论文部分内容阅读
目的观察输尿管结石患者行输尿管镜下气压弹道碎石(URSL)手术后采用综合护理干预对治疗效果的影响。方法 200例输尿管结石患者,按照护理方案区别分为干预组(90例)与对照组(110例)。干预组采用综合护理干预措施,对照组采用常规护理措施。比较两组患者症状自评量表(SCL-90)各因子评分以及排石率。结果术后1周后干预组躯体化、抑郁、焦虑、敌对、恐怖评分明显低于对照组,差异均具有统计学意义(P<0.05);干预组强迫、人际关系、偏执、精神病性评分低于对照组,但差异无统计学意义(P>0.05)。干预组排石率为95.56%,高于对照组的90.91%,但差异无统计学意义(P>0.05)。结论综合护理干预可以明显改善输尿管结石患者URSL术后产生的焦虑、抑郁等心理,利于患者术后的康复。
Objective To observe the effect of comprehensive nursing intervention on ureteral calculi after ureteroscopic pneumatic lithotripsy (URSL). Methods 200 patients with ureteral calculi were divided into intervention group (n = 90) and control group (n = 110) according to the nursing plan. Intervention group using comprehensive nursing interventions, the control group using routine nursing interventions. The scores of SCL-90 scores and the rate of stone discharge were compared between the two groups. Results One week after operation, the scores of somatization, depression, anxiety, hostility and horror in the intervention group were significantly lower than those in the control group (P <0.05). The scores of forced, interpersonal, paranoid and psychotic scores in intervention group were lower In the control group, but the difference was not statistically significant (P> 0.05). In the intervention group, the rate of stone removal was 95.56%, which was higher than that of the control group (90.91%), but the difference was not statistically significant (P> 0.05). Conclusion Comprehensive nursing intervention can significantly improve the psychology of anxiety and depression caused by URSL in patients with ureteral calculi, which is beneficial to postoperative rehabilitation.