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综合护理在泌尿系统结石患者术后护理中的应用 被引量:24

Application of comprehensive nursing in the postoperative nursing of patientswith urinary calculi
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摘要 目的探讨综合护理在泌尿系统结石患者术后护理中的应用效果。方法选取2015年12月—2016年5月在山东省滕州市中心人民医院泌尿外科接受输尿管镜取石治疗的56例泌尿结石患者,随机分为对照组和观察组,观察组30例,对照组26例。对照组患者给予常规护理,干预组患者实施综合护理。比较两组患者术后1d,2d,3d患者的疼痛评分及术后1d,3d,5d SAS评分。结果干预后不同时间(术后1d,3d,5d)患者的SAS评分差异有统计学意义(F时间=11.383,P〈0.05);观察组与对照组患者SAS评分差异有统计学意义(F组间=4.981,P〈0.05);测量前后与干预之间存在交互作用(F交互=8.402,P〈0.05)。术后1d,2d,两组患者的疼痛程度差异无统计学意义(P〉0.05);术后3d,观察组患者疼痛程度小于对照组,差异有统计学意义(P〈0.05)。结论综合护理能够缓解泌尿系统结石患者术后疼痛,缓解焦虑情绪。 Objective To explore the application effect of comprehensive nursing in the postoperative nursing of patients with urinary calculi. Methods Totally 56 patients treated with ureteroseopy lithotomy in Tengzbou Central Peopl's Hospital during December 2015 to May 2016 wererandomly selected and divided into the control group (26) and the intervention group (30). Comprehensive nursing interventions were carried out in the intervention group, while the control group adopted routine postoperative nursing care. Pain scores one day, two days and three days after intervention and the scores of self-rating anxiety scaleone day, three days and five days after intervention were assessed and compared between two groups. Results The SAS score of patients at different time( in 1-day, 3-days and 5-days after operation)was significantly different (F= 11. 383, P〈0.05 ) ; there were significant difference in the SAS score between two groups (F= 4. 981, P〈0. 05); and there was interaction between the assessment before and after and the interventions (F = 8. 402, P〈 0. 05 ). There was no significant difference in the pain score of patients one day and two days after operation (P〉 0. 05 ). The pain score of patients in the observation group three days after operation was lower than that in the control group (P〈 0.05 ). Conclusions Comprehensive nursing can obviously relieve patient's postoperative pain and anxiety.
作者 孟凡英 Meng Fanying(The Second Department of Urinary Surgery, Tengzhou Central People's Hospital, Tengzhou 277599, Chin)
出处 《中华现代护理杂志》 2016年第35期5144-5146,共3页 Chinese Journal of Modern Nursing
关键词 结石 护理 疼痛 焦虑 泌尿系统 Calculi Nursing care Pain Anxiety Urinary system
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