医护一体化专项管理在促进经皮肾镜取石术患者.PDF

临床与病理杂志 2017, 37(4) 808 J Clin Path ol R e s doi: 10.3978/j.issn.2095-6959.2017.04.027 View this article at: /10.3978/j.issn.2095-6959.2017.04.027 “医护一体化”专项管理在促进经皮肾镜取石术患者 术后早期下床活动中的应用 蒙有轩，李金蓉，蓝至相，廖君娟，杨纯 (广西壮族自治区人民医院泌尿外科，南宁 530021) [摘　要] 目的：探讨医护一体化模式促进经皮肾镜取石术 (percutaneous nephrostolithotomy ，PCNL) 患者术 后早期下床活动的应用效果。 方法：成立医护一体化专项管理小组，制定医护一体化术后活动管 理流程，分析PCNL术后患者卧床时间延长的原因并提出对策，医护人员共同参与培训学习，明确 责任，共同监督、协作、反馈、持续改进。对比分析实施医护一体化专项管理前后PCNL术后患者 首次下床时间、肛门排气时间、术后住院时间及满意度。 结果：患者术后首次下床时间、肛门排 气时间、术后住院时间均降低；患者满意度评分提高。 结论：医护一体化专项管理可以促进PCNL 术后患者早期下床活动，缩短术后住院时间，提升患者满意度。 [关键词] “医护一体化”专项管理；经皮肾镜取石术；早期下床活动 Application of “doctor-nurse integration” special management in the promotion of early exercise in patients underwent percutaneous nephrostolithotomy MENG Youxuan, LI Jinrong, LAN Zhixiang, LIAO Junjuan, YANG Chun (Department of Urology, People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China) Abstract Objective: To assess the efficacy of “doctor-nurse integration” special management in the promotion of early exercise in patients after underwent percutaneous nephrostolithotomy (PCNL). Methods: A “doctor- nurse integration” specific management team was established. The team formulated process for “doctor-nurse integration” exercise management after operation. The reasons for the increase of postoperative in-bed time in patients after PCNL were analyzed and the strategies were proposed in the management team. The su