The impact of hierarchical holistic nursing on the recovery and adverse events of patients with renal calculi undergoing stone removal surgery and fistula tube construction
层级整体护理对肾结石取石术后造瘘管患者恢复情况及不良事件的影响

摘要

目的 探讨层级整体护理对肾结石取石术后造瘘管患者恢复情况及不良事件的影响。方法 选取了本院在2023年1月至2024年1月期间收治的100例肾结石取石术后造瘘管患者作为研究对象。将其按随机分组方法分为对照组（50例，采取常规护理方法）和观察组（50例，在采用层级整体护理方法），对两组患者的临床护理效果，如患者的术后恢复情况（尿液转清时间、造瘘管拔出时间、住院时间）、两组的护理质量评分、不良事件发生率及护理满意度进行对比与评估。结果 观察组的护理质量评分高于对照组；观察组患者在多项恢复指标上均展现出优势，尿液澄清速度、造瘘管拔除时间及整体住院时间均较对照组明显缩短。同时，不良事件发生率在观察组中显著降低，且患者对于护理服务的满意度显著高于对照组，这些差异均具有统计学意义（P＜0.05）。结论 层级整体护理模式在肾结石取石术后造瘘管患者的护理实践中，能够显著提升护理效果，增强患者满意度，有效预防不良事件，加速患者康复进程，具有较高的临床应用价值，值得在临床工作中推广与应用。

Abstract

Objective Exploring the impact of hierarchical holistic nursing on the recovery and adverse events of patients with renal calculi undergoing stone removal and fistula tube surgery.
Methods We selected 100 patients with renal calculi who underwent stone removal surgery and underwent fistulization in our hospital between January 2023 and January 2024 as the research subjects. They were randomly divided into a control group (50 cases, using conventional nursing methods) and an observation group (50 cases, using hierarchical holistic nursing methods), and the clinical nursing effects of the two groups of patients were compared and evaluated, such as postoperative recovery (urine clearance time, fistula tube extraction time, hospital stay), nursing quality scores, incidence of adverse events, and nursing satisfaction.
Results The nursing quality score of the observation group was higher than that of the control group; The observation group patients showed advantages in multiple recovery indicators, with significantly shorter urine clarification speed, fistula tube removal time, and overall hospitalization time compared to the control group. At the same time, the incidence of adverse events was significantly reduced in the observation group, and patients' satisfaction with nursing services was significantly higher than that in the control group, with statistical significance (P<0.05).
Conclusion   The hierarchical holistic nursing model can significantly improve nursing effectiveness, enhance patient satisfaction, effectively prevent adverse events, and accelerate patient recovery in the nursing practice of patients with fistula after kidney stone removal surgery. It has high clinical application value and is worthy of promotion and application in clinical work.