舒适护理在经皮肾镜钬激光碎石术中的应用效果.docVIP

舒适护理在经皮肾镜钬激光碎石术中的应用效果 　　[摘要] 目的 探讨舒适护理应用于经皮肾镜钬激光碎石术中的临床效果。 方法 选取2015年1月～2016年1月我院112例行经皮肾镜钬激光碎石术的患者，随机分为研究组和对照组，各56例。对照组采用手术室常规护理，研究组在对照组的基础上采用舒适护理干预，使用焦虑自评量表（SAS）及抑郁自评量表（SDS）评价心理状态，使用SF-36量表评价生活质量，比较两组患者术中舒适度、心理状态及生活质量评分的差异。 结果 研究组患者术中舒适度为100.0%，高于对照组的83.9%（P0.05）；护理后研究组SAS、SDS评分分别为（44.23±4.92）、（46.21±4.74）分，低于对照组的（50.35±6.69）、（53.98±7.36）分，差异有统计学意义（P0.05）；研究组患者SF-36各维度评分明显优于对照组（P0.05）。 结论 舒适护理应用于经皮肾镜钬激光碎石术中效果确切，能有效降低患者术中的应激反应，提高舒适度，改善不良心理状态及生活质量。 　　[关键词] 舒适护理；经皮肾镜穿刺；钬激光碎石；应用效果 　　[中图分类号] R322.6+1 [文献标识码] A [文章编号] 1674-4721（2016）03（b）-0199-03 　　[Abstract] Objective To investigate effects of comfortable care on percutaneous nephroscope holmium laser lithotripsy. Methods 112 cases of patients with holmium laser lithotripsyin our hospital were randomly divided into research group and control group，each were 56 cases.The control group were treated with operating room routine care.The research group were treated with comfortable care.Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to evaluate psychological status.The SF-36 scale were used to evaluate the quality of life.The intraoperative comfort rate，psychological status and quality of life score of the two groups were compared. Results The intraoperative comfort rate of research group was 100.0%，which was higher than 83.9% of control group（P0.05）.After treatment，SAS and SDS of research group wererespectively （44.23±4.92） points and （46.21±4.74） points，which were lower than that of control group （50.35±6.69） points and （53.98±7.36） points，（P0.05）.SF-36 scores of research group were significantly better than that of control group （P0.05）. Conclusion Comfortable carehas significant effect for patients with holmium laser lithotripsy.It caneffectively reduceundergoing stress response，improve comfort and improve the poor quality of life and psychological state. 　　[Key words] Comfort care；Puncture percutaneous nephrolithotomy；Holmium laser lithotripsy；Application effect 　　泌尿系结石是泌尿外科的