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当代护理

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Contemporary Nursing. 2025; 6: (6) ; 10.12208/j.cn.20250279 .

Research on the implementation of hierarchical holistic nursing mode for patients with kidney stones after stone removal surgery
肾结石患者取石术后施行层级整体护理模式的研究

作者: 杜娟 *

芜湖市第一人民医院 安徽芜湖

*通讯作者: 杜娟,单位:芜湖市第一人民医院 安徽芜湖;

引用本文: 杜娟 肾结石患者取石术后施行层级整体护理模式的研究[J]. 当代护理, 2025; 6: (6) : 44-46.
Published: 2025/6/29 11:57:34

摘要

目的 探讨肾结石患者取石术后实施层级整体护理模式的价值。方法 选取2024年1月至2024年12月期间在本院接受取石术治疗的102例肾结石患者,按随机数据表法分为对照组(n=51例)和研究组(n=51例)。对照组给予常规护理,研究组实施层级整体护理,收集护理数据,比较不同护理策略的效果。结果 比较两组并发症发生,研究组并发症发生率明显更低(P<0.05);比较两组恢复指标,研究组尿液转清时间、拔管时间、住院时间明显更短(P<0.05);比较两组护理质量,研究组护患沟通、专科护理、护理信息记录、基础护理评分均高于对照组(P<0.05)。结论 层级整体护理模式可有效降低肾结石患者取石术后并发症发生率,有助于促进患者恢复,并提高护理质量,值得推广。

关键词: 肾结石;取石术;层级整体护理;并发症;护理质量;护理满意度

Abstract

Objective To explore the value of implementing a hierarchical holistic nursing model for patients with kidney stones after stone removal surgery.
Methods 102 patients with kidney stones who underwent stone removal surgery in our hospital from January 2024 to December 2024 were randomly divided into a control group (n=51) and a study group (n=51) using a random data table method. The control group received routine care, while the study group implemented hierarchical holistic care, collected nursing data, and compared the effects of different nursing strategies.
Results Comparing the incidence of complications between the two groups, the incidence of complications in the study group was significantly lower (P<0.05); Comparing two recovery indicators, the study group showed significantly shorter urine clearance time, extubation time, and hospitalization time (P<0.05); Comparing the nursing quality between the two groups, the study group showed higher levels of nurse patient communication, specialized nursing, nursing information recording, and basic nursing scores compared to the control group (P<0.05).
Conclusion   The hierarchical holistic nursing model can effectively reduce the incidence of postoperative complications in patients with kidney stones, promote patient recovery, and improve nursing quality. It is worth promoting.

Key words: Kidney stones; Stone extraction technique; Hierarchical holistic care; Complication; Nursing quality; Nursing satisfaction

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