摘要
目的探讨尿道狭窄患者膀胱造瘘管综合护理效果。方法选择2020年1月至2022年2月南昌大学第一附属医院收治的84例尿道狭窄患者,采用随机数字表法分为对照组与观察组,每组各42例。对照组实施常规护理方法,观察组实施综合护理。比较两组术前抗感染时间、术后切口感染率、术后平均住院时间、术后平均膀胱造瘘管带管时间、平均住院费用及护理满意度。结果观察组的术后切口感染率为0,低于对照组的19.05%(8/42),观察组总满意度为97.62%,高于对照组的78.57%,差异有统计学意义(P<0.05);观察组的术前抗感染时间[(10.06±1.81)d]、术后平均住院时间[(7.22±1.54)d]、术后平均膀胱造瘘管带管时间[(42.67±5.73)d]均短于对照组[(14.21±2.34)、(10.67±1.97)、(56.84±7.29)d],观察组的平均住院费用[(11350.46±2987.68)元]少于对照组[(13980.87±3469.22)元],差异有统计学意义(P<0.05)。观察组的总满意度高于对照组,差异有统计学意义(P<0.05)。结论尿道狭窄患者膀胱造瘘管实施综合护理效果较好,利于缩短抗感染时间、带管时间及住院时间,降低医疗费用,提高患者满意度,值得临床广泛应用。
Objective To explore the effect of comprehensive nursing of bladder fistula in patients with urethral stricture.Methods A total of 84 patients with urethral stricture admitted to the First Affiliated Hospital of Nanchang University from January 2020 to February 2022 were selected and divided into control group and observation group by random number table method,with 42 cases in each group.The control group was given routine nursing,and the observation group was given comprehensive nursing.The preoperative anti-infection time,postoperative incision infection rate,postoperative average hospitalization time,postoperative average bladder fistula tube time,average hospitalization cost and nursing satisfaction were compared between the two groups.Results The postoperative incision infection rate of the observation group was 0,which was lower than 19.05%(8/42)of the control group,and the total satisfaction of the observation group was 97.62%,which was higher than 78.57%of the control group,and the differences were statistically significant(P<0.05).The preoperative anti-infection time([10.06±1.81]d),the average postoperative hospital stay([7.22±1.54]d),the average postoperative bladder fistula tube time([42.67±5.73]d)of the observation group were shorter than those of the control group([14.21±2.34],[10.67±1.97],[56.84±7.29]d),and the average hospitalization cost of the observation group was(11350.46±2987.68)yuan,which was less than that of the control group([13980.87±3469.22]yuan),and the differences were statistically significant(P<0.05).The total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The comprehensive nursing effect of bladder fistula in patients with urethral stricture is good,which is conducive to shortening the anti-infection time,tube time and hospitalization time,reduces medical costs,and improves patient satisfaction,which is worthy of clinical application.
作者
万艳娜
刘伟鹏
张华秀
胡接平
WAN Yanna;LIU Weipeng;ZHANG Huaxiu;HU Jieping(Department of Outpatient,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China;Department of Urology,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)
出处
《中国当代医药》
CAS
2023年第19期163-166,共4页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(20203175)。
关键词
尿道狭窄
膀胱造瘘管
综合护理
切口感染
护理满意度
Urethral stricture
Bladder fistula tube
Comprehensive nursing
Incision infection
Nursing satisfaction
