中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
29期
3511-3513
,共3页
林萍%卞淑芬%王丽娟%卢延军
林萍%卞淑芬%王麗娟%盧延軍
림평%변숙분%왕려연%로연군
肾穿刺活检术%临床护理路径%舒适度%并发症
腎穿刺活檢術%臨床護理路徑%舒適度%併髮癥
신천자활검술%림상호리로경%서괄도%병발증
Renal biopsy%Clinical nursing pathway%Comfort degree%Complications
目的 探讨临床护理路径在成人肾穿刺活检术中的应用价值.方法 将2009年7-11月需做肾穿刺活检术的120例成人患者设为观察组,2009年2-6月108例行肾穿刺活检术的成人患者设为对照组,观察组采用临床护理路径模式,对照组采用传统护理模式.对两组患者术后舒适度、并发症发生率、住院天数、住院费用的情况进行比较.结果 观察组患者出现腰背痛(17例)、肢体麻木(20例)、烦躁(12例)、失眠(15例)的例数均少于对照组(39,41,35,47例),两组比较差异有统计学意义(x2值分别为14.77,13.16;17.44,27.62;P＜0.05)；观察组急性尿潴留的发生率、住院天数和住院费用明显低于对照组[18％比29％,(7.12±0.76)d比(9.56±0.53)d,(5478.35±413.62)元比(7 544.45±481.50)]元,两组比较,差异有统计学意义(x2=4.87,t分别为-31.12,-30.64;P＜0.05).两组患者在肉眼血尿、肾周血肿、穿刺伤口痛、感染、动静脉瘘等并发症方面比较,差异无统计学意义(x2值分别为0.92,0.45,2.98,0.26,0.39;P＞0.05).结论 在肾穿刺活检术中实施临床护理路径可增加患者的舒适度,减少术后并发症的发生,缩短住院时间,降低住院费用.
目的 探討臨床護理路徑在成人腎穿刺活檢術中的應用價值.方法 將2009年7-11月需做腎穿刺活檢術的120例成人患者設為觀察組,2009年2-6月108例行腎穿刺活檢術的成人患者設為對照組,觀察組採用臨床護理路徑模式,對照組採用傳統護理模式.對兩組患者術後舒適度、併髮癥髮生率、住院天數、住院費用的情況進行比較.結果 觀察組患者齣現腰揹痛(17例)、肢體痳木(20例)、煩躁(12例)、失眠(15例)的例數均少于對照組(39,41,35,47例),兩組比較差異有統計學意義(x2值分彆為14.77,13.16;17.44,27.62;P＜0.05)；觀察組急性尿潴留的髮生率、住院天數和住院費用明顯低于對照組[18％比29％,(7.12±0.76)d比(9.56±0.53)d,(5478.35±413.62)元比(7 544.45±481.50)]元,兩組比較,差異有統計學意義(x2=4.87,t分彆為-31.12,-30.64;P＜0.05).兩組患者在肉眼血尿、腎週血腫、穿刺傷口痛、感染、動靜脈瘺等併髮癥方麵比較,差異無統計學意義(x2值分彆為0.92,0.45,2.98,0.26,0.39;P＞0.05).結論 在腎穿刺活檢術中實施臨床護理路徑可增加患者的舒適度,減少術後併髮癥的髮生,縮短住院時間,降低住院費用.
목적 탐토림상호리로경재성인신천자활검술중적응용개치.방법 장2009년7-11월수주신천자활검술적120례성인환자설위관찰조,2009년2-6월108례행신천자활검술적성인환자설위대조조,관찰조채용림상호리로경모식,대조조채용전통호리모식.대량조환자술후서괄도、병발증발생솔、주원천수、주원비용적정황진행비교.결과 관찰조환자출현요배통(17례)、지체마목(20례)、번조(12례)、실면(15례)적례수균소우대조조(39,41,35,47례),량조비교차이유통계학의의(x2치분별위14.77,13.16;17.44,27.62;P＜0.05)；관찰조급성뇨저류적발생솔、주원천수화주원비용명현저우대조조[18％비29％,(7.12±0.76)d비(9.56±0.53)d,(5478.35±413.62)원비(7 544.45±481.50)]원,량조비교,차이유통계학의의(x2=4.87,t분별위-31.12,-30.64;P＜0.05).량조환자재육안혈뇨、신주혈종、천자상구통、감염、동정맥루등병발증방면비교,차이무통계학의의(x2치분별위0.92,0.45,2.98,0.26,0.39;P＞0.05).결론 재신천자활검술중실시림상호리로경가증가환자적서괄도,감소술후병발증적발생,축단주원시간,강저주원비용.
Objective To explore the application of clinical nursing pathway in adult renal biopsy.Methods 120 adult patients who received renal biopsy from July to November in 2009 were chosen as the observational group,while 108 adult patients from February to June in 2009 were chosen as the control group.The patients in observational group adopted the clinical nursing pathway while the patients in control group received the conventional nursing pattern.Patients' comfort degree after the surgery,the incidence rate of complications,hospitalization length and cost were compared between two groups.Results In the observational group,17 patients had pain in lower back,20 had numbness in the limb,12 had irritability and 15 had insomnia,fewer than those in the control group (39,41,35,47,respectively),and the differences were statistically significant ( x2=14.77,13.16; 17.44,27.62,respectively;P＜0.005).The rate of acute urinary retention,hospitalization length and cost for patients in the experiment group [18,(7.12±0.76)d,(5478.35±413.62) yuan]were all lower than those in the control group [29,(9.56±0.53) d,(5478.35±413.62)yuan],and the differences were statistically significant ( x2=4.87,t=-31.12,-30.64,respectively; P＜0.05).But there was no significant difference between two groups in complications such as gross hematuria,perinephric hematoma,puncture wound pain,infenction and fistula.Conclusions The application of clinical nursing pathway in renal biopsy is able to increase patients' comfort degree,and reduce complications,hospitalization length and cost.
