学意义(P<0.05).结论:基于ERAS理念的护理应用于肾结石手术患者可降低术后不同时间疼痛评分、负性情绪评分和并发症发生率,提高护理满意度,效果优于常规围术期护理.
Application effects of nursing based on the concept of enhanced recovery after surgery in patients with renal calculi surgery
Objective:To observe application effects of nursing based on the concept of enhanced recovery after surgery(ERAS)in patients with renal calculi surgery.Methods:A prospective study was conducted on 80 patients who underwent renal calculi surgery in this hospital from September 2022 to September 2023.According to the random number table method,they were divided into observation group and control group,40 cases in each group.The control group was given routine perioperative nursing,while the observation group was given the nursing based on ERAS concept on the basis of that of the control group.Both groups were treated for 1 week.The pain[visual analogue scale(VAS)]scores at different points(12,24,48 h after the surgery),the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores before and after the nursing,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:The VAS scores of the observation group were lower than those of the control group 12,24 and 48 hours after the surgery,and the differences were statistically significant(P<0.05).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).The incidence of complications in the observation group was 2.50%(1/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.50%(39/40),which was higher than 75.00%(30/40)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The nursing based on ERAS concept in the patients with renal calculi surgery can reduce the pain scores at different time after the surgery,the negative emotion scores and the incidence of complications,and improve the nursing satisfaction.Moreover,it is superior to the routine perioperative nursing.

Renal calculiSurgeryEnhanced recovery after surgery concept nursingPainNegative emotionComplication

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九江市第一人民医院总院肝胆胰泌尿介入科,江西 九江 332000

肾结石 手术 加速康复外科理念护理 疼痛 负性情绪 并发症

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(20)