|
|
Influence of perioperative evidence-based nursing on complications and pain degree of patients with kidney stones treated by ureteroscopic holmium laser lithotripsy#br# |
ZHAO Xueli YU Xiaoping LI Zhen CHENG Rui▲ |
Department of Urology, Xijing Hospital, Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China |
|
|
Abstract Objective To explore the influence of perioperative evidence-based nursing on complications and pain degree of patients with kidney stones treated by ureteroscopic holmium laser lithotripsy. Methods A total of 105 patients undergoing ureteroscopic holmium laser lithotripsy in Xijing Hospital, Air Force Military Medical University from December 2019 to December 2020 were selected and divided into control group 53 cases (routine perioperative intervention) and observation group 52 cases (evidence-based nursing intervention). The nursing indicators, visual analogue scale score (VAS), 36-item short form health survey (SF-36) score, and complication rate were compared between the two groups before intervention and one month after intervention. Results The recovery time of gastrointestinal function and hospitalization time in observation group were shorter than those in control group (P < 0.05). After one month of intervention, VAS score of both groups was lower than before intervention, SF-36 score was higher than before intervention, VAS score of observation group was lower than that of control group, SF-36 score was higher than that of control group (P < 0.05). The complication rate of observation group was lower than that of control group (P < 0.05). Conclusion The application of perioperative evidence-based nursing intervention can improve the therapeutic effect of ureteroscopic holmium laser lithotripsy, reduce the pain suffered by patients, improve the quality of life and reduce the complication rate.
|
|
|
|
|
[1] Assimos DG. Re:Incomplete Distal Renal Tubular Acidosis and Kidney Stones [J]. J Urology,2019,201(3):436-437.
[2] 邱瑾.肾结石发病机制的研究进展[J].国际泌尿系统杂志,2020,40(4):750-753.
[3] 张静华.经皮肾穿刺微通道输尿管镜下钬激光碎石术治疗肾结石[J].中华现代外科学杂志,2006,3(3):207-208.
[4] 石环.经输尿管软镜钬激光碎石取石术治疗肾结石的护理体会[J].中国医药指南,2019,17(5):288-289.
[5] 程雪,李丽,沈新玲.循证护理干预对腹腔镜手术患者应激反应及预后的影响[J].医学临床研究,2019,36(1):206-208.
[6] 谷现恩,范存斌.尿路结石防治指南[M].上海:上海科学普及出版社,2003.
[7] 吕晨,邹建玲,沈淑华,等.视觉模拟量表和语言评价量表用于术后疼痛评估的比较[J].全科医学临床与教育,2004,2(4):214-215.
[8] 张磊,徐德忠,黄久仪,等.SF-36量表中文版的应用及分级截断点选择的研究[J].中华流行病学杂志,2004,25(1):69-73.
[9] 宁勇.输尿管镜下钬激光碎石手术治疗输尿管结石的效果及对患者不良反应的影响[J].检验医学与临床,2020,17(2):251-253.
[10] 田雪妍.输尿管镜下输尿管结石钬激光碎石术的临床护理要点研究[J].中国药物与临床,2020,16(20):820-822.
[11] Geldenhuys MJ,Downing C. Evidence-Based Nursing Care for Spinal Nursing Immobilization:A Systematic Review [J]. J Emergency Nursing,2020,46(3):318-337.
[12] 李思,刘小玲,王银莲,等.应用循证护理解决手术过程中常见问题的实践[J].护理学杂志,2019,20(5):43-44.
[13] Nicola I,Emanuela N,Carmela L,et al. The Role of Biofilm in Central Venous Catheter Related Bloodstream Infections:Evidence-based Nursing and Review of the Literature [J]. R Clinical Trials,2020,15(1):22-27.
[14] 石艳辉,胡懿,匡雪春,等.循证护理在老年胃肠道肿瘤病人术后早期安全下床中的应用[J].实用老年医学,2020, 13(2):202-204.
[15] 张阿宁,郗凌云,刘红,等.循证护理对外科ICU患者中心静脉导管相关性并发症的影响[J].河北医药,2019, 41(2):288-291.
[16] 耿栋芸,徐莉,陈博.延续性护理干预对经皮肾镜碎石术后残留结石患者遵医行为及生活质量的影响[J].医学临床研究,2018,35(5):1032-1035.
[17] 许思怡,邓琴,蒙小琴,等.输尿管镜钬激光碎石术后患者医院感染的影响因素分析及护理干预对策[J].中华医院感染学杂志,2018,28(22):3462-3465.
[18] 王艳艳.腰麻联合硬膜外麻醉与气管插管全身麻醉在输尿管软镜肾结石钬激光碎石术中的应用效果[J].中国当代医药,2019,26(30):97-99.
[19] 金一.输尿管结石应用钬激光碎石术与体外冲击波碎石术的疗效比较[J].当代医学,2019,25(5):96-98.
[20] Ferraro PM,Curhan GC,D’Addessi A,et al. Risk of recurrence of idiopathic calcium kidney stones:analysis of data from the literature [J]. J Nephrology,2017,30(2):227-233.
[21] 王淑娟,张颖,张琳,等.输尿管镜下钬激光碎石术治疗孤立肾肾结石50例临床护理[J].齐鲁护理杂志,2019, 25(4):35-37.
[22] 林艳玲,祝妍华,肖丽华.输尿管镜联合钬激光治疗肾输尿管结石的临床护理[J].海南医学,2016,27(12):2060-2062.
[23] 向五星,陆斌,刘京平.输尿管软镜钬激光碎石术在肾结石治疗中的应用[J].中国医药科学,2019,9(13):209-211.
[24] 郭香玲.输尿管镜下钬激光碎石术治疗输尿管结石的围手术期护理配合分析[J].中国医药科学,2019,9(21):134-136.
[25] 周宏霞,刘建民.加速康复外科护理理念在经皮肾镜取石术患者中的临床护理应用效果分析[J].中华全科医学,2017,15(12):2145-2147.
[26] 卢红梅,李冉冉,邬亭亭,等.循证护理模式对慢性阻塞性肺疾病患者治疗效果[J].职业卫生与应急救援,2019, 37(2):130-134.
[27] 赵秋,潘建丹,吴旭桃.循证护理模式在突发心绞痛患者急救的效果分析[J].现代实用医学,2020,32(2):99-100.
[28] 贡国娟,王瑞瑛,彭建华,等.三时段多模式保温护理对肾输尿管结石手术患者核心温度的影响[J].实用临床医药杂志,2017,21(14):104-106.
[29] 汤秀利.微创经皮肾镜钬激光碎石术治疗肾结石的护理心得[J].检验医学与临床,2017,14(z2):242-244. |
|
|
|