摘要
目的:研究情景式健康教育联合快速康复外科(ERAS)理念对行经皮肾镜碎石术(PCNL)患者的护理效果。方法:选取英德市人民医院2019年1月至2021年1月收治的60例行PCNL患者为研究对象,按照随机数字表法分为观察组和对照组,各30例。对照组常规护理,观察组采用情景式健康教育联合ERAS干预,干预后比较两组患者主观感受、住院期间各项指标及并发症发生率。结果:观察组患者焦虑评分、口干饥饿感评分、术后寒颤、导管不适、下床活动时间、术后疼痛评分均显著低于对照组,差异具有统计学意义(P<0.05);观察组患者住院时间及住院费用均显著少于对照组,差异具有统计学意义(P<0.05);观察组患者护理满意度(96.67%)高于对照组(80.00%),术后并发症发生率(3.33%)显著低于对照组(20.00%),差异具有统计学意义(P<0.05)。结论:情景式健康教育联合ERAS护理可显著加快PCNL患者术后恢复,减少并发症发生,缩短住院时间,减少患者疼痛及不适感,从而提高患者满意度,减少住院费用。
Objective To study the nursing effect of situational health education combined with the concept of enhanced recovery after surgery(ERAS)on patients undergoing percutaneous nephrolithotomy.Method A total of 60 PCNL patients who were admitted to Yingde People’s Hospital from January 2019 to January 2021 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 30 cases in each group.The control group was given routine care,and the observation group was treated with situational health education combined with ERAS intervention.After the intervention,the subjective feelings,various indicators during hospitalization,and the incidence of complications were compared between the two groups.Result The anxiety score,dry mouth hunger score,postoperative chills,catheter discomfort,time to get out of bed,and postoperative pain scores of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05);the observation group was hospitalized The time and hospitalization expenses were significantly less than those of the control group,and the difference was statistically significant(P<0.05);the observation group’s nursing satisfaction(96.67%)was higher than that of the control group(80.00%),and the postoperative complication rate(3.33%)Was significantly lower than the control group(20.00%),and the difference was statistically significant(P<0.05).Conclusion Situational health education combined with ERAS nursing can significantly speed up the postoperative recovery of PCNL patients,reduce complications,shorten the length of hospitalization,and reduce patient pain and discomfort,thereby improving patient satisfaction and reducing hospitalization costs.
作者
曹涧敏
潘小龙
邓金彩
胡育萍
盘翠灵
CAO Jian-min;PAN Xiao-long;DENG Jin-cai;HU Yu-ping;PAN Cui-ling(Yingde City People's Hospital,Guangdong Yingde 513000)
出处
《深圳中西医结合杂志》
2021年第17期190-192,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
清远市科技计划项目资助课题(190828214565995)。
关键词
情景式健康教育
快速康复理念
经皮肾镜碎石术
Situational health education
Rapid recovery concept
Percutaneous nephrolithotomy
