输尿管结石术后携带双“J”管患者出院后实施延续护理的效果研究

杨淑敏　蒲永洁

【摘要】 目的：分析延续护理在输尿管结石术后携带双“J”管出院患者中应用的价值。方法：对笔者所在医院2017年5月-2018年5月收治的92例输尿管结石术后携带双“J”管出院的患者进行分组，分别为对照组（n=46，围手术期予以常规护理）和研究组（n=46，围手术期采取常规护理，出院后开展延续性护理），比较两组并发症、平均住院时间及评分指标。结果：研究组并发症发生率（6.52%）低于对照组（21.74%）;护理满意度评分、ADL评分均高于对照組，差异均有统计学意义（P<0.05）;两组平均住院时间比较，差异无统计学意义（P>0.05）。结论：对输尿管结石术后携带双“J”管出院患者开展延续性护理，可减少并发症，患者护理满意情况好，日常生活能力明显提升，值得在临床推广。

【关键词】 延续护理; 输尿管结石术; 双“J”管

doi：10.14033/j.cnki.cfmr.2019.19.031 文献标识码 B 文章编号 1674-6805（2019）19-00-03

Study on the Effect of Continuous Nursing in Discharged Patients with Double “J” Tubes after Ureteral Calculi Operation/YANG Shumin，PU Yongjie.//Chinese and Foreign Medical Research，2019，17（19）：-74

【Abstract】 Objective：To analyze the value of continuous nursing in discharged patients with double“J”tubes after ureteral calculi operation.

Method：From May 2017 to May 2018，92 patients with ureteral calculi who were discharged from hospital with double “J” tubes were divided into two groups，the control group（46 cases，routine nursing during perioperative period） and the research group（46 cases，routine nursing during perioperative period and continuing nursing after discharge）.Complications，average hospitalization time and scoring indexes were compared between the two groups.Result：The incidence of complications in the research group（6.52%） was lower than that of the control group（21.74%）.The scores of nursing satisfaction and ADL were higher than those of the control group，and the differences were statistically significant（P<0.05）.The average length of stay was compared between the two groups，and the difference was not statistically significant（P>0.05）.Conclusion：Continuous nursing is carried out for patients with double“J”tubes discharged from hospital after ureteral calculi surgery has fewer complications，good satisfaction and obvious improvement of daily living ability，which is worthy of promotion.

【Key words】 Continuous nursing; Ureteral calculi surgery; Double“J”tubes

First-authors address：First Affiliated Hospital of Xiamen University，Xiamen 361003，China

输尿管结石是临床泌尿科常见疾病，以中壮年为主要发病人群，诱发该疾病的原因主要包括两个方面，一方面是尿中晶体浓度过高，另一方面是尿液理化性质的改变[1]。输尿管结石患者临床多表现为腰部不适、血尿、疼痛等，以肾绞痛为典型表现。输尿管结石术为输尿管结石常用的治疗手段，虽然可以缓解患者的临床症状，但术后并发症较多，因此，需要加强患者的护理干预以提高患者预后效果。延续护理是从住院护理延伸至家庭、社区的一种新型护理模式，由于输尿管结石术后患者多携带“J”管出院，因此，需要予以更多的关注[2-3]。本次研究对92例输尿管结石术后携带双“J”管出院患者进行分组干预，探究延续护理的应用价值，对干预结果报道如下。

1 资料与方法

1.1 一般资料

本次研究对象为输尿管结石术后携带双“J”管出院的患者，共92例，纳入时间为2017年5月-2018年5月。纳入标准：（1）经过临床X线、CT检查确诊为输尿管结石，且符合输尿管结石术指征;（2）年龄≥32岁;（3）首次术后携带双“J”管出院。排除标准：（1）合并严重脏器功能障碍;（2）妊娠或哺乳期;（3）精神疾病史。对患者进行分组观察，对照组（n=46）男29例，女17例;年龄32～74岁，平均（49.8±3.3）岁;病程8～14 d，平均（11.1±1.6）d。研究组（n=46）男34例，女12例;年龄34～71岁，平均（50.1±3.1）岁;病程7～13 d，平均（10.8±1.4）d。两组一般资料比较，差异均无统计学意义（P>0.05）。研究经医学伦理会批准通过。