泌尿系结石体外冲击波碎石的护理体会.docVIP

精品论文 参考文献 泌尿系结石体外冲击波碎石的护理体会 常德市第一人民医院泌尿外科一区 湖南常德 415000 【摘 要】目的：分析泌尿系结石体外冲击波碎石的护理效果。方法：选取105例泌尿系结石患者作为研究对象，均采取体外冲击波碎石治疗；根据是否采取综合性护理进行分组；对照组44例，采取常规护理；观察组62例，在对照组的基础上，采取综合性护理，包括心理护理和健康宣教、术前肠道和膀胱准备、排石体位指导、饮食指导、并发症处理；对比两组患者的48h结石清除率、1个月结石清除率、并发症发生率、再次治疗率和护理满意度。结果：观察组48h结石清除率、1个月结石清除率、并发症发生率、再次治疗率均显著大于对照组，经chi;2检验，差异具有统计学意义（P＜0.05）；观察组护理满意度为91.94%，大于对照组的75.00%，经chi;2检验，差异具有统计学意义（P＜0.05）。结论：综合性护理可协同提高体外冲击波碎石治疗泌尿系结石的效果，促进结石排出，减少并发症发生，对于提高护理质量具有积极作用。 【关键词】泌尿系结石；体外冲击波碎石；综合性护理 Nursing Experience of Extracorporeal Shock Wave Lithotripsy of Urinary Calculi Zhaozhuan Department of Urology，Changde First People s Hospital，HunanChangde，415000 [Abstract] Objective：To analyze the nursing effect of extracorporeal shock wave lithotripsy of urinary calculi. Methods：Choose 105 cases of urinary calculi patients as the research object，were treated with extracorporeal shock wave lithotripsy；According to whether the comprehensive nursing group；The control group of 44 cases，adopt conventional nursing；Observation group of 62 cases in the control group，on the basis of comprehensive nursing，including psychological nursing and health education，preparation，preoperative bowel and bladder stone position guidance，diet guidance，complications，treatment；48 h compared two groups of patients with stones clearance，a month calculi clearance rate，complications，treatment and nursing satisfaction again. Results：the observation group 48 h stones clearance，a month calculi clearance rate，complications，treatment rates again were significantly greater than the control group，by chi-square test，the difference statistically significant（Plt;0.05）；Observation group nursing satisfaction was 91.94%，more than 75.00% in the control group，by chi-square test，the difference statistically significant（Plt;0.05）. Conclusion：Comprehensive nursing can improve the effect of extracorporeal shock wave lithotripsy in treating urinary calculi，promote the discharge of stones，reduce the incidence of complications，and play a positive