Application of predictive nursing based on the integration of medical and nursing in cooperative nursing of retrograde intrarenal surgery
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摘要:
目的 在输尿管软镜碎石术患者围术期护理中采用基于医护一体化的预见性护理模式，研究分析其临床应用效果。 方法 选择2021年1—12月在蚌埠市第三人民医院泌尿外科接受输尿管软镜碎石术的50例患者的手术资料，根据围术期采用的护理模式，分为观察组(医护一体化预见性护理模式，25例)和对照组(常规护理模式，25例)。采用SPSS 20.0统计学软件对本研究数据进行统计学分析, 比较2组患者术后首次进食时间、首次下床活动时间、导尿管拔除时间、住院时间、术后并发症发生率及护理满意度。 结果 观察组术后进食时间[(6.72±0.79) h vs. (10.20±0.82) h]、术后下床时间[(6.88±1.00) h vs. (10.84±0.75) h]、术后导尿管拔除时间[(1.44±0.51) d vs. (2.40±0.65) d]、术后静脉输液时间[(3.40±1.12) d vs. (5.04±1.06) d]、住院时间[(6.52±1.05) d vs. (8.00±1.15) d]、术后并发症发生率均低于对照组，差异有统计学意义(均P＜0.05)。观察组患者的护理满意度高于对照组(χ2=4.878，P=0.027)。 结论 输尿管软镜碎石术围术期应用医护一体化的预见性护理模式，可以促进患者术后康复，提高护理质量与效果，增加患者的护理满意度。 Abstract:Objective In the cooperative nursing of patients with retrograde intrarenal surgery, the predictive nursing model based on the integration of medical and nursing was adopted to study and analyse its clinical application effect. Methods The surgical data of 50 patients who received retrograde intrarenal surgery in the Department of Urology of the Third People's Hospital of Bengbu City from January 2021 to December 2021 were selected and randomly divided into observation group (integration of medical and nursing) in accordance with the nursing model adopted in the perioperative period (nursing model, 25 cases) and control group (conventional nursing model, 25 cases). SPSS 20.0 statistical software was used for statistical analysis of the data of this study. Postoperative first eating time, first ambulation time, catheter removal time, hospitalisation time, postoperative complication rate and nursing satisfaction were compared between the two groups. Results In the observation group, postoperative eating time [(6.72±0.79) h vs. (10.20±0.82) h], postoperative ambulation time [(6.88±1.00) h vs. (10.84±0.75) h], postoperative urinary catheter extraction time [(1.44±0.51) d vs. (2.40±0.65) d], postoperative intravenous infusion time [(3.40±1.12) d vs. (5.04±1.06) d], hospital stay [(6.52±1.05) d vs. (8.00±1.15) d] and the incidence of postoperative complications were lower than those in the control group, and the difference was statistically significant (all P < 0.05). The nursing satisfaction of the patients in the observation group was higher than that of the patients in the control group (χ2=4.878, P=0.027). Conclusion In the perioperative period of retrograde intrarenal surgery, the application of the predictive nursing model of integrated medical and nursing could promote the postoperative recovery of patients, reduce the occurrence of postoperative complications as much as possible, improve the quality of nursing and nursing effect and increase patient satisfaction with care. -
表 1 2组输尿管软镜碎石术患者围手术期指标比较(x±s)
Table 1. Comparison of perioperative indexes between two groups of patients undergoing flexible ureteroscopic lithotripsy(x±s)
组别 例数 术后进食时间(h) 术后下床活动(h) 导尿管拔除(d) 术后静脉输液(d) 住院时间(d) 对照组 25 10.20±0.82 10.84±0.75 2.40±0.65 5.04±1.06 8.00±1.15 观察组 25 6.72±0.79 6.88±1.00 1.44±0.51 3.40±1.12 6.52±1.05 t值 15.281 15.840 5.810 5.318 4.752 P值 ＜0.001 ＜0.001 ＜0.001 ＜0.001 ＜0.001 
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表 2 2组输尿管软镜碎石术患者术后并发症比较[例(%)]
Table 2. Comparison of postoperative complications between two groups of patients undergoing flexible ureteroscopic lithotripsy[cases (%)]
组别 例数 输尿管损伤 感染 疼痛 血尿 总发生 对照组 25 1(4.0) 2(8.0) 4(16.0) 3(12.0) 10(40.0) 观察组 25 0 0 1(4.0) 2(8.0) 3(12.0) 注：2组术后并发症总发生情况比较，χ2=5.094，P=0.024。
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表 3 2组输尿管软镜碎石术患者护理满意度比较[例(%)]
Table 3. Comparison of nursing satisfaction between two groups of patients with flexible ureteroscope lithotripsy[cases (%)]
组别 例数 非常满意 满意 不满意 满意度 对照组 25 7(28.0) 10(40.0) 8(32.0) 17(68.0) 观察组 25 20(80.0) 4(12.0) 1(8.0) 24(96.0) 注：2组术后护理总满意度情况比较，χ2=4.878，P=0.027。
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