The value of comfort nursing in ureteral calculi extracorporeal lithotripsy
舒适护理在输尿管结石体外碎石术护理中的价值

摘要

目的 探析在输尿管结石体外碎石病人术后护理中应用舒适护理的临床护理效果。方法 将2020年12月至2021年12月在我院接受输尿管结石体外碎石术的病患480例作为本次调查研究对象，并对所有病患进行分组，分组方法为随机数字表法，分别为实验组和参照组，每组病患各240例，两组病患分别接受常规护理和舒适护理，比较两组病患的术后结石排净时间、下床活动时间、住院时间等临床指标及手术前后失眠及焦虑水平、护理满意度、并发症发生情况。结果 实验组病患术后的结石排净时间、下床活动时间、住院时间与参照组相比明显更短，组间差异具有可比性（P＜0.05）；两组病患护理前的匹兹堡睡眠质量指数量表（PSQI）评分、焦虑自评量表（SAS）、抑郁自评量表（SDS）评分比较不具有统计学意义（P>0.05），实验组病患护理后的PSQI、SAS、SDS评分均明显低于参照组，数据对比结果说明存在临床对比价值（P＜0.05）；在并发症发生率方面，实验组病患交参照组存在明显优势，数据差异为P＜0.05，存在临床对比意义。结论 舒适护理模式运用在输尿管结石体外碎石术患者护理中能够有效提高病患的康复速度，并且能够改善病患的睡眠质量和焦虑、抑郁等负面情绪，安全可靠，值得在临床中进一步推广应用。

Abstract

Objective: To explore the clinical nursing effect of comfortable nursing in the postoperative nursing of patients with ureteral calculi in vitro lithotripsy.
Methods: In December 2020 to December 2021 in our hospital received extracorporeal lithotripsy of ureteral calculi patients 480 cases as the research object, and all patients were grouped, grouping method for the random number table method, the experimental group and control group, respectively, each 240 cases of patients in each group, two groups of patients to accept conventional nursing care and comfort, The two groups were compared in terms of postoperative calculi removal time, ambulation time, length of hospital stay, insomnia and anxiety levels, nursing satisfaction and complications before and after surgery.
Results: Compared with the reference group, the time of calculi removal, the time of getting out of bed and the length of hospital stay in the experimental group were significantly shorter, and the differences between the groups were comparable (P < 0.05). There was no statistical significance in PSQI score, SAS score and SDS score between the two groups before nursing (P>0.05). PSQI, SAS score and SDS score of the experimental group were significantly lower than that of the reference group after nursing. Data comparison results showed that there was clinical comparison value (P < 0.05); In terms of nursing satisfaction rate and complication rate, patients in the experimental group had obvious advantages in the reference group, and the data difference was P < 0.05, indicating clinical significance.
Conclusion  : comfortable nursing mode using in nursing patients with ureteral calculi extracorporeal lithotripsy can effectively improve the recovery of the patients, and to improve patients' sleep quality and anxiety, depression and other negative emotions, at the same time to improve the patient's nursing satisfaction plays an important role in promoting, safe and reliable, worthy of further popularization and application in clinical.