复杂输尿管结石手术患者中的体位护理

Postural nursing in patients with complex ureteral calculus surgery

  • 摘要:
      目的  评价体位护理在复杂输尿管结石手术患者中的价值。
      方法  选取本院收治的90例复杂输尿管结石手术患者, 随机分为观察组对照组各45例,对照组采用常规护理,观察组在常规护理基础上联合体位护理。比较2组手术情况、术后效果、疼痛程度及护理满意度。
      结果  观察组患者手术时间、术中出血量、疼痛VAS评分低于对照组(P < 0.05); 观察组一次穿刺成功率93.33%高于对照组的75.56%(P < 0.05), 护理满意度97.78%高于对照组的82.22%(P < 0.05); 观察组碎石成功率100.00%, 对照组碎石成功率95.56%, 差异无统计学意义(P>0.05)。
      结论  复杂输尿管结石手术患者采取体位护理有利于术中碎石。

     

    Abstract:
      Objective  To evaluate the value of postural nursing in patients undergoing complex ureteral calculus surgery.
      Methods  A total of 90 patients with complicated ureteral calculi surgery, patients were randomly divided into control group (n=45) and observation group (n=45), given routine nursing, postural nursing based on routine nursing, respectively. Surgery condition, postoperative effect, the degree of pain and nursing satisfaction of two groups were compared.
      Results  The operative time, intraoperative blood loss and pain VAS score of patients in the observation group were lower than those in the control group(P < 0.05). The success rate of one-time puncture in the observation group was higher than that in the control group (93.33% vs. 75.56%, P < 0.05), and the nursing satisfaction was higher than that in the control group (97.78% vs. 82.22%, P < 0.05). The success rate of lithotripsy in the observation group was 100.00%, and 95.56% in the control group, no significant difference was observed(P>0.05).
      Conclusion  The postural nursing for complex ureteral calculi surgery patients is conducive for intraoperative lithotripsy.

     

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