摘要
目的:探讨循证护理在肾脏铸型感染性结石患者围术期的应用效果。方法:选取2015年2月至2017年1月在海南省人民医院接受经皮肾镜取石术治疗的肾脏铸型感染性结石患者136例,将2015年2月至2016年1月的68例患者纳入对照组,予以常规护理;将2016年2月至2017年1月的68例患者纳入研究组,予以循证护理。护理结束后比较两组术后疼痛程度和心理健康状况,同时记录两组患者对术后疼痛控制满意度和术后并发症发生情况。结果:术后24,72 h研究组疼痛评分均较对照组明显降低(P<0.05);两组患者护理后SAS,SDS评分均较护理前降低,且研究组降低程度明显大于对照组(P<0.05);研究组疼痛控制满意度明显优于对照组(P<0.05);研究组术后并发症发生率(22.06%)明显低于对照组(75.00%,P<0.05)。结论:循证护理的实施可有效减轻患者的术后疼痛程度和焦虑抑郁程度,提高患者对疼痛控制的满意度,降低术后并发症的发生率。
Objective： To investigate the application effect of evidence-based nursing in patients with renal struvite staghorn calculi. Methods： A total of 136 cases of kidney cast infectious stones treated by percutaneous nephrolithotomy in our hospital from February 2015 to January 2017 were selected, and 68 patients from February 2015 to January 2016 were included in the control group and received routine nursing care; 68 patients from February 2016 to January 2017 were included in the study group and received evidence-based nursing and. After the end of nursing, the pain and mental health status of the two groups were compared, and the satisfaction of postoperative pain control and postoperative complications of the two groups were recorded and compared. Results： The scores of pain in study group at 24 and 72 h after operation were significantly lower than those in control group（P〈0.05）; the SAS and SDS scores of both groups decreased after nursing, and the reduction level in study group was more significant than that in control group（P〈0.05）; the satisfaction degree of pain management in the study group was significantly better than that in the control group（P〈0.05）; the incidence of postoperative complications in the study group was significantly lower than that in the control group（22.06% vs 75.00%, P〈0.05）. Conclusion： The implementation of evidence-based nursing can effectively reduce the postoperative pain, anxiety and depression degrees, and improve the satisfaction degree of pain management, and reduce postoperative complications.
作者
蔡维敏
魏英
康新立
CAI Weimin;WEI Ying;KANG Xinli(Department of Urology,Hainan General Hospital,Haikou 570311,China)
出处
《临床与病理杂志》
2018年第8期1736-1741,共6页
Journal of Clinical and Pathological Research
基金
海南省卫生厅医学科研重点课题(琼卫2012 ZD-07)~~
关键词
循证护理
肾脏铸型感染性结石
术后疼痛
应用效果
evidence-based nursing
renal struvite staghorn calculi
postoperative pain
application effect
