Application of fast-track surgery in perioperative nursing of patients with percutaneous nephrolithotomy lithotomy with upper-pole access
10.3760/j.issn.1674-2907.2014.17.028
- VernacularTitle:快速康复外科理念在肾上盏入路经皮肾镜取石术围手术期护理中的应用
- Author:
Chunqin DONG
1
;
Wenzhen FU
;
Yafei FU
;
Dong WENG
Author Information
1. 312000 浙江省绍兴市人民医院 浙江大学绍兴医院泌尿外科
- Keywords:
Kidney stone;
Perioperative nursing;
Fast-track surgery;
Percutaneous nephroscope ultrasonic lithotripsy
- From:
Chinese Journal of Modern Nursing
2014;20(17):2102-2105
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness of fast-track surgery ( FTS) in perioperative nursing of patients with percutaneous nephrolithotomy lithotomy with upper-pole access (PCNL).Methods Seventy-six kidney stone ( KS) patients with PCNL in our hospital from November 2011 to December 2013 were chosen and randomly divided into the control group and the intervention group , each with 38 cases.The control group received the routine nursing , and the intervention group received the FTS nursing intervention .The hospital stays, the costs of treatment , the score of BI index of living scale and the incidence of complication were recorded and the patients ’ satisfaction were investigated at the end of nursing in two groups .Results The hospital stays, the costs of treatment, the score of BI index of living scale were respectively (8.8 ±2.3) d, (10 980.6 ±966.3)yuan and (84.6 ±9.4) in the intervention group, and were better than (12.4 ±3.0)d, (14 315.3 ±1 537.3) yuan and (68.9 ±7.3) in the control group, and the differences were statistically significant (t =4.682, 9.473, 6.741, respectively;P <0.05).The incidence rate of complication in the intervention group was 10.5% including 2 cases of postoperative fever and 2 cases of postoperative pain , and was better than 31.6% including 4 cases of severe bleeding , 6 cases of postoperative fever , and 2 cases of postoperative pain in the control group , and the difference was statistically significant (χ2 =5.067, P<0.05). The patients’ satisfaction was 94.7%in the intervention group, and was high than 78.9%in the control group, and the difference was statistically significant (χ2 =4.145,P<0.05).Conclusions FTS nursing intervention adopted in KS patients with PCNL during perioperative period can effectively reduce the incidence of complications , and be accepted by the patients , and which is worthy of further promotion in clinical practice .
