甘海鹰+蒋建武+李联辉

【摘要】 目的：探究综合护理干预对泌尿外科疾病合并高血压患者的影响效果。方法：选取2013年12月～2015年12月于本院进行诊疗的96例泌尿外科疾病合并高血压患者，按照随机数字表法将其分为对照组与观察组，每组各48例。对照组患者采用常规护理方法，观察组患者采用综合护理方法，观察比较两组患者护理前后血压水平变化，疼痛感改善情况以及护理满意度等。结果：对照组患者的术后生活质量为（57.44±2.84），低于观察组患者的（72.33±3.02）分，血压水平高于观察组，疼痛感强于观察组，两组比较差异均有统计学意义（P<0.05）；观察组患者的护理满意度（91.38%）高于对照组患者（70.69%），两组比较差异有统计学意义（P<0.05）。结论：综合护理干预可以显著地降低患者的术后疼痛感，改善患者的生活质量，控制患者的血压水平，促进患者康复，对泌尿外科疾病合并高血压患者的治疗效果明显，值得在临床工作中进行推广应用。

【关键词】 泌尿外科疾病； 高血压患者； 综合护理干预

【Abstract】 Objective：To explore the effect of comprehensive nursing intervention on the patients with hypertension in department of urology.Method：From December 2013 to December 2015，96 cases with urology diseases accompanied by hypertension in our hospital were selected，according to the the random number table method they were divided into control group and observation group，48 cases in each group，the control group was treated by routine nursing method，while the observation group was treated with comprehensive nursing methods.Before and after nursing，the blood pressure，pain and nursing satisfaction of two groups were compared.Result：The postoperative living quality score of the control group was （57.44±2.84） score significantly lower than that of the observation group（72.33±3.02）score，the blood pressure level of control group was higher than that of the observation group，there were significant differences（P<0.05）.The satisfaction of observation group was 91.38% higher than that of the control group 70.69%.The pain intersity of the observation group was slighter than that of the control group，there were significant differences（P<0.05）.Conclusion：Comprehensive nursing intervention can significantly alleviate the postoperative pain and improve the life quality of patients with urology diseases accompanied by hypertension，control their blood pressure and promote their rehabilitation，which has definite therapeutic effect and is worth of generalized in clinical application.

【Key words】 Urology diseases； Patients with hypertension； Comprehensive nursing intervention

First-authors address：Dongguan Shipai Hospital，Dongguan 523330，China

doi：10.3969/j.issn.1674-4985.2017.13.022

近年來，随着生活质量的提高，生活方式的不断改变，高血压作为心脑血管病最主要的危险因素之一，发病率也成逐年增长的趋势不断上升[1]。同时随着我国社会环境因素的改变以及人口老龄化的不断发展，泌尿外科疾病在老年群体中的发病率也不断升高，临床常见的泌尿外科疾病主要有前列腺增加、前列腺癌以及泌尿系统结石等[2]。近年来泌尿外科疾病合并高血压的患者不断增多，这为泌尿外科疾病的手术治疗增加了风险及难度。因此，良好的护理模式可以有效地降低治疗过程中的风险因素，对患者的外科治疗以及预后康复都起到了很大的作用[3-4]。为探究综合护理干预在泌尿外科疾病合并高血压患者中的具体影响，特选取自2013年12月-2015年12月于本院诊疗的96例患者进行研究，现报道如下。……