Abstract:

Objective　To explore the effects of nursing intervention under the concept of enhanced recovery after surgery (ERAS) on the postoperative rehabilitation and nursing satisfaction in patients with upper urinary tract calculi. Methods　It was a prospective study. From May 2019 to July 2020, 80 patients with upper urinary tract calculi in Henan No.3 Provincial People's Hospital were selected and were divided into a control group and an observation group according to the order of admission, with 40 patients in each group. In the control group, there were 19 males and 21 females, aged (50.0±1.5) years; in the observation group, there were 20 males and 20 females, aged (46.5±2.4) years. The patients in the control group received conventional nursing, and the patients in the observation group received nursing intervention under the ERAS concept on the basis of the control group. The psychological emotions, hospitalization time, time of catheter removal, time of getting out of bed, adverse reactions, and nursing satisfaction were compared between the two groups after nursing intervention. Independent sample t test and χ² test were used for statistical analysis. Results　In the observation group, the scores of anxiety and depression after nursing were (32.14±4.23) points and (32.68±3.54) points, the length of hospital stay was (7.69±1.53) d, the time of catheter removal was (47.38±6.43) h, the time of getting out of bed was (59.38±8.39) h, and those in the control group were (47.19±3.82) min, (45.81±2.93) min, (19.42±2.74) d, (87.38±8.29) h, and (72.39±9.74) h, respectively, with statistically significant differences between the two groups (all P<0.05). The total incidence of adverse reactions in the observation group was lower than that in the control group [2.5% (1/40) vs. 15.0% (6/40)], with a statistically significant difference between the two groups (χ²=3.914, P=0.048). The total nursing satisfaction of the observation group was higher than that of the control group [95.0% (38/40) vs. 77.5% (31/40)], with a statistically significant difference between the two groups (χ²=5.165, P=0.023). Conclusions　The nursing intervention under the ERAS concept has good effects in the postoperative care in patients with upper urinary tract calculi. On the one hand, it can help patients alleviate the negative emotions and reduce the occurrence of adverse reactions, on the other hand, it can improve the patients' satisfaction with nursing and promote their physical recovery, which is worth recommending.

Key words:

Upper urinary tract calculi, Enhanced recovery after surgery, Nursing intervention

摘要：

目的　探究加速康复外科（ERAS）理念下的护理干预对上尿路结石患者术后康复及护理工作满意度的影响。方法　采用前瞻性研究。选取2019年5月至2020年7月河南省直第三人民医院收治的上尿路结石患者80例，按照入院先后顺序分为对照组和观察组，每组40例。对照组中男19例、女21例，年龄（50.0±1.5）岁，实施常规护理；观察组中男20例、女20例，年龄（46.5±2.4）岁，在对照组的基础上实施ERAS理念下的护理干预。比较两组护理干预后的心理情绪、住院时间、尿管拔除时间、下床活动时间、不良反应情况和护理满意度。统计学方法采用独立样本t检验、χ²检验。结果　观察组患者护理后焦虑、抑郁评分为（32.14±4.23）分、（32.68±3.54）分，住院时间为（7.69±1.53）d，尿管拔除时间为（47.38±6.43）h，下床活动时间为（59.38±8.39）h，对照组分别为（47.19±3.82）分、（45.81±2.93）分、（19.42±2.74）d、（87.38±8.29）h、（72.39±9.74）h，两组比较差异均有统计学意义（均P<0.05）；观察组的不良反应总发生率低于对照组［2.5%（1/40）比15.0%（6/40）］，两组比较差异有统计学意义（χ²=3.914，P=0.048）；观察组患者的护理总满意度高于对照组［95.0%（38/40）比77.5%（31/40）］，差异有统计学意义（χ²=5.165，P=0.023）。结论　ERAS理念下的护理干预在上尿路结石患者术后护理中的应用效果甚佳，可以帮助患者缓解负面情绪，减少不良反应的发生，提高患者护理满意度，促进身体康复，值得推荐。

关键词:

上尿路结石, 加速康复外科, 护理干预