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基于医护一体化的预见性护理在输尿管软镜碎石术围术期护理中的应用

李玉洁 周浩 席俊华

李玉洁, 周浩, 席俊华. 基于医护一体化的预见性护理在输尿管软镜碎石术围术期护理中的应用[J]. 中华全科医学, 2022, 20(8): 1427-1429. doi: 10.16766/j.cnki.issn.1674-4152.002614
引用本文: 李玉洁, 周浩, 席俊华. 基于医护一体化的预见性护理在输尿管软镜碎石术围术期护理中的应用[J]. 中华全科医学, 2022, 20(8): 1427-1429. doi: 10.16766/j.cnki.issn.1674-4152.002614
LI Yu-jie, ZHOU Hao, XI Jun-hua. Application of predictive nursing based on the integration of medical and nursing in cooperative nursing of retrograde intrarenal surgery[J]. Chinese Journal of General Practice, 2022, 20(8): 1427-1429. doi: 10.16766/j.cnki.issn.1674-4152.002614
Citation: LI Yu-jie, ZHOU Hao, XI Jun-hua. Application of predictive nursing based on the integration of medical and nursing in cooperative nursing of retrograde intrarenal surgery[J]. Chinese Journal of General Practice, 2022, 20(8): 1427-1429. doi: 10.16766/j.cnki.issn.1674-4152.002614

基于医护一体化的预见性护理在输尿管软镜碎石术围术期护理中的应用

doi: 10.16766/j.cnki.issn.1674-4152.002614
基金项目: 

国家自然科学基金项目 82000672

详细信息
    通讯作者:

    席俊华, E-mail: urodoctorxi@163.com

  • 中图分类号: R473.6 R691.4

Application of predictive nursing based on the integration of medical and nursing in cooperative nursing of retrograde intrarenal surgery

  • 摘要:   目的  在输尿管软镜碎石术患者围术期护理中采用基于医护一体化的预见性护理模式,研究分析其临床应用效果。  方法  选择2021年1—12月在蚌埠市第三人民医院泌尿外科接受输尿管软镜碎石术的50例患者的手术资料,根据围术期采用的护理模式,分为观察组(医护一体化预见性护理模式,25例)和对照组(常规护理模式,25例)。采用SPSS 20.0统计学软件对本研究数据进行统计学分析, 比较2组患者术后首次进食时间、首次下床活动时间、导尿管拔除时间、住院时间、术后并发症发生率及护理满意度。  结果  观察组术后进食时间[(6.72±0.79) h vs. (10.20±0.82) h]、术后下床时间[(6.88±1.00) h vs. (10.84±0.75) h]、术后导尿管拔除时间[(1.44±0.51) d vs. (2.40±0.65) d]、术后静脉输液时间[(3.40±1.12) d vs. (5.04±1.06) d]、住院时间[(6.52±1.05) d vs. (8.00±1.15) d]、术后并发症发生率均低于对照组,差异有统计学意义(均P<0.05)。观察组患者的护理满意度高于对照组(χ2=4.878,P=0.027)。  结论  输尿管软镜碎石术围术期应用医护一体化的预见性护理模式,可以促进患者术后康复,提高护理质量与效果,增加患者的护理满意度。

     

  • 表  1  2组输尿管软镜碎石术患者围手术期指标比较(x±s)

    Table  1.   Comparison of perioperative indexes between two groups of patients undergoing flexible ureteroscopic lithotripsy(x±s)

    组别 例数 术后进食时间(h) 术后下床活动(h) 导尿管拔除(d) 术后静脉输液(d) 住院时间(d)
    对照组 25 10.20±0.82 10.84±0.75 2.40±0.65 5.04±1.06 8.00±1.15
    观察组 25 6.72±0.79 6.88±1.00 1.44±0.51 3.40±1.12 6.52±1.05
    t 15.281 15.840 5.810 5.318 4.752
    P <0.001 <0.001 <0.001 <0.001 <0.001
    下载: 导出CSV

    表  2  2组输尿管软镜碎石术患者术后并发症比较[例(%)]

    Table  2.   Comparison of postoperative complications between two groups of patients undergoing flexible ureteroscopic lithotripsy[cases (%)]

    组别 例数 输尿管损伤 感染 疼痛 血尿 总发生
    对照组 25 1(4.0) 2(8.0) 4(16.0) 3(12.0) 10(40.0)
    观察组 25 0 0 1(4.0) 2(8.0) 3(12.0)
    注:2组术后并发症总发生情况比较,χ2=5.094,P=0.024。
    下载: 导出CSV

    表  3  2组输尿管软镜碎石术患者护理满意度比较[例(%)]

    Table  3.   Comparison of nursing satisfaction between two groups of patients with flexible ureteroscope lithotripsy[cases (%)]

    组别 例数 非常满意 满意 不满意 满意度
    对照组 25 7(28.0) 10(40.0) 8(32.0) 17(68.0)
    观察组 25 20(80.0) 4(12.0) 1(8.0) 24(96.0)
    注:2组术后护理总满意度情况比较,χ2=4.878,P=0.027。
    下载: 导出CSV
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  • 收稿日期:  2022-02-15
  • 网络出版日期:  2022-09-26

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