摘要
目的 分析肾结石手术患者术后康复阶段使用基于循证理论基础的疼痛护理模式的效果。方法 选取2024年1月~2025年1月内我院肾结石手术治疗患者64例,按照随机双色球法分为对照组(常规护理)和观察组(加用基于循证理论基础的疼痛护理)各32例,对比两组护理效果。结果 观察组患者术后康复指标均较对照组更优(体温正常时间、首次排气时间、下床活动时间、首次自行排尿时间、住院时间),差异均有统计学意义(P<0.05)。且干预12h、24h和48h后,观察组患者术后疼痛程度评分均低于对照组,差异有统计学意义(P<0.05)。结论 对肾结石手术患者术后恢复护理中应用基于循证理论基础的疼痛护理模式能够显著改善其术后疼痛,加快患者术后恢复。
关键词: 循证理论;疼痛护理;肾结石;术后康复护理
Abstract
Objective To analyze the effectiveness of pain management based on evidence-based theory in the postoperative rehabilitation stage of patients undergoing kidney stone surgery. Methods Sixty four patients with kidney stones who underwent surgical treatment in our hospital from January 2024 to January 2025 were randomly divided into a control group (conventional nursing) and an observation group (with evidence-based pain care) using the double color ball method, with 32 patients in each group. The nursing effects of the two groups were compared. Results The postoperative rehabilitation indicators of the observation group were better than those of the control group (normal body temperature time, first exhaust time, time to get out of bed, first self urination time, hospitalization time), and the differences were statistically significant (P<0.05). After intervention for 12 hours, 24 hours, and 48 hours, the postoperative pain scores of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). Conclusion The application of evidence-based pain management model in postoperative recovery nursing for patients undergoing kidney stone surgery can significantly improve their postoperative pain and accelerate their postoperative recovery.
Key words: Evidence based theory; Pain care; Renal calculus; Postoperative rehabilitation nursing
参考文献 References
[1] 梁涛. 基于循证理论的疼痛护理配合聚焦解决模式下护理对肾结石手术患者术后康复情况、疼痛程度的影响[J]. 医学食疗与健康,2023,21(28):106-109.
[2] 束小珍,杨绘,岑双,等. 健康促进模式结合预见性护理干预在肾结石患者围手术期中的应用[J]. 保健医学研究与实践,2024,21(3):100-105.
[3] 刘满香. 肾结石激光碎石术围手术期针对性护理对深静脉血栓形成的预防作用[J]. 基层医学论坛,2024, 28(35):117-120.
[4] 郁素梅. 肾结石手术护理中精细化护理模式的应用[J]. 医学信息,2024,37(z1):174-176.
[5] 李长凤,周小荣,彭杨洋,等. 针对性护理对肾结石钬激光碎石术围手术期患者满意度的影响[J]. 泌尿外科杂志(电子版),2024,16(1):73-77.
[6] 冯洲. 基于加速康复外科理念的护理在肾结石手术患者中的应用效果[J]. 中国民康医学,2024,36(20):170-172.
[7] 王丽,余萍. 循证支持下的预见性护理对肾结石手术治疗患者负性心理及并发症风险的影响[J]. 现代诊断与治疗,2024,35(4):628-629,632.
[8] 毛竹青,顾骧,吴丽芬. 循证护理在行肾结石微创手术患者中的应用效果[J]. 中西医结合护理(中英文),2023, 9(9):121-123.