Nursing care of nephrostomy tube after percutaneous nephrolithotomy (PCNL)
经皮肾镜碎石取石（PCNL）术后肾造瘘管的护理

摘要

目的 经皮肾镜碎石取石(PCNL)术后肾造瘘管的护理。方法 实验于2020年1月至2020年12月期间选择88例就诊于我院且接受经皮肾镜碎石取石治疗，术后留有肾造瘘管，在对病人实施针对症干预的同时配合护理干预，按照护理方案将其归纳为2个小组，每组均纳入44病人。按照护理举措将其命名为常规组与研究组。常规组所采用的护理方案为传统常规护理，研究组所采用的护理方案为针对性护理。总结与探究2种护理方案实施效果。结果 （1）常规组病人住院时间与研究组病人住院时间对照，前者较长、后者短，两组对照差异明显，（P<0.05）。（2）常规组拔除造瘘管时间长于研究组，两组对照差异明显，（P<0.05）。（3）常规组护理满意评分结果与研究组护理满意评分结果对照，前者较低后者高，两组对照差异明显，（P<0.05）。（4）研究组不良事件发生率为2.27%，常规组不良事件发生率明显高于研究组，两组对照差异明显，（P<0.05）。结论 经皮肾镜碎石取石(PCNL)术后肾造瘘管护理中，针对性护理干预方案实施效果优异，此方案值得临床应用与普及。

Abstract

Objective: To the nursing of nephrostomy after percutaneous nephrolithotomy (PCNL).
Methods: during the period from January 2020 to December 2020, 88 patients were selected for treatment in our hospital and received percutaneous nephrolithotomy. After operation, nephrostomy tube was left. The patients were treated with symptomatic intervention and nursing intervention. According to the nursing scheme, they were divided into two groups, with 44 patients in each group. They were named as routine group and study group according to nursing measures. The nursing scheme adopted by the routine group was traditional routine nursing, and the nursing scheme adopted by the study group was targeted nursing. Summarize and explore the implementation effect of two nursing schemes.
Results: (1) compared with the study group, the length of stay of patients in the routine group was longer and the latter was shorter. There was significant difference between the two groups (P < 0.05). (2) The removal time of fistula in the routine group was longer than that in the study group, and there was significant difference between the two groups (P < 0.05). (3) Compared with the results of nursing satisfaction score in the study group, the former was lower and the latter was higher. There was significant difference between the two groups (P < 0.05). (4) The incidence of adverse events in the study group was 2.27%. The incidence of adverse events in the routine group was significantly higher than that in the study group, and there was significant difference between the two groups (P < 0.05).
Conclusion  : in the nursing of nephrostomy after percutaneous nephrolithotomy (PCNL), the implementation effect of targeted nursing intervention program is excellent. This program is worthy of clinical application and popularization.