| 王斐,潘欣欣,黄英,朱红梅.全程化护理管理方案在预防尿路结石术后患者结石复发中的应用研究[J].上海护理,2020,20(10): |
| 全程化护理管理方案在预防尿路结石术后患者结石复发中的应用研究 |
| The research of Whole Course Nursing Management Scheme in Patients with Urinary Calculus |
| DOI： |
| 中文关键词: 全程化护理 尿路结石 预防 |
| 英文关键词:Whole process Nursing management Urinary calculi Research |
| 基金项目:上海市浦东新区卫生系统重点薄弱学科建设资助项目（PWZbr2017-08）第一作者：王斐,副主任护师,硕士研究生,主要从事护理管理 通讯作者：朱红梅,副主任护师,硕士研究生,主要从事护理管理,E-mail：zhuhong6387@sina.com 潘欣欣1 黄英1 朱红梅1* |
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| 中文摘要: |
| 目的 探讨全程化护理方案在预防尿路术后患者结石复发中的应用效果。方法 选取2016年8月～2018年1月收治于上海市浦东新区公利医院泌尿外科上尿路结石术后患者680例，采用整群随机分组法将研究对象随机分为观察组（n=340)和对照组(n=340)。两组患者在院期间护理措施一致，对照组出院后单纯行门诊随访，观察组按照全程化护理方案，出院后进行跟踪管理。比较1年后两组患者结石相关知识知晓率、遵医行为、结石复发率等差异。结果 1年后，观察组结石相关知识知晓率（90.3%）高于对照组（70.3%），遵医行为率（93.5%）高于对照组（75.0%），结石复发率（2.1%)低于对照组(7.1%)，三项指标比较，差异均有统计学意义（P < 0.05）。结论 全程化护理方案的应用对患者结石知识知晓率、遵医行为率的提高有积极作用，能有效降低患者结石复发率，可供临床借鉴参考。 |
| 英文摘要: |
| Objective To explore the effect of total nursing management in the prevention of recurrence in patients with urinary calculi. Methods A literature review and expert consultation method were used to construct a comprehensive nursing management plan. The patients with first single calculi in the upper urinary tract under 65 years old who were treated in the urology department of our hospital from August 2016 to January 2018 were selected as the research subjects. The digital table method randomly divided the study subjects into 340 cases in the experimental group and 340 cases in the control group. The experimental group was administered full-course nursing management immediately after admission, and the follow-up was followed. The control group was simply followed up to compare the differences in knowledge acquisition rate and stone recurrence rate between the two groups after 1 year. Results The awareness rate of stone-related knowledge in the experimental group within 1 year was 90.3% and the compliance rate was 93.5% higher than that of the control group at 70.3% and 75%. The difference was statistically significant (P <0.05), and the stone recurrence rate was 2.1% (7/340) , Which was lower than the control group by 7.1% (24/340), and the difference was statistically significant (P <0.05). Conclusion The whole course nursing management scheme can significantly improve the rate of knowledge and compliance of patients, and effectively reduce the recurrence rate of stones. |
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