黄美红+李淦洪+姜琴

【摘要】 目的：探讨综合护理干预对预防不同成分泌尿系结石复发的影响研究。方法：选取2014年

3-10月本院收治的泌尿系结石患者126例，按照住院时间先后随机分为观察组和对照组，每组63例。对照组采用常规护理方法，观察组不仅给予常规护理，同时针对患者不同成分的泌尿系结石进行综合護理干预，观察两组患者临床症状和体征改善情况、24个月内结石复发情况和住院满意度。结果：126例泌尿系结石患者，经过有效的治疗护理后均随访24个月，观察组患者临床症状和体征改善情况等总有效率高于对照组，差异均有统计学意义（P<0.01）；观察组患者24个月内结石复发率明显低于对照组，差异有统计学意义（P<0.05）；观察组患者住院满意度明显好于对照组，差异具有统计学意义（P<0.01）。结论：采用综合护理干预可预防不同成分泌尿系结石的复发，提高住院患者满意度。

【关键词】 综合护理干预； 不同成分； 泌尿系结石； 复发

【Abstract】 Objective：To explore the effect of comprehensive nursing intervention on the prevention of recurrence of different components type of urinary calculi Method：From March to October 2014，126 patients with urinary calculi were randomly divided into control group and observation group according to the sequence of hospital admission 63 patients for each group.The control group was given the conventional nursing，the observation group was given comprehensive nursing intervention according to the different components of urinary calculi on the basis of conventional nursing，the improvement of clinical symptoms and signs，the recurrence of urinary calculi within 24 months and the satisfaction of two groups were compared.Result：After effective treatment and nursing and 24 months followed，with the clinical symptoms and signs，the rate of total effective and satisfaction of patients of observation group were higher than those of control group，the differences were statistically significant（P<0.01）.The recurrence rate of the observation group was lower than that of the control group，the difference was statistically significant（P<0.05）.Conclusion：Comprehensive nursing intervention can prevent the recurrence of different components urinary calculi and improving the satisfaction of patients and their families.

【Key words】 Comprehensive nursing intervention； Different components； Urinary calculi； Recurrence

First-authors address：The Fifth Affiliated Hospital of Zunyi Medical College，Zhuhai 519100，China

doi：10.3969/j.issn.1674-4985.2017.13.023

泌尿系结石是泌尿外科一种常见病、多发病[1]，严重危害人体的健康，研究发现该病的发病率有上升趋势[2]，特别是在老年患者、儿童患者中[3-4]。结石形成的发病机制复杂[5]，不仅存在个体差异，且存在地区性差别，探测分析不同成分的泌尿系结石，同时找寻不同成分结石的形成线索，可为制定合理的结石防治措施和相应治疗方案提供科学依据[6]，具有一定意义。笔者研究了综合护理干预对预防不同成分泌尿系结石复发的影响，效果满意，现报道如下。……