摘要
目的探讨健康指导干预对经皮肾镜取石术康复效果及术后并发症的影响。方法选择收治并行经皮肾镜取石术的肾结石患者200例,随机分为两组,对照组100例实施常规护理。实验组100例在对照组护理的基础上进行全程系统的健康教育指导干预。观察两组患者的下床活动时间、拔尿管时间、拔肾造瘘管时间、住院时间,术后并发症发生情况,患者对护理满意度、健康教育知识知晓情况等。结果实验组的下床活动时间、拔尿管时间、拔肾造瘘管时间以及住院时间均显著短于对照组(P<0.01);术后出血、感染、尿潴留、双J管移位及肾造瘘管脱落的发生率均显著低于对照组(P<0.05或0.01);实验组患者对护理满意度、健康知识知晓率显著高于对照组(P<0.01)。结论针对患者进行术前、术后有效的健康教育指导干预能明显地提高手术及康复效果,是降低术后并发症发生率,提高患者对护理工作的满意度、对健康教育知晓率,促进患者术后早日康复,保证患者医疗护理安全的有效措施。
Objective To investigate the influence of health instruction on the rehabilitation effect of percutane- ous nephrolithotomy and its postoperative complications. Methods 200 cases with kidney stones,who underwent per- cutaneous nephrolithotomy in our hospital, were randomly divided into the observation group and the control group with 100 cases in each group. The control group was given the routine nursing,based on which the observation group was given health instruction and care intervention during the whole nursing process. The time of being able to get up to take activities,the time of pulling out the catheter, the time of pulling out renal fistula,hospital stays,complica-tions, the degree of satisfaction about nursing and understanding of health education knowledge were all observed for the patients. Results The time of being able to get up to take activities, pulling out the catheter, pulling out renal fistula, hospital stays in the observation group were significantly shorter than those in the control group（ P 〈 0.01）. In addition,the occurring rates of postoperative bleeding, urinary tract infection, urinary retention, double J tube shift,and dropping of renal fistula of the observation group were also lower than those of the control group（ P〈0.05 or P 〈0.01）. Besides, the observation group had higher degree of satisfaction towards nursing as well as higher health education awareness rate compared to the control group＇ s（ P 〈0.05）. Conclusion Effective health in- struction and care intervention before and after the operation can significantly improve the effect of surgery and reha- bilitation. It is an effective measure to reduce the incidence of postoperative complications,improve patients＇ degree of satisfaction towards nursing and their health education awareness. It can also promote postoperative recovery and ensure the safety of medical treatment and nursing on patients.
出处
《右江医学》
2013年第2期196-199,共4页
Chinese Youjiang Medical Journal
关键词
健康指导干预
经皮肾镜取石术
康复
并发症
health instruction and care intervention, percutaneous nephrolithotomy rehabilitation
complica-tion
