论著 Original Article

“医护一体化”专项管理在促进经皮肾镜取石术患者术后早期下床活动中的应用

Published at: 2017年第37卷第4期

蒙有轩 1 , 李金蓉 1 , 蓝至相 1 , 廖君娟 1 , 杨纯 1
1 广西壮族自治区人民医院泌尿外科,南宁 530021
通讯作者 有轩 蒙 Email: 343173353@qq.com
DOI: 10.3978/j.issn.2095-6959.2017.04.027
基金:

摘要

目的:探讨医护一体化模式促进经皮肾镜取石术(percutaneous nephrostolithotomy,PCNL)患者术后早期下床活动的应用效果。方法:成立医护一体化专项管理小组,制定医护一体化术后活动管理流程,分析PCNL术后患者卧床时间延长的原因并提出对策,医护人员共同参与培训学习,明确责任,共同监督、协作、反馈、持续改进。对比分析实施医护一体化专项管理前后PCNL术后患者首次下床时间、肛门排气时间、术后住院时间及满意度。结果:患者术后首次下床时间、肛门排气时间、术后住院时间均降低;患者满意度评分提高。结论:医护一体化专项管理可以促进PCNL术后患者早期下床活动,缩短术后住院时间,提升患者满意度。


Application of “doctor-nurse integration” special management in the promotion of early exercise in patients underwent percutaneous nephrostolithotomy

Abstract

Objective: To assess the efficacy of “doctor-nurse integration” special management in the promotion of early exercise in patients after underwent percutaneous nephrostolithotomy (PCNL). Methods: A “doctor-nurse integration” specific management team was established. The team formulated process for “doctor-nurse integration” exercise management after operation. The reasons for the increase of postoperative in-bed time in patients after PCNL were analyzed and the strategies were proposed in the management team. The surgeons and nurses were trained to clarify their own responsibility in the team by co-operation, co-supervision and feedback. The postoperative in-bed time, anal exhaust time, postoperative hospital stay and satisfactory degree were compared in patients after PCNL between the control group given conventional nursing and the observation group given “doctor-nurse integration” specific management. Results: The postoperative in-bed time, anal exhaust time and postoperative hospital stay of the observation group were significantly decreased and satisfactory degree was elevated compared to the control group. Conclusion: “Doctor-nurse integration” special management can promote postoperative early mobilization, reduce postoperative hospital stay and improve satisfactory degree in patients after PCNL.


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引用

引用本文: 有轩 蒙, 金蓉 李, 至相 蓝, 君娟 廖, 纯 杨. “医护一体化”专项管理在促进经皮肾镜取石术患者术后早期下床活动中的应用[J]. 临床与病理杂志, 2017, 37(4): 808-812.
Cite this article as: MENG Youxuan, LI Jinrong, LAN Zhixiang, LIAO Junjuan, YANG Chun . Application of “doctor-nurse integration” special management in the promotion of early exercise in patients underwent percutaneous nephrostolithotomy [J]. Journal of Clinical and Pathological Research, 2017, 37(4): 808-812.