系统护理干预模式对PCN治疗的急性肾后性梗阻合并肾衰竭患者肾功能及满意度影响

目的：探讨在急性肾后性梗阻合并肾衰竭患者实施经皮肾穿刺造瘘术(percutaneous nephrostomy， PCN)后系统护理干预对患者肾功能的意义和患者的满意度的影响。方法：选取2013年12月至2016年2月在我院施行PCN治疗的急性肾后性梗阻合并肾衰竭患者52例，随机等分为实验组和对照组；其中对照组施行常规标准护理，实验组在施行常规标准护理的基础上进行系统护理干预，比较两组患者的术后肾功能和对护理工作的满意度，评价系统护理干预对患者是否产生积极作用。结果：实验组患者在术后的第3天和第7天尿素氮(BUN)、肌酐(Cr)比对照组低，经比较差别均具有统计学意义(P<0.05)。在术后第3天和第7天实验组的患者对护理工作的满意程度比照组高，差异亦具有统计学意义(P<0.05)。结论：PCN在治疗急性肾后性梗阻合并肾衰竭具有显著疗效，系统护理干预治疗对于患者术后的疗效具有促进的作用。

Systematic nursing intervention effect on renal function and satisfaction degree after PCN in acute renal obstruction patients complicated with renal failure

Objective:To explore the curative effect and satisfaction degree on systematic nursing intervention of patients after percutaneous nephrostomy (PCN) suffered from acute renal obstruction and complicated with renal failure.Methods: 52 patients suffered from acute renal obstruction and complicated with renal failure received treatment in our hospital from Feb 2013 to Dec 2016. All patients were randomly divided into experimental group and control group atfer PCN. hTe control group received conventional nursing. hTe experimental group received conventional nursing as well as systematic nursing intervention. Compared two groups of patients with postoperative renal function and the satisfaction of nursing work, we could evaluate the systematic nursing intervention on whether patients have a positive effect.Results:The concentration of urea nitrogen (BUN), creatinine (Cr) were measured in patients of the experimental group is lower than the patients of the control groupin the third and the seventh day, which were both compared respectively with statistical signiifcance (P<0.05). In the third and the seventh day, the degree of satisfaction in the patients of the experimental group were higher than the patients of the control group, which had signiifcant statistical signiifcance, too (P<0.05).Conclusion: PCN in the treatment of acute renal obstruction complicated with renal failure has a remarkable curative effect, and the systematic nursing intervention can promote the effect of the treatment for patients postoperatively.