罗彩云 邓淦清 严恩琪

[摘要] 目的 探索輸尿管镜下钬激光碎石手术患者实施优质护理干预的临床价值。方法 该研究方便选择该院 2015年10月—2019年10月收治的60例输尿管镜下钬激光碎石手术患者作为研究对象，按照随机分组方式将患者分为两组，对照组30例患者，选择常规护理干预方式，观察组30例患者，选择优质护理干预，观察两组患者的临床护理质量。结果 护理后观察组患者SAS评分（39.68±3.10）分、SDS评分（40.45±4.20）分明显其低于对照组（53.40±3.23）分、（51.65±4.10）分，两组数据差异有统计学意义（t=10.241、10.101，P<0.05）。观察组患者症状消失时间（2.24±3.56）d与住院时间均（3.89±2.1）d少于对照组（5.52±3.15）d、（7.24±2.2）d，观察组患者不良反应率3.33%低于16.67%，两组数据差异有统计学意义（t=10.245、10.324，χ2=10.452，P<0.05）。观察组患者总满意率96.67%高于对照组满意率76.67%，两组数据差异有统计学意义（χ2=7.607，P<0.05）。结论 对输尿管镜下钬激光碎石手术患者实施优质护理干预，可以有效的降低不良反应发生，提升患者恢复速度，降低住院时间，帮助患者早日康复，具有一定临床价值。

[关键词] 输尿管结石;镜下钬激光碎石手术;优质护理干预

[Abstract] Objective To explore the clinical value of holmium laser lithotripsy under ureteroscopy in the implementation of high-quality nursing interventions. Methods In this study， 60 patients with ureteroscopy holmium laser lithotripsy who were treated in the hospital from October 2015 to October 2019 were convenient selected as the research objects. The patients were randomly divided into two groups and the control group was 30 patients， with conventional nursing intervention mode， 30 patients in the observation group were selected， and high-quality nursing intervention was selected to observe the clinical nursing quality of the two groups of patients. Results The SAS score （39.68±3.10）points and SDS score （40.45±4.20）points  of the observation group were significantly lower than those of the control group at （53.40±3.23）points and （51.65±4.10）points after the nursing. The data difference between the two groups was statistically significantly different （t=10.241， 10.101， P<0.05）. The duration of disappearance of symptoms in the observation group （2.24±3.56） d and the length of hospital stay （3.89±2.1） d were less than those in the control group （5.52±3.15）d and （7.24±2.2）d. The adverse reaction rate in the observation group was 3.33% lower than 16.67%. The data were statistically significant （t=10.245， 10.324， χ2=10.452， P<0.05）. The total satisfaction rate of patients in the observation group was 96.67% higher than that in the control group of 76.67%. There was statistically significant difference in data between the two groups （χ2=7.607， P<0.05）. Conclusion The implementation of high-quality nursing interventions for holmium laser lithotripsy patients under ureteroscopy can effectively reduce the incidence of adverse reactions， improve the recovery speed of patients， reduce the length of hospitalization， and help patients recover sooner， which has high clinical promotion value.

[Key words] Ureteral calculi; Holmium laser lithotripsy under microscope; Quality nursing intervention

输尿管结石是现阶段临床上一种常见疾病，常见于中年人群，一旦发病将严重影响患者的生殖健康，造成泌尿系统功能损害。因此患者应及时进行治疗，采取最有效的方式进行处理，帮助患者解决病痛折磨。输尿管镜下钬激光碎石技术是当前一种先进的技术，具有操作简单、安全便捷、创伤小等优势，可以有效的提升治疗质量，降低术后并发症发生几率[1-2]。该研究方便选择该院 2015年10月—2019年10月收治的60例输尿管镜下钬激光碎石手术患者作为研究对象，按照随机分组方式将患者分为两组，分析不同护理干预模式应用下患者护理效果，具体研究报道如下。

1  资料与方法

1.1  一般资料

该研究方便选择该院收治的60例输尿管镜下钬激光碎石手术患者作为研究对象，按照随机分组方式将患者分为两组。对照组30例患者，选择常规护理干预方式，男性18例、女性12例;年龄25～46岁，平均年龄（34.32±3.1）岁。……