Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2025; 4: (4) ; 10.12208/j.jacn.20250178 .
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广西壮族自治区贵港市桂平市人民医院 广西贵港
*通讯作者： 蔡达潮,单位：广西壮族自治区贵港市桂平市人民医院 广西贵港；
目的 分析在行Peel-away鞘辅助输尿管镜碎石术患者中开展加速康复外科护理模式的应用效果。方法 随机抽取2023年7月至2024年12月期间在我院接受Peel-away鞘辅助输尿管镜碎石术患者60例，运用随机数字表法将入选的患者分成观察组30例和对照组30例，对照组接受常规护理，观察组给予加速康复外科护理模式，对比分析两组护理效果。结果 两组最终结果比较后显示，观察组护理管理质量以及患者遵医行为与对照组相比明显提升，患者术后疼痛程度明显轻于对照组，术后并发症发生率明显低于对照组，最终患者住院时间短于对照组，（P<0.05）。结论 对Peel-away鞘辅助输尿管镜碎石术患者及时开展加速康复外科护理模式，可进一步提高临床护理服务质量以及患者遵医行为，减轻患者术后疼痛程度，减少患者并发症发生，促进身体康复。
Objective To analyze the application effect of accelerated rehabilitation surgical care model in patients undergoing ureteroscopic lithotripsy with Peel-away sheath assistance. Methods A total of 60 patients who underwent ureteroscopic lithotripsy with Peel-away sheath assistance at our hospital from July 2023 to December 2024 were randomly selected. Using a random number table method, the selected patients were divided into an observation group of 30 cases and a control group of 30 cases. The control group received routine care, while the observation group was provided with the accelerated rehabilitation surgical care model. The nursing outcomes of both groups were compared and analyzed. Results After comparing the final results of both groups, it was found that the quality of nursing management and patient compliance in the observation group significantly improved compared to the control group. Postoperative pain levels in the observation group were notably lighter than those in the control group, and the incidence of postoperative complications was significantly lower. Additionally, the hospital stay in the observation group was shorter than that in the control group (P＜0.05). Conclusion Promptly implementing the accelerated rehabilitation surgical care model for patients undergoing ureteroscopic lithotripsy with Peel-away sheath assistance can further enhance clinical nursing service quality and patient compliance, reduce postoperative pain levels, decrease the occurrence of complications, and promote physical recovery.
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