摘要
目的对老年肾穿刺术患者的护理方法进行探究,并针对其肾周血肿情况实施动态监测。方法方便选取2019年1月—2021年1月于该院进行肾穿刺术的老年患者作为该次研究对象,共220例,采用随机数表法分为研究组(n=110)和对照组(n=110),并分别应用综合护理以及常规护理,对比分析两组患者的肾周血肿总发生例数、护理后的焦虑自评量表评分(SAS评分)、护理后的抑郁量表评分(SDS评分)、大血肿数量、小血肿数量等肾周血肿情况。结果研究组患者的肾周血肿总发生率为12.73%,护理后的SAS评分为(33.07±5.53)分,SDS评分为(31.48±5.08)分,均优于对照组患者,差异有统计学意义(P<0.05);研究组患者的大、小血肿数量优于对照组,差异有统计学意义(χ^(2)=3.872、4.092,P<0.05)。结论术后6 h内,患者发生肾周血肿的可能性最大,小血肿的发生率高于大血肿,且综合护理干预能够降低患者的肾周血肿发生率,同时降低患者的SAS、SDS评分,可见综合护理干预对于老年肾穿刺术患者能够起到较好的干预作用,应用价值和推广价值较高。
Objective To explore the nursing methods of elderly patients undergoing renal puncture,and to implement dynamic monitoring of their perinephric hematoma.Methods Conveniently selected 220 elderly patients who underwent renal puncture in the hospital from January 2019 to January 2021 were selected as the subjects of this study.The group was divided into study group(n=110)and control group(n=110)by random number table method.Combined nursing and routine nursing were used respectively to compare and analyze the total number of perirenal hematoma,SAS score(anxiety self-rating scale score),SDS score(depression scale score),the number of large hematoma,the number of small hematoma and other perirenal hematoma in the two groups.Results The total incidence of perirenal hematoma in the study group was 12.73%,and the SAS score after nursing was(33.07±5.53)points,SDS score was(31.48±5.08)points,which were better than those in the control group,and the difference was statistically significant(P<0.05).The number of large and small hematomas in the study group was better than that in the control group,and the difference was statistically significant(χ^(2)=3.872,4.092,P<0.05).Conclusion Within 6 hours after the operation,the patient has the greatest possibility of developing a perinephric hematoma.The incidence of small hematoma is higher than that of a large hematoma.Comprehensive nursing intervention can reduce the incidence of perinephric hematoma and reduce the patient's SAS and SDS scores.It can be seen that comprehensive nursing intervention can play a better role in the intervention of elderly patients with renal puncture,and its application value and promotion value are high.
作者
张玉梅
ZHANG Yumei(Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)
出处
《中外医疗》
2021年第31期138-141,146,共5页
China & Foreign Medical Treatment
基金
中国管理科学研究院教育科学研究所重点课题(JKSA21102)。
关键词
老年患者
肾穿刺术
护理
肾周血肿
动态监测
Elderly patients
Renal puncture
Nursing
Perirenal hematoma
Dynamic monitoring
