[1]蒋媛,许友,李亚伟△.典型无缝隙护理对输尿管软镜钬激光碎石术患者手术应激反应及护理满意度的影响[J].西部中医药,2020,33(08):160-162.[doi:10.12174/j.issn.1004-6852.2020.08.45]
　JIANG Yuan,XU You,LI Yawei.Effects of Typical Seamless Nursing on Operative Stress and Nursing Satisfaction Degree in Patients Undergoing Flexible Ureteroscopy and Holimium Laser Lithotripsy[J].Western Journal of Traditional Chinese Medicine,2020,33(08):160-162.[doi:10.12174/j.issn.1004-6852.2020.08.45]
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典型无缝隙护理对输尿管软镜钬激光碎石术患者手术应激反应及护理满意度的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年08期
页码:
160-162
栏目:
出版日期:
2020-08-15

文章信息/Info

Title:
Effects of Typical Seamless Nursing on Operative Stress and Nursing Satisfaction Degree in Patients Undergoing Flexible Ureteroscopy and Holimium Laser Lithotripsy
文章编号:
1004-6852(2020)08-0160-03
作者:
蒋媛，许友，李亚伟△
皖南医学院弋矶山医院，安徽 芜湖 241001
Author(s):
JIANG Yuan, XU You, LI Yawei△
Yijishan Hospital of Wannan Medical College, Wuhu 241001, China
关键词:
输尿管软镜钬激光碎石术; 典型无缝隙护理; 手术应激反应; 护理满意度
Keywords:
flexible ureteroscopy and holimium laser lithotripsy;  typical seamless nursing;  operative stress;  nursing satisfaction degree
分类号:
R473.6
DOI:
10.12174/j.issn.1004-6852.2020.08.45
文献标志码:
B
摘要:
目的：探讨典型无缝隙护理对输尿管软镜钬激光碎石术患者手术应激反应及护理满意度的影响。方法：将80例患者按就诊顺序分为两组，每组40例，对照组给予常规护理干预，观察组给予典型无缝隙护理干预，比较两组下床活动时间、住院时间、住院费用、应激反应［舒张压(diastolic blood pressure，DBP)、收缩压(systolic blood pressure，SBP)、心率(heart rate，HR)］、心理状态［汉密尔顿焦虑量表(hamilton anxiety scale，HAMA)、汉密尔顿抑郁量表(hamilton depression scale，HAMD)］、并发症发生率及患者满意度。结果：并发症发生率观察组为7.50%(3/40)，对照组为27.50%(11/40)，两组比较差异有统计学意义(P＜0.05)。护理满意率观察组为97.50%(39/40)，对照组为80.00%(32/40)，两组比较差异有统计学意义(P＜0.05)。下床活动时间、住院时间、住院费用两组比较差异有统计学意义(P＜0.05)。HR、SBP、DBP及HAMA、HAMD评分干预前后两组组内比较，差异有统计学意义(P＜0.05)；干预后两组组间比较差异有统计学意义(P＜0.05)。结论：典型无缝隙护理可降低输尿管软镜钬激光碎石术患者手术应激反应和并发症发生率，缓解不良情绪，提高护理满意度。
Abstract:
Objective: To explore the influence of typical seamless nursing on operative stress and nursing satisfaction degree in the patients undergoing flexible ureteroscopy and holimium laser lithotripsy. Methods: Eighty patients were separated into two groups according to visiting order, 40 cases each group, the control group accepted conventional nursing intervention, and the observation group typical seamless nursing intervention, to compare normal activity time, hospitalization time and expense, stress response [DBP, SBP and HR], psychological state (HAMA and HAMD), the incidence of the complications and the patients’ satisfaction degree between both groups. Results: The incidence of the complications of the observation group was 7.50% (3/40), lower than 27.50% (11/40) of the control group, and the difference showed statistical meaning between both groups (P＜0.05). Nursing satisfaction rate of the observation group was 97.50% (39/40), higher than 80.00% (32/40) of the control group, and the difference showed statistical meaning (P＜0.05). The difference was statistically significant in normal activity time, hospitalization time and expense between both groups (P＜0.05). There was a significant difference in HR, SBP, DBP, the scores of HAMA and HAMD before and after the intervention within two groups (P＜0.05); the difference was statistically significant between both groups after the intervention (P＜0.05). Conclusion: Typical seamless nursing could relieve operative stress and the incidence of the complications, alleviate negative emotions and raise nursing satisfaction degree in the patients undergoing flexible ureteroscopy and holimium laser lithotripsy.

备注/Memo

备注/Memo:
收稿日期：2020-02-23*基金项目：国家自然科学基金(81802503)。作者简介：蒋媛(1980—)，女，主管护师。研究方向：手术护理。△通讯作者：李亚伟(1983—)，男，博士学位，副教授。研究方向：泌尿系统疾病的微创治疗。
更新日期/Last Update: 2020-08-15