文章摘要

层级护理干预用于肾结石患者取石术后造瘘管护理中的效果

作者: 1徐会美, 1孙琼
1 连云港市第二人民医院泌尿外科,江苏 连云港 222023
通讯: 孙琼 Email: 125615554@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.09.042

摘要

目的:研究层级护理干预用于肾结石患者取石术后造瘘管护理中的效果。方法:选取2018年1月至2019年10月120例肾结石行取石术患者,随机分为观察组与对照组,各60例。对照组术后对造瘘管实施常规护理,观察组术后对造瘘管实施层级护理干预,对比两组护理效果。结果:在手术相关指标方面对比,观察组尿液转清时间、置管时间及住院时间分别为(44.32±1.17) h,(4.08±0.95) d,(9.42±1.76) d,对照组分别为(51.67±2.36) h,(6.24±1.41) d,(12.17±2.44) d,观察组均短于对照组,差异有统计学意义(t=3.473,5.692,7.533,均P<0.05);在瘘管移位、瘘管堵塞或不畅、非计划拔管等不良事件发生率方面,观察组分别为5.00%,1.67%,1.67%,均低于对照组的18.33%,13.33%,8.33%,差异有统计学意义(χ2=6.752,6.128,3.647,均P<0.05)。结论:对行肾结石取石术患者术后造瘘管护理中,层级护理干预措施的应用可加强对造瘘管的保护,减少不良事件的发生,有利于患者术后尽早康复,值得推广应用。
关键词: 肾结石;取石术;造瘘管护理;层级护理干预;不良事件

Effect of multi-level nursing intervention in nursing of ostomy tube after stone removal in patients with kidney stones

Authors: 1XU Huimei, 1SUN Qiong
1 Department of Urology, Lianyungang Second People’s Hospital, Lianyungang Jiangsu 222023, China

CorrespondingAuthor: SUN Qiong Email: 125615554@qq.com

Abstract

Objective: To study the effect of hierarchical nursing intervention on ostomy tube care after stone removal in patients with kidney stones. Methods: From January 2018 to October 2019, 120 patients with nephrolithiasis who underwent lithotripsy were randomly divided into observation group and control group, with 60 cases in each group. The control group received routine nursing care of the ostomy tube after operation, and the observation group performed hierarchical nursing intervention on the ostomy tube after operation, and compared the nursing effects of the two groups. Results: In terms of surgery-related indicators, the urine clearing time, catheterization time, and hospital stay were (44.32±1.17) h, (4.08±0.95) d, and (9.42±1.76) d in the observation group; and (51.67±2.36) h, (6.24±1.41) d, (12.17±2.44) d in the observation group, respectively, the observation group was shorter than the control group, the difference was statistically significant (t=3.473, 5.692, 7.533, P<0.05); in the fistula In terms of the incidence of adverse events such as displacement, fistula blockage or obstruction, and unplanned extubation, the observation group was 5.00%, 1.67%, and 1.67%, which were all lower than the control group’s 18.33%, 13.33%, and 8.33%, with differences. Statistical significance (χ2=6.752, 6.128, 3.647, P<0.05). Conclusion: The use of hierarchical nursing interventions in postoperative ostomy tube care for patients undergoing kidney stone lithotripsy can strengthen the protection of the ostomy tube, reduce the occurrence of adverse events, and is conducive to the early recovery of patients after surgery. It is worth promoting and applying.
Keywords: kidney stones; lithotripsy; fistula care; hierarchical nursing intervention; adverse events