中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
24期
148-150
,共3页
体外冲击波碎石术%尿路结石%并发症%护理干预
體外遲擊波碎石術%尿路結石%併髮癥%護理榦預
체외충격파쇄석술%뇨로결석%병발증%호리간예
Extracorporeal shock wave lithotripsy%Urinary calculi%Complication%Nursing intervention
目的：探讨体外冲击波碎石术治疗尿路结石的并发症和护理干预效果，以供参考。方法将2012年6月—2013年5月在该院接受体外冲击波碎石术治疗尿路结石期间发生并发症的76例患者纳入该研究。分析术后并发症引起的情绪问题及相应的护理措施。对比护理干预前后患者情绪状态的变化。结果患者干预前SAS评分为（53.74±4.23）分，干预后下降至（45.13±3.57）分；患者干预前SDS评分为（55.78±4.68），干预后下降至（46.35±4.10）分。与护理干预前对比，我们发现护理干预后患者SAS评分、SDS评分均明显下降，差异经统计学分析后认为有意义，差异有统计学意义（P<0.05）。结论体外冲击波碎石治疗尿路结石可引起皮肤损伤、血尿、肾绞痛、发热、输尿管石街等并发症，导致不良的情绪状态，对发生上述并发症患者实施相应的护理干预可缓解焦虑、抑郁等不良情绪，对术后康复进程有益。
目的：探討體外遲擊波碎石術治療尿路結石的併髮癥和護理榦預效果，以供參攷。方法將2012年6月—2013年5月在該院接受體外遲擊波碎石術治療尿路結石期間髮生併髮癥的76例患者納入該研究。分析術後併髮癥引起的情緒問題及相應的護理措施。對比護理榦預前後患者情緒狀態的變化。結果患者榦預前SAS評分為（53.74±4.23）分，榦預後下降至（45.13±3.57）分；患者榦預前SDS評分為（55.78±4.68），榦預後下降至（46.35±4.10）分。與護理榦預前對比，我們髮現護理榦預後患者SAS評分、SDS評分均明顯下降，差異經統計學分析後認為有意義，差異有統計學意義（P<0.05）。結論體外遲擊波碎石治療尿路結石可引起皮膚損傷、血尿、腎絞痛、髮熱、輸尿管石街等併髮癥，導緻不良的情緒狀態，對髮生上述併髮癥患者實施相應的護理榦預可緩解焦慮、抑鬱等不良情緒，對術後康複進程有益。
목적：탐토체외충격파쇄석술치료뇨로결석적병발증화호리간예효과，이공삼고。방법장2012년6월—2013년5월재해원접수체외충격파쇄석술치료뇨로결석기간발생병발증적76례환자납입해연구。분석술후병발증인기적정서문제급상응적호리조시。대비호리간예전후환자정서상태적변화。결과환자간예전SAS평분위（53.74±4.23）분，간예후하강지（45.13±3.57）분；환자간예전SDS평분위（55.78±4.68），간예후하강지（46.35±4.10）분。여호리간예전대비，아문발현호리간예후환자SAS평분、SDS평분균명현하강，차이경통계학분석후인위유의의，차이유통계학의의（P<0.05）。결론체외충격파쇄석치료뇨로결석가인기피부손상、혈뇨、신교통、발열、수뇨관석가등병발증，도치불량적정서상태，대발생상술병발증환자실시상응적호리간예가완해초필、억욱등불량정서，대술후강복진정유익。
Objective To investigate the complications of extracorporeal shock wave lithotripsy in the treatment of urinary calculi and the effect of nursing intervention for reference. Methods 76 urinary calculi patients suffered from complications during the treatment of extracorporeal shock wave lithotripsy from June 2012 to May 2013 in our hospital were included in this study. The e-motional problems caused by the postoperative complications and the corresponding nursing measures were analyzed. The emotion-al state of the patients before and after the nursing intervention was compared. Results Before the intervention, the SAS score was (53.74 ± 4.23) points, which decreased to (45.13 ± 3.57) points after the intervention;the SDS score of the patients was (55.78±4.68) points before the intervention, which decreased to (46.35 ± 4.10) points after the intervention. After the nursing intervention, it was found that the SAS score and SDS score of the patients significantly decreased compared with those before the nursing interven-tion, the differences were considered significant after statistical analysis (P<0.05). Conclusion Extracorporeal shock wave lithotripsy in the treatment of urinary calculi can cause skin damage, hematuria, renal colic, fever, ureteral steinstrasse and other complica-tions, which can lead to bad mood. Corresponding nursing intervention given to the patients with the above complications can ease anxiety, depression and other negative emotions of the patients, which is conducive to the postoperative process of rehabilitation.
