系统护理干预对泌尿外科腹腔镜手术患者疗效的影响

目的 观察并探讨系统护理干预对泌尿外科腹腔镜手术患者疗效的影响.方法 选取浙江温州医学院附属第一医院手术室2011年3月～2013年1月收治的泌尿外科腹腔镜手术患者142例,对其中71例实施系统护理干预,作为本次研究的实验组；对另外71例患者仅采取泌尿外科常规护理,视为对照组.通过对两组术中指标如手术耗时和术中出血量以及术后并发症的情况和平均住院时间进行统计后对比分析,来评价系统护理干预对患者疗效的影响;同时护理工作完成后,以问卷调查的形式,让患者对接受的护理服务的满意度进行调查；统计结果用来评价两组护理方式对患者临床疗效的影响.结果 实验组手术持续时间为（51.7±23.8）min,而对照组用时（58.7±30.3）min;实验组术中出血量为（31.4±5.7） mL,对照组为（41.7±6.9）mL；实验组术后有15例患者发生不同的并发症,占21.1％,对照组有27例出现不同并发症,占38.0％；实验组患者平均住院时间为（6.8±1.3）d,而对照组平均住院时间为（8.5±2.7）d；上述项比较差异均有统计学意义（P＜0.05）；且实验组对护理服务的满意度（90％）较对照组（70％）更高,差异有统计学意义（P＜0.05）.结论 系统护理干预能显著降低缩短泌尿外科腹腔镜手术持续时间、减少出血量,能提高手术的疗效,且患者满意度高,值得在临床上进一步推广.

Effect of systemic nursing invention to the clinical outcomes of urologic patients with laparoscopic operation

Objective To observe the effect of systemic nursing invention to the clinical outcomes of urologic patients with laparoscopic operation. Methods 142 urologic patients with laparoscopic operation in the First Affiliated Hospital of Wenzhou Medical University from March 2011 to January 2013 were selected, and divided into the experiment group with systemic nursing invention （n = 71） and the control group with urologic usual care （n = 71） randomly. The time consuming of surgery, hemorrhagic volume during surgery, complication after surgery and mean length of stay were compared statistically between the two groups for evaluating the effect of systemic nursing invention to the out- comes. After nursing working, the patients were given questionnaire to answer the degree of satisfaction for nursing working, and the statistical results were used to evaluate the effect of nursing type to clinical outcomes. Results The time consuming of surgery in the experiment group was （51.7±23.8） min, while that of the control group was （58.7±30.3） min. The hemorrhagic volume during surgery in the experiment group was （31.4±5.7） mL, while that of the control group was （41.7±6.9） mL. There were 15 patients （21.1%） in the experiment group who had different complications, while 27 （38.0%） patients in the control group had complications. The mean length of stay for the experiment group was （6.8±1.3） d, while it for the control group was （8.5±2.7） d. All above the differences between the two groups were statistically significant （P 〈 0.05）. And the degree of satisfaction for nursing working in the experiment group （90%） was higher than that in the control group （70%） （P 〈 0.05）. Conclusion Systemic nursing invention can decrease the time consuming of surgery, reduce hemorrhagic volume for urologic patients with laparoscopic operation to improve the clinical outcomes, and the patients have the good degree of satisfaction. Systemic nursing invention should be ex- tended in clinic.