摘要
目的探讨护理干预在侧卧位经皮肾微造瘘输尿管镜治疗复杂性肾结石患者围手术期的疗效及对焦虑状态的改善作用。方法回顾性分析我科2011年1月~2013年1月收治的80例复杂性肾结石患者,随机分为观察组和对照组,均在侧卧位行经皮肾微造瘘输尿管镜取石术,观察组进行系统性护理,对照组采用常规护理干预,探讨其疗效及对焦虑状态的改善作用。结果观察组术后1天和2天VAS评分明显低于对照组,其差异有统计学意义（P〈0.05）;观察组术后SAS评分明显高于对照组,其差异有统计学意义（P〈0.05）;观察组住院时间,住院费用低于对照组,但差异无统计学意义（P〉0.05）;而出院满意度高于对照组,其差异有统计学意义（P〈0.05）。结论对复杂性肾结石行侧卧位经皮肾微造瘘输尿管镜取石术患者围手术期行系统性护理,可缓解患者焦虑状态,提高手术安全性,促进术后康复。
Objective To investigate the effect of nursing on patients with with ureteral calculi and anxiety in percutaneous nephrolithotomy. Methods A retrospectiveanalysis of 80 cases of complex renal calculi patients in our department from January 2011 to January 2013 were randomly divided into observation group and control group,both in the lateral recumbent position in percutaneous micronephrostomyureteroscopy,systematic nursing observation group,the control group with routine nursingintervention,and to explore its the curative effect and improve effects of anxiety. Results Observation of 1 day and 2 day score of VAS group were significantly lower than those in the control group,the difference was statistically significant（ P〈0. 05）; the patients in the observation group the SAS score was significantly higher than that in the control group,the difference was statistically significant（ P〈0. 05）;the observation group,the time of hospitalization,hospitalization cost lower than that of the control group,and discharged from hospital satisfaction is higher than that of control group,the difference was statistically significant（ P〈0. 05）. Conclusion The complex renal calculi for lateral position percutaneous micronephrostomy ureteroscopy patients in peri operation period for systematic nursing,can alleviate the anxiety state of patients,improve the operation safety,promote the postoperative recovery.
出处
《国际精神病学杂志》
2015年第3期105-108,共4页
Journal Of International Psychiatry
关键词
侧卧位
经皮肾微造瘘
复杂性肾结石
焦虑
The side decubitus
Mini percutaneous nephrolithotomy for complex renal calculi
Anxiety
