摘要
目的 研究在肾结石手术中分阶段护理联合延续护理的应用价值及对术后康复的影响。方法 选择2021-05-01-2022-05-31江苏省人民医院收治的80例肾结石手术患者作为研究对象。经随机数字表法分为对照组和观察组,每组40例。对照组采用分阶段护理,观察组在分阶段护理基础上采用延续护理。期间收集并分析睡眠质量、自我护理能力、并发症等数据。结果 护理前,2组患者各项睡眠质量评分及总分比较,差异无统计学意义,均P>0.05;护理后,2组患者各项睡眠质量评分及总分均提高,且观察组入睡时间、睡眠效率、催眠药物、睡眠时间、睡眠质量、睡眠障碍、日间功能各项睡眠质量评分及总分分别为(2.32±0.27)、(2.04±0.25)、(2.24±0.23)、(2.38±0.37)、(2.24±0.41)、(2.34±0.35)、(2.21±0.37)和(15.67±2.12)分,高于对照组的(2.15±0.38)、(1.82±0.42)、(1.85±0.47)、(2.01±0.58)、(1.89±0.52)、(2.07±0.41)、(1.95±0.54)和(13.69±3.18)分,差异有统计学意义,F值分别为2.306、2.846、4.713、3.401、3.342、3.167、2.512和3.276,P值分别为0.023、0.005、<0.001、0.001、0.001、0.002、0.014和0.001。护理前,2组患者各项自我护理能力评分及总分比较,差异无统计学意义,均P>0.05;护理后,2组患者上述评分均升高,且观察组健康知识、自我责任感、自我概念、自我护理技能各自我护理能力评分和总分分别为(63.47±1.57)、(22.14±1.25)、(26.45±2.14)、(44.38±1.47)和(156.34±6.21)分,高于对照组的(62.51±2.02)、(21.42±1.56)、(24.74±2.68)、(43.12±2.25)和(151.72±8.41)分,差异有统计学意义,F值分别为2.373、2.278、3.153、2.965和2.795,P值分别为0.020、0.025、0.002、0.004和0.006。观察组并发症发生1例(2.50%),对照组并发症发生8例(20.00%),组间比较,差异有统计学意义,χ^(2)=4.507,P=0.033。结论 在针对肾结石手术患者进行护理时,选择分阶段护理联合延续护理具有更好的效果,建议在临床护理中借鉴。
Objective To study the application value of phased nursing combined with continuous nursing in kidney stone operation and its influence on postoperative rehabilitation.Methods The study period was from May 1,2021to May 31,2022,and a total of 80cases undergone kidney stone operation in Jiangsu Provincial People's Hospital were included.They were divided into control group and observation group by random number table method,with 40cases in each group.The control group received phased care,while the observation group received continuous care on the basis of phased care.The data on sleep quality,self-care ability,and complications during this period were collected and analyzed.Results Before nursing,there was no statistically significant difference in the sleep quality scores and total scores be-tween the two groups of patients,with all P>0.05for both groups.After nursing,the sleep quality scores and total scores of patients in both groups were improved,and the sleep quality scores,including time to fall asleep,sleep efficien-cy,hypnotics,sleeping time,sleep quality,sleep disorder,daytime function and total scores in the observation group were 2.32±0.27,2.04±0.25,2.24±0.23,2.38±0.37,2.24±0.41,2.34±0.35,2.21±0.37,and 15.67±2.12,respectively,which were higher than those in the control group of 2.15±0.38,1.82±0.42,1.85±0.47,2.01±0.58,1.89±0.52,2.07±0.41,1.95±0.54,and 13.69±3.18,with statistical significance,F values of 2.306,2.846,4.713,3.401,3.342,3.167,2.512,and 3.276,and P values of 0.023,0.005,<0.001,0.001,0.001,0.002,0.014,and 0.001,respectively.Before nursing,there was no statistically significant difference in the self-care ability scores and total scores between the two groups of patients,with all P>0.05for both groups.After nursing,the above scores of both groups of patients increased,and the observation group's self-care ability scores of health knowledge,sense of re-sponsibility,self-concept,self-care skills and total scores were 63.47±1.57,22.14±1.25,26.45±2.14,44.38±1.47,and 156.34±6.21,respectively,which were higher than those in the control group 62.51±2.02,21.42±1.56,24.74±2.68,43.12±2.25,and 151.72±8.41,with statistical significance,F values were 2.373,2.278,3.153,2.965,and 2.795,respectively,and P values of 0.020,0.025,0.002,0.004,and 0.006,respectively.One complication occurred in the observation group(2.50%),while 8complications occurred in the control group(20.00%),there was a statisti-cally significant difference between the two groups,χ^(2)=4.507,P=0.033.Conclusion In the nursing of patients underg-one kidney stone operation,the choice of phased nursing combined with continuous nursing has better results,suggesting that it should be used for reference in clinical nursing.
作者
沙岩
陈庆丽
SHA Yan;CHEN Qingli(Department of Urology,Jiangsu Provincial People's Hospital,Nanjing,Jiangsu 210029,China)
出处
《社区医学杂志》
CAS
2023年第19期1027-1031,共5页
Journal Of Community Medicine
