护理配合在软性输尿管肾镜钬激光治疗肾结石中效果分析.docVIP

护理配合在软性输尿管肾镜钬激光治疗肾结石中效果分析 　　[摘要] 目的 探讨护理配合在软性输尿管肾镜钬激光治疗肾结石中的效果。 方法 选取2013年4月～2015年1月间于我院采用手术方法治疗肾结石患者，共计135例。根据随机数字表法将其分为护理组和对照组，其中护理组78例，对照组57例，采用不同护理方法对比各自临床情况，医护人员对患者并发症发生情况以及护理满意度等情况进行统计，对比并说明手术后优质护理的临床效果。 结果 护理组中感染3例，压力调节不当1例，结石残留1例；对照组中感染15例，压力调节不当7例，结石残留6例；比较发现护理组并发症发生率显著低于对照组（χ2=20.75，P=0.000）；护理组中非常满意45例，满意30例，不满意3例，满意度96.2%；对照组中非常满意21例，满意29例，不满意27例，满意度64.9%；护理组满意度显著优于对照组（χ2=24.19，P=0.000）。 结论 手术优质护理能有效改善软性输尿管肾镜钬激光治疗肾结石的临床效果，提高患者满意度。 　　[关键词] 软性输尿管肾镜；钬激光；肾结石；手术护理配合 　　[中图分类号] R692.4 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0176-03 　　[Abstract] Objective To explore application of high quality nursing and its clinical effect after kidney stone treated by flexible ureteroscope and holmium laser. Methods From April 2013 to January 2015，135 patients with kidney stones by surgical treatment in our hospital were selected.According to a random number table，they were divided into nursing group （n=78）and control group （n=77）.The clinical conditions by different nursing methods were compared.The occurrence of patients′ complications and nursing satisfaction were recorded by medical staff in order to compared and explain the clinical effect by high quality nursing after surgery. Results In the nursing group， there was inflammation in 3 cases，inappropriate pressure control in 1 case，and residual calculi in 1 case.In the control group，the number of inflammation，inappropriate pressure control，and residual calculi was 15，7，and 6.After comparison，the occurrence of complications in the nursing group was greatly lower than that of control group （χ2=20.75，P=0.000）.In the nursing group，the number of extreme satisfaction，satisfaction，and dissatisfaction was 45，30，and 3 in turn，and the rate of satisfaction was 96.2%.In the control group，they were 21，29，and 27 respectively，and the rate of satisfaction was 64.9%.After comparison，the rate of satisfaction in the nursing group was superior than that of control group （χ2=24.19，P=0.000）. Conclusion Surgical high quality nursing can effe