Clinical Nursing of Laparoscopic Surgery in Urology
泌尿外科腹腔镜手术的临床护理

摘要

目的 研究泌尿外科患者通过腹腔镜手术治疗期间的临床护理方法以及护理价值。方法 选择我院在2020年12月至2021年12月期间收治的80例肾结石患者作为本次研究的对象，然后按照随机数字表法对所选对象进行分组，分成对照组和观察组，各组均由40例患者组成，对照组患者采用常规护理，观察组患者采用手术室护理，比较两组患者的干预前后的负面情绪（焦虑、抑郁）；并发症发生率（出血、感染、膀胱颈痉挛）；护理满意度；生活质量评分（躯体功能、躯体角色、健康状况、社会功能）；并发症发生率（感染、尿路阻塞、出血）。结果 干预前，两组患者的焦虑评分、抑郁评分比较，差异无统计学意义（P＞0.05），干预后，观察组患者的焦虑评分、抑郁评分均低于对照组患者，差异有统计学意义（P＜0.05）；观察组患者的并发症发生率为2.5%（1/40），对照组患者的并发症发生率为17.5%（7/40），差异有统计学意义（P＜0.05）；观察组患者的护理满意度为97.5%（39/40），对照组患者的护理满意度为80.0%(32/40)，差异有统计学意义（P＜0.05）；观察组患者的躯体功能、躯体角色、健康状况、社会功能评分均高于对照组患者，差异有统计学意义（P＜0.05）；观察组患者术后并发症的发生率为2.5%（1/40）低于对照组患者20.0%（8/40），差异具有统计学意义（P＜0.05）。结论 肾结石患者在手术治疗期间，采用手术室护理，能够有效改善负面情绪以及生活质量，提升护理满意度，应用价值高，值得推广。

Abstract

Objective To study the clinical nursing methods and nursing value of urological patients during laparoscopic surgery.
Methods 80 patients with renal calculi admitted to our hospital from December 2020 to December 2021 were selected as the subjects of this study, and then the selected subjects were divided into control group and observation group according to the random number table method. The two groups consisted of 40 patients, the control group received routine nursing, the observation group received operating room nursing, and the negative emotions (anxiety, depression) before and after the intervention in the two groups were compared; the incidence of complications (bleeding, infection, bladder neck Spasticity); nursing satisfaction; quality of life scores (physical functioning, physical role, health status, social functioning); complication rates (infection, urinary tract obstruction, bleeding).
Results Before the intervention, there was no significant difference in the anxiety score and depression score between the two groups (P>0.05). After the intervention, the anxiety score and depression score of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05); the incidence of complications in the observation group was 2.5% (1/40), and the incidence of complications in the control group was 17.5% (7/40), and the difference was statistically significant (P<0.05) ; The nursing satisfaction of the observation group was 97.5% (39/40), and the nursing satisfaction of the control group was 80.0% (32/40), the difference was statistically significant (P<0.05); the physical function of the observation group , physical role, health status, and social function scores were higher than those in the control group, and the difference was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was 2.5% (1/40) lower than that in the control group. The patients were 20.0% (8/40), and the difference was statistically significant (P<0.05).
Conclusion   The operation room nursing can effectively improve the negative emotions and quality of life of patients with kidney stones during surgical treatment, and improve nursing satisfaction. It has high application value and is worthy of promotion.