Abstract:Objective To explore the effect of preventive nursing on postoperative recovery, surgical site infection, and satisfaction in patients with percutaneous nephrolithotomy (PCNL). Methods A total of 98 patients with PCNL admitted to the Department of Urology in Fuyang People’s Hospital of Anhui Province from January 2020 to January 2022 were selected, and they were divided into observation group and control group, with 49 cases in each group. Control group received routine nursing, observation group received preventive nursing. The postoperative recovery, surgical site infection rate, and nursing satisfaction rate were compared. Results The surgical site infection rate in observation group was lower than that in control group (P<0.05); operation time, hospital stay, and bed time of observation group were shorter than those of control group (P<0.05); nursing satisfaction of observation group was better than that of control group (P<0.05). Conclusion Preventive nursing intervention can effectively promote the postoperative recovery of patients with PCNL, reduce the surgical site infection, patient satisfaction is high, and has a high value.
张敏 王建伟 高艳辰. 预防性护理对PCNL患者术后恢复、手术部位感染及满意度的效果[J]. 中国医药导报, 2023, 20(10): 190-193.
ZHANG Min WANG Jianwei GAO Yanchen. Effect of preventive nursing on postoperative recovery, surgical site infection and satisfaction in patients with percutaneous nephrolithotomy. 中国医药导报, 2023, 20(10): 190-193.
[1] 周悦玲,丁峰.肾结石的危险因素与诊断评估研究进展[J].上海交通大学学报(医学版),2020,40(5):688-692.
[2] 刘昕,丁峰.糖尿病肾结石患者术后尿路感染危险因素分析[J].中华医院感染学杂志,2020,30(14):2188-2191.
[3] 林玮键,罗彦斌,龙永福,等.经皮肾镜取石术治疗复杂性肾结石术后感染性并发症的危险因素及其预测指标分析[J].国际泌尿系统杂志,2020,40(6):1027-1030.
[4] 徐建华,杨元强,李巍,等.肾结石输尿管软镜碎石术后尿路感染病原菌分布特点及危险因素分析[J].疑难病杂志,2020,19(12):1217-1220,1224.
[5] Nadeem B,Channa NA,Ghanghro AW. Rapid and relaible method for composition of concentric layers of kidney stones by forier transform infrared spectroscopy with ksls-13 [J]. Pak J Pharm Sci,2020,33(1):53-59.
[6] 中华医学会外科学分会胆道外科学组.肝胆管结石病诊断治疗指南[J].中华消化外科杂志,2007,6(2):156-161.
[7] 中华人民共和国卫生部.医院感染诊断标准(试行)[J].中华医学杂志,2001,81(5):314-320.
[8] 焦翠丽,张艳艳,陈晓,等.预防性护理预防老年脊柱骨折术后患者压疮和下肢深静脉血栓风险的价值[J].现代中西医结合杂志,2021,30(7):774-777.
[9] 张江容,罗旭,李梦芝,等.肾结石患者经皮肾镜取石术后泌尿系感染的病原学特点及影响因素分析[J].中华医院感染学杂志,2019,29(2):265-268.
[10] 林玉珠,曾繁畅.肾结石合并泌尿道感染的危险影响因素及病原学特征分析[J].国际泌尿系统杂志,2021,41(6):1029-1032.
[11] Robinson TE,Hughes E,Wiseman OJ,et al. Hexametaphosphate as a potential therapy for the dissolution and prevention of kidney stones [J]. J Mater Chem B,2020,8(24):5215- 5224.
[12] Reimer RP,Klein K,Rinneburger M,et al. Manual kidney stone size measurements in computed tomography are most accurate using multiplanar image reformatations and bone window settings [J]. Sci Rep,2021,11(1):16437.
[13] 李剑,曹景宏,陈欣.基于结石成分分析和尿液理化性质检测与饮食干预对预防泌尿系结石复发的探讨[J].中国预防医学杂志,2020,21(9):1063-1066.
[14] Atmoko W,Raharja PA,Birowo P,et al. Genetic polymorphisms as prognostic factors for recurrent kidney stones:A systematic review and meta-analysis [J]. PLoS One,2021, 16(5):251235.
[15] Habibnejad-Korayem M,Nabiei O,Gharibshah S,et al. Atomistic Assessment of Cystine Kidney Stone Behavior in a Mechanical Breakdown Process by Nanobiorobots through Classical Molecular Dynamics Simulations [J]. J Phys Chem B,2021,125(36):10344-10354.
[16] 李幼莲,周红芳.预见性护理在经皮肾镜碎石术治疗复杂肾结石患者中的应用效果[J].中国医药科学,2021, 11(9):129-132.
[17] 谭日钊.超微通道与微通道经皮肾镜治疗>2 cm的肾结石患者的效果及安全性分析[J].中国当代医药,2022, 29(16):15-24.
[18] 王元兰.层级干预模式在肾结石患者PCNL术后造瘘管护理中的应用[J].中国医药科学,2022,12(19):169-171.
[19] 高飞.循证护理在肾结石患者中的应用效果[J].中国当代医药,2022,29(11):187-189.
[20] 肖楠,周佳,段宁,等.尿干化学和尿流式检测结果快速预测肾结石患者尿路细菌感染模型的建立与评价[J].检验医学,2021,36(1):75-79.
[21] Forbes CM,Lundeen C,Beebe S,et al. Device profile of the LithoVue single-use digital flexible ureteroscope in the removal of kidney stones:overview of safety and efficacy [J]. Expert Rev Med Devices,2020,17(12):1257-1264.
[22] Shan Y,Takashima R,Yoshida K,et al. Differences of expected intervention effects between participant-led and facilitator-led preventive care services in Japan [J]. Hong Kong J Occup Ther,2021,34(2):83-93.
[23] Yu N,Basnayake C,Connell W,et al. Interventions to Improve Adherence to Preventive Care in Inflammatory Bowel Disease:A Systematic Review [J]. Inflamm Bowel Dis,2021,28(8):1177-1188.
[24] Calihan JB,Recto M,Wheeler N,et al. Using Reproductive Health as a Strategy to Engage Youth in Preventive Care [J]. J Adolesc Health,2021,69(3):523-526.
[25] 叶家乐.延续护理服务在肾结石患者术后护理中的应用效果分析[J].中国医药科学,2020,10(9):101-103.
[26] Caglayan V,Onen E,Avci S,et al. Percutaneous Nephrolithotomy via a Middle Calyx Access Is Effective in the Treatment of Lower Pole Kidney Stones:A Single-Center Study [J]. Urol Int,2020,104(9):741-745.
[27] Mokhtar KS,Rahman NA,Haron MS,et al. An exploration of disease awareness among tuberculosis patients:The empirical link between attitude and self-preventive care [J]. J Infect Dev Ctries,2020,14(4):349-359.
[28] Hardy RY,Liu GC,Kelleher K. Contribution of Social Determinant of Health Factors to Rural-Urban Preventive Care Differences Among Medicaid Enrollees [J]. Acad Pediatr,2020,21(1):93-100.