40例输尿管结石钬激光碎石置支架患者院外自我护理能力的调查.docVIP

40例输尿管结石钬激光碎石置支架患者院外自我护理能力的调查 　　【摘要】 目的：调查分析输尿管结石钬激光碎石置支架患者院外自我护理能力。方法：选择2011年5月-2014年5月笔者所在医院收治的40例输尿管结石患者，40例患者均采用钬激光碎石并置支架治疗，对患者进行自我护理能力问卷调查，评价患者院外自我护理能力。结果：统计分析问卷调查显示，40例患者的自我护理能力平均总分为（85.53±13.47）分，其中对于钬激光碎石并置支架治疗的了解正确率为92.50%（37/40），在出院治疗后保持积极态度的占92.50%，患者院外的治疗依从性较好占45.00%（18/40）。患者的院外自我护理能力与患者的年龄（F=5.73，P0.05）、文化程度（F=5.99，P0.05）、职业（F=8.25，P0.05）及经济条件（F=8.47，P0.05）相关，也是影响患者治疗依从性的主要因素。结论：输尿管结石患者在经过钬激光碎石并置支架治疗后，对输尿管结石以及钬激光碎石并置支架治疗的知识有一定的了解，在出院后具备一定的自我护理能力，但患者的治疗依从性较低。因此，护理人员在患者出院前期以及复诊期间要加强对患者的健康教育。 　　【关键词】 输尿管结石； 钬激光碎石 　　中图分类号 R691.4 文献标识码 B 文章编号 1674-6805（2016）12-0099-02 　　Investigate of 40 Cases of Ureteral Calculi Outside Holmium Laser Lithotripsy Home Hospital Patient Support Self-care Ability/ZHOU Ai-qun，LI Xia-xiu.//Chinese and Foreign Medical Research，2016，14（12）：99-100 　　【Abstract】 Objective：To investigate and analyze the self-care ability after ureteral calculi holmium laser lithotripsy.Method：From May 2011 to May 2014，40 cases with ureteral calculi patients in our hospital were selected，40 cases were treated with holmium laser lithotripsy and set stenting，the self-care questionnaires was used for evaluation of self-care ability.Result：Statistical analysis of survey，self-care of average total score in 40 patients were （85.53±13.47）points， 　　including the holmium laser and set the correct understanding of stents was 92.50%（37/40），treatment after discharge to maintain a positive attitude accounted for 92.50% of patients outside the hospital，the better treatment compliance accounted for 45.00%（18/40）.Hospital patient’s self-care were correlated with the patient’s age（F=5.73，P0.05），educational level（F=5.99，P0.05），occupational（F=8.25，P0.05），and economic conditions（F=8.47，P0.05），they also were the main factors affecting the compliance of patients.Conclusion：Patients with ureteral stones after holmium laser treatment and stent placement of ureteral calculi have a certain understanding of knowledge，after discharge with a certain self-care，but patient