Effectiveness of evidence-based nursing in patients undergoing minimally invasive surgery for kidney stones
循证护理在行肾结石微创手术患者中的应用效果

摘要

目的 分析在行肾结石微创手术患者中实施循证护理的临床应用效果。方法 本文中病例抽取2023年1月至2024年7月期间在我院接受微创手术治疗的肾结石患者90例,通过随机数字表法开展分组护理研究，组别分成观察组与对照组，每组患者各有45例，治疗期间对照组接受常规护理,观察组则给予循证护理,将两种护理模式取得的护理效果进行分析对比。结果 两组最终结果对比后显示，观察组的护理质量以及患者依从性同对照组相比得到明显提升,治疗期间患者焦虑情绪改善效果优于对照组，患者术后疼痛程度与对照组相比减轻，下床活动以及住院时间短于对照组，并发症发生率与对照组相比明显降低，最终患者的生活质量同对照组相比显著提高（P＜0.05）。结论 对肾结石患者行微创手术期间开展循证护理干预，可进一步提升临床护理服务质量,增强患者的依从性，改善患者负性情绪,提高患者术后身体恢复效果以及生活质量。

Abstract

Objective To analyze the clinical effect of evidence-based nursing in patients undergoing minimally invasive surgery for kidney stones.
Methods In this study, 90 patients with kidney stones who underwent minimally invasive surgery in our hospital from January 2023 to July 2024 were selected to carry out a group nursing study by random number table method, the group was divided into observation group and control group, with 45 patients in each group, the control group received routine care during the treatment period, and the observation group was given evidence-based care, and the nursing effect of the two nursing modes was analyzed and compared.
Results The comparison of the final results of the two groups showed that the nursing quality and compliance of the observation group were significantly improved compared with the control group, the improvement effect of anxiety during treatment was better than that of the control group, the postoperative pain of the patients was reduced compared with the control group, the activity of getting out of bed and the length of hospital stay were shorter than those of the control group, the incidence of complications was significantly reduced compared with that of the control group, and the quality of life of the patients was significantly improved compared with the control group (P<0.05).
Conclusion   Evidence-based nursing intervention during minimally invasive surgery for patients with kidney stones can further improve the quality of clinical nursing services, enhance patients' compliance, improve patients' negative emotions, and improve patients' postoperative physical recovery and quality of life.