尿路结石微创手术护理危险因素与预防措施.docVIP

尿路结石微创手术护理危险因素与预防措施 　　[摘要] 尿路结石是临床上常见的疾病，这种疾病机制复杂，诱因也比较多，患者发病后临床上主要表现为：排尿困难、尿流变细、中断等，对于感染患者甚至出现尿频、尿急等，影响患者生活质量。目前，医学界对于这种疾病缺乏理想的治疗方法，常规方法主要微创手术治疗为主，但是患者在患者在手术治疗过程中风险因素较大，部分患者手术后容易产生不良反应或并发症等，影响患者治疗预后。该文将以尿路结石为起点，分析尿路结石微创手术的护理危险因素，并根据其危险因素提出针对性的解决措施，提高患者手术成功率及患者生活质量。 　　[关键词] 泌尿系统；结石；微创手术；危险因素 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）03（a）-0143-03 　　Nursing Risk Factors of Urinary Calculi Treated by Minimally Invasive Surgery and the Corresponding Preventive Measures 　　DUAN Guanglan1 LIU Jinfang2 　　1.Urologic Surgery Clinic， Jinan Central Hospital， Jinan， Shandong Province， 250013 China； 　　2.Audit Division， Jinan Central Hospital， Jinan， Shandong Province， 250013 China 　　[Abstract] Urinary calculi is a clinical common disease with complex mechanisms and many incentives. The main clinical manifestations of the disease are as follows： dysuria， thinning or intermittency of urinary stream and so on； those with infection even have urinary frequency， urgency and so forth， which affect the quality of life. At present， there is no ideal treatment method for the disease. And the conventional treatment method is mainly minimally invasive surgical treatment， however， the patient has many risk factors during the surgery， and some patients are prone to adverse reactions or complications， which in turn affect the treatment and prognosis. This paper analyzes the nursing risk factors of minimally invasive surgery for urinary calculi， and puts forward corresponding countermeasures so as to improve the success rate of surgery and the quality of life of the patients. 　　[Key words] Urinary system； Calculi； Minimally invasive surgery； Risk factors 　　泌尿系统结石患者近几年不断增加，年龄跨度大，微创手术成为患者的首选治疗方法，手术治疗过程中存在潜在的风险因素随之增加，如何预防成为减少医患关系的重要关键[1]。随着社会的发展、医疗技术的不断更新以及患者及家属的意识不断增加，微创手术治疗越来越成为泌尿系统结石患者首选治疗方法。微创手术治疗具有痛苦小、恢复快、住院时间短等优势。手术量增加，工作量增加护理风险也随之增加，护理风险体现在手术前、术中、术后等环节[2]。泌尿系统结石患者多数发病急、急诊住院，手术迫切、期望值高，若在就诊过程中沟通不及时就容易引起患者及家属的不满，导致医患纠纷的发生。为了降低尿路结石微创手术过程中的护理风险，提高患者治疗预后，该文将以尿路结石为起点，分析尿路结石微创手术的护