经皮肾镜手术患者采用康复护理干预措施实施护理的效果研究.docVIP

精品论文 参考文献 经皮肾镜手术患者采用康复护理干预措施实施护理的效果研究 李 倩 　　（仪陇县人民医院新政院区 仪陇 637600） 　　【摘 要】目的：探讨经皮肾镜手术患者采用康复护理干预措施实施护理的效果。方法：选择2010年3月-2014年2月我院接诊的160例经皮肾镜手术取石患者进行研究。随机分为观察组和对照组。对照组80例患者，采取常规护理。观察组80例患者，在常规护理的基础上，给予有针对性的康复护理干预措施。比较两组患者的下床活动时间、拔尿管时间、拔肾造瘘管时间、住院时间以及术后并发症的发生情况等。结果：观察组的下床活动时间、拔尿管时间、拔肾造瘘管时间、住院时间均明显短于对照组，两组比较有统计学意义（Plt;0.0001）；观察组患者出现术后出血、管道脱落、尿路感染、尿漏以及尿潴留等并发症的人数明显少于对照组，观察组与对照组的总并发症发生率分别为为11.25%和48.75%，两组比较有统计学差异（chi;2=26.7857,Plt;0.0001）。结论：经皮肾镜手术患者采用康复护理干预措施实施护理的效果良好，预后良好，值得临床推广。 　　【关键词】经皮肾镜手术；康复护理干预；疗效 　　【中图分类号】R47 【文献标识码】B 【文章编号】1003-5028（2015）5-0094-02 　　The clinical efficacy of rehabilitation nursing for the patients with percutaneous nephrolithotomy surgery 　　【Abstract】Objective：To evaluate the clinical efficacy of rehabilitation nursing for the patients with percutaneous nephrolithotomy surgery.Methods：160 patients with percutaneous nephrolithotomy surgery from March 2010 to February 2014 in our hospital were researched.They were divided randomly into observation and control groups. Control group had 80 patients, they were treated with routine care. observation group had 80 patients, were given targeted rehabilitation nursing interventions based on routine care. Compared two groupsrsquo; ambulation time,stubbs catheter time, stubbs nephrostomy time and hospitalization time.Results：ambulation time,stubbs catheter time, stubbs nephrostomy time and hospitalization time in the observation group were significantly shorter than the control group, there was a significant difference (P lt;0.0001) ; The numbers of patients caused postoperative bleeding,pipeline off,urinary tract infections,urine leakage and urinary retention in the observation group were less than the control group; Occurrence of adverse reactions in the observation group and the control group were 11.25% and 48.75%, there was a significant differences (chi;2=26.7857,Plt;0.0001).Conclusion：The clinical efficacy of rehabilitation nursing for the patients with percutaneous nephrolithotomy surgery