CAJ | 학술논문

目的：观察综合护理干预在肾结石经皮肾镜超声负压碎石清石术中的应用效果。方法：选取行经皮肾镜超声负压碎石清石术肾结石患者328例，将其分为对照组与干预组各164例。其中对照组行基础护理措施，干预组行综合护理干预，比较两组患者术后并发症发生情况，并统计术后临床表现、生活质量及护理满意度评分。结果：术后以感染、出血、造瘘管移位发生率最高，但干预组并发症发生率明显低于对照组，差异具有统计学意义（P ＜0.05）；干预组生活质量、护理满意度明显高于对照组，拔管时间、住院时间明显少于对照组，差异具有统计学意义（P ＜0.05）。结论：经皮肾镜超声负压碎石术术后以感染、出血以及造瘘管移位最为常见，以此进行针对性护理干预可显著降低并发症发生率，提高患者术后生活质量，加快术后康复进程。
목적：관찰종합호리간예재신결석경피신경초성부압쇄석청석술중적응용효과。방법：선취행경피신경초성부압쇄석청석술신결석환자328례，장기분위대조조여간예조각164례。기중대조조행기출호리조시，간예조행종합호리간예，비교량조환자술후병발증발생정황，병통계술후림상표현、생활질량급호리만의도평분。결과：술후이감염、출혈、조루관이위발생솔최고，단간예조병발증발생솔명현저우대조조，차이구유통계학의의（P ＜0.05）；간예조생활질량、호리만의도명현고우대조조，발관시간、주원시간명현소우대조조，차이구유통계학의의（P ＜0.05）。결론：경피신경초성부압쇄석술술후이감염、출혈이급조루관이위최위상견，이차진행침대성호리간예가현저강저병발증발생솔，제고환자술후생활질량，가쾌술후강복진정。
Objective To analyse the application effect of comprehensive nursing on late nursing of kidney stone operation.Meth-ods Selected 328 cases negative stone surgery patients with kidney stones percutaneous nephroscope ultrasonic lithotripsy in our hospi-tal.They were randomly divided into control group and intervention group,the control group used basic nursing intervention,interven-tion group received comprehensive nursing interventions,compared two groups’postoperative complications,postoperative clinical manifestation,quality of life and nursing satisfaction scores.ResultsThe occurrence rate of Infection,bleeding,fistula to shift were highest postoperative complications,but satisfaction of quality of life ,nursing intervention in intervention group were significantly lower than the control group and statistically significant differences (P <0.05);the extubation time,hospitalization time were obviously less than control group and statistically significant differences (P <0.05).Conclusion infection,bleeding and fistula shift are most com-mon after operation of Percutaneous nephroscope ultrasonic lithotripsy,in order to carry out targeted nursing intervention can signifi-cantly reduce the incidence of complications,improve patients quality of life,and to speed up the process of postoperative rehabilita-tion.