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Open Access Article

International Journal of Nursing Research. 2022; 4: (4) ; 1-4 ; DOI: 10.12208/j.ijnr.20220139.

Effect of nursing intervention based on the concept of fast recovery surgery on postoperative rehabilitation and nursing satisfaction of patients with upper urinary tract calculi
快速康复外科理念的护理干预对上尿路结石患者术后康复及护理满意度的影响

作者: 李娟, 黄丹 *

华中科技大学同济医学院附属同济医院 湖北武汉

*通讯作者: 黄丹,单位:华中科技大学同济医学院附属同济医院 湖北武汉;

发布时间: 2022-08-25 总浏览量: 337

摘要

目的 分析上尿路结石手术患者接受快速康复外科(FST)理念护理干预的临床价值。方法 取我院收治的98例上尿路结石患者实施研究,研究时限:2019年4月至2021年4月。按照住院时间顺序将其分为甲乙两组,各49例。对比两组术后康复指标、护理满意度、并发症发生率。结果 乙组的术后首次肛门排气时间、首次排便时间、住院时间、术后导管留置时间、术后进半流质饮食时间明显短于甲组(P<0.05);乙组的并发症发生率3例(5.08%)低于甲组11例(18.64%)(P<0.05);乙组的护理满意度57例(96.61%)高于甲组50例(84.75%)(P<0.05)。结论 将FTS理念应用于上尿路结石手术患者中明显提高了术后康复效果,且促进了对护理人员及护理工作的认可。

关键词: 护理满意度;上尿路结石;快速康复外科理念;泌尿外科

Abstract

Objective To analyze the clinical value of fast recovery surgery (FST) concept nursing intervention in patients with upper urinary tract calculi surgery.
Methods A total of 98 patients with upper urinary tract calculi admitted to our hospital were selected for the study. The study period was from April 2019 to April 2021. According to the order of hospitalization time, they were divided into two groups, A and B, with 49 cases in each group. The postoperative rehabilitation indicators, nursing satisfaction, and complication rates were compared between the two groups.
Results The postoperative first anal exhaust time, first defecation time, hospital stay, postoperative catheter indwelling time, and postoperative semi-liquid diet time in group B were significantly shorter than those in group A (P<0.05); the incidence of complications in group B 3 cases (5.08%) were lower than 11 cases (18.64%) in group A (P<0.05); the nursing satisfaction of 57 cases (96.61%) in group B was higher than that in 50 cases (84.75%) in group A (P<0.05).
Conclusion   The application of the FTS concept to patients with upper urinary tract calculi surgery can significantly improve the postoperative rehabilitation effect, and promote the recognition of nursing staff and nursing work.

Key words: Nursing Satisfaction; Upper Urinary Tract Stones; Fast Recovery Surgery Concept; Urology

参考文献 References

[1] 潘锋. 慢性肾病矿物质及骨代谢紊乱是一种全身疾病——访华中科技大学同济医学院附属同济医院余学锋教授[J]. 中国当代医药, 2021, 28(23):3.

[2] 杨静. 快速康复外科护理对外科手术患者恢复效率及护理满意度的影响[J]. 湖南中医药大学学报, 2018, 38(A01):2.

[3] 陈花丽. 全面护理干预应用于上尿路结石患者围术期的效果[J]. 实用中西医结合临床, 2018, 18(1):2.

[4] 余红梅, 王红艳. 个体化护理干预对肾结石术后患者康复进程及护理满意度的影响[J]. 中医学报, 2020, 36 (S02):1.

[5] 许献霞, 陈振兰, 黄英凡,等. 快速康复外科护理对前列腺癌根治术后患者控尿功能及康复结局的影响[J]. 长春中医药大学学报, 2021, 37(4):4.

[6] Jin S . An invited commentary on "Reduction of last- minute cancellations in elective urology surgery: a quality improvement study" (Int J Surg 2019; 74:29-33)[J]. International Journal of Surgery (London, England), 2020, 75.

[7] 曹艳超, 尹桂梅, 郑新英,等. 基于快速康复外科理念的护理干预对肺癌患者疗效,疲乏及生活质量的影响[J]. 中国医药导报, 2020, 17(28):5.

[8] 高彦.快速康复外科护理在膀胱肿瘤电切术患者围手术期护理中的应用[J].护理实践与研究,2019,16(08):60-62.

[9] Micoogullari U , Kisa E , Yucel C , et al. The effect of the first wave of COVID‐19 pandemic on urology practice and anxiety scores of patients awaiting surgery[J]. International Journal of Clinical Practice, 2021, 52(6): 166-167.

[10] 李勇敬. 基于反馈式的音视频健康教育对上尿路结石术后患者疾病认知水平及相关健康行为的影响[J]. 医学临床研究, 2020, 37(8):3.

[11] Breau R H , Kumar R M , Lavallee L T , et al. The effect of surgery report cards on improving radical prostatectomy quality: the SuRep study protocol[J]. BMC Urology, 2018, 18(1):142-143.

[12] 俞燕, 王增龙, 王雪静. 格林模式健康教育对上尿路结石患者疾病认知水平及健康生活方式的影响[J]. 海军医学杂志, 2021, 42(5):3.

[13] 侯云侠, 白玲, 刘婵娟,等. 快速康复外科理念的护理干预对上尿路结石患者术后康复及护理工作满意度的影响研究[J]. 中国全科医学, 2018,21(S1):3.

[14] 王立馨, 高华, 封彬. 快速康复外科护理对胆囊癌患者的生活质量及护理满意度的影响[J]. 贵州医药, 2019, 43(12):2.

引用本文

李娟, 黄丹, 快速康复外科理念的护理干预对上尿路结石患者术后康复及护理满意度的影响[J]. 国际护理学研究, 2022; 4: (4) : 1-4.