经尿道输尿管镜钬激光碎石的围术期护理对策及效果研究

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1、经尿道输尿管镜钬激光碎石的围术期护理对策及效果研究[摘要]目的研究经尿道输尿管镜的钬激光碎石围手术期护理对策和效果。方法分析方便选取的该院于2016年12月—2018年1月选择经尿道输尿管镜的钬激光碎石手术治疗212例患者资料，按照不同护理方案分成两组，将行常规护理106例患者作为对照组，将行围手术期护理106例患者作为观察组，比较两组心理状态、护理满意度和并发症。结果觀察组抑郁、焦虑心理评分（35.20±1.06）分、（33.50±2.15）分均比对照组（50.23±2.10）分、（51.35±2.26）分低（t=65.7821、58.9159

2、），且护理满意度98.11%比对照组82.08%高（χ2=15.2750，P<0.05）；观察组总并发症率2.83%比对照组17.92%低（χ2=12.9837，P<0.05）。结论经尿道输尿管镜的钬激光碎石围手术期护理效果佳，可改善患者不良心理，提高满意度和减少并发症的发生，具较高推广价值。[关键词]钬激光碎石；输尿管镜；尿道；围手术期护理；并发症[中图分类号]R5[文献标识码]A[文章编号]1674-0742（2018）06（b）-0122-03ResearchonPerioperativeNursingStrategiesandEffect

3、ofTransurethralUreteroscopyHolmiumLaserLithotripsyRAOXiao-ying，WANDe-pei，QIUXiao-juan，FANGYan-hong，LINJing-hua，ZHUANGJiong-xianDepartmentofUrinarySurgery，HoujieHospitalAffiliatedtoGuangdongMedicalUniversity，Dongguan，GuangdongProvince，523000China[Abstract]ObjectiveToresearchth

4、eperioperativenursingstrategiesandeffectoftransurethralureteroscopyholmiumlaserlithotripsy.Methods212casesofpatientswithtransurethralureteroscopyholmiumlaserlithotripsyadmittedandtreatedinourhospitalfromDecember2016toJanuary2018wereconvenientselectedanddividedintotwogroupswit

5、h106casesineachaccordingtodifferentnursingplans，thecontrolgroupusedtheroutinenursing，whiletheobservationgroupusedtheperioperativenursing，andthementalstate，nursingsatisfactorydegreeandcomplicationswerecomparedbetweenthetwogroups.ResultsThedepressionandanxietyscoresintheobserva

6、tiongroupwerelowerthanthoseinthecontrolgroup[（35.20±1.06）points，（33.50±2.15）pointsvs（50.23±2.10）points，（51.35±2.26）points]（t=65.7821，58.9159），andthenursingsatisfactorydegreewashigherthanthatinthecontrolgroup（98.11%vs82.08%）（χ2=15.2750，P<0.05）；andthetotalcomplicationratewaslow

7、erthanthatinthecontrolgroup（2.83%vs17.92%）（χ2=12.9837，P<0.05）.ConclusionTheeffectofperioperativenursingoftransurethralureteroscopyholmiumlaserlithotripsyisgood，whichcanimprovetheadversementalstateandimprovethesatisfactorydegreeandreducetheoccurrenceofcomplications，withhigherp

8、romotionvalue.[Keywords]Holmiumlaserlithotripsy；Transurethraluretero