泌尿系临床无意义残留结石预后和健康行为的集束化干预
| 作者: |
1李金蓉,
1蒙有轩,
1杨纯,
1韦春芳,
1廖君娟
1 广西壮族自治区人民医院泌尿外科，南宁 530021 |
| 通讯: |
李金蓉
Email: zhongguilan1985@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.10.021 |
| 基金: | 广西医药卫生自筹经费计划课题 (Z2016650)。 |
摘要
目的：探讨集束化干预策略对微创经皮肾镜取石术(minimal ly percutaneous nephrol ithotomy， MPCNL)后临床无意义残留结石(clinically insignif icant residual fragments，CIRF)患者预后和健康行为的干预作用。方法：将MPCNL术后确诊CIRF患者100例，随机分成对照组和干预组，各 50例。对照组采用常规护理方法，干预组采用集束化干预策略，比较两组的CIRF预后和健康行为。结果：干预组CIRF增长发生率、24 h尿酸值和肾绞痛发生率低于对照组，CIRF消失发生率、 24 h尿量、结石预防相关知识得分和健康促进生活方式得分均高于对照组(P<0.05)。结论：集束化干预策略能改善CIRF患者预后，促进CIRF患者的健康行为。
关键词：
集束化干预策略；临床无意义残留结石；预后；健康行为
Cluster intervention for the prognosis and health behaviors of patients with clinically insignificant residual fragments
CorrespondingAuthor: LI Jinrong Email: zhongguilan1985@163.com
DOI: 10.3978/j.issn.2095-6959.2019.10.021
Foundation: This work was supported by Guangxi Medical Self-raised Funds Plan Project, China (Z2016650).
Abstract
Objective: To explore the effect of cluster nursing on the prognosis and health behaviors among people with clinical insignificant residual fragments (CIRF). Methods: Totally 100 patients with CIRF after minimally percutaneous nephrolithotomy (MPCNL) were selected as research objects. The patients were randomly divided into two groups (50 cases each group). The control group received routine nursing care, while the observation group received cluster nursing care. Health-Promoting Lifestyle Profile (HPLP), mastery of knowledge about the prevention of calculi and compliance rate were compared between the two groups. Results: The incidence of the increase of CIRF and renal colic, and the 24-h uric acid value in the observation group were lower than those in the control group, while the incidence of the elimination of CIRF, 24-h urine volume, mastery of knowledge about the prevention of calculi and HPLP were higher in the observation group (P<0.05). Conclusion: The cluster intervention can improve the health behaviors and prognosis of patients with CIRF.
Keywords：
cluster intervention; clinical insignificant residual fragments; prognosis; health behaviors