Research on bundle nursing for postoperative position related complications in elderly patients with urological frailty
集束化护理对泌尿外科老年衰弱患者术后体位相关性并发症的研究

摘要

目的 探讨集束化护理对降低泌尿外科老年衰弱患者术后体位相关性并发症发生率及改善舒适度的效果。方法 选取2025年1月—2025年6月在我院全身麻醉下行择期手术治疗的60例泌尿外科老年衰弱手术患者。采用随机数字表法将患者随机分为参照组与观察组，每组各30例。参照组给予常规围手术期护理，观察组在围术期常规护理基础上实施集束化护理干预。比较两组患者的术后体位相关性并发症发生率及舒适度评分。结果 观察组的临床护理效果、体位相关性并发症及舒适度评分均优于参照组（P＜0.05）。结论 对泌尿外科老年衰弱手术患者实施集束化护理，能有效降低术后体位相关性并发症风险，并显著提升患者舒适度，具有积极的临床应用价值。

Abstract

Objective To explore the effect of bundle nursing on reducing the incidence of postoperative position related complications and improving comfort in elderly patients with urological frailty.
Methods Sixty elderly patients with urological frailty who underwent elective surgery under general anesthesia in our hospital from January 2025 to June 2025 were selected. The patients were randomly divided into a reference group and an observation group using a random number table method, with 30 cases in each group. The reference group received routine perioperative care, while the observation group received bundled nursing interventions based on routine perioperative care. Compare the incidence of postoperative position related complications and comfort scores between two groups of patients.
Results The clinical nursing effect, posture related complications, and comfort score of the observation group were better than those of the reference group (P<0.05).
Conclusion   Implementing bundled care for elderly patients undergoing urological surgery for frailty can effectively reduce the risk of postoperative position related complications and significantly improve patient comfort, with positive clinical application value.