基于奥马哈系统的延续性护理在尿路结石手术后双J管留置患者中的应用
Application of Omaha system-based continuing care in patients with retained double J tube after urinary calculus surgery.
作者信息
Liu Jing, Chen Chunlan, Xu Tangjuan, Wang Lixiao, Liu Yuanyuan
机构信息
Department of Urology Surgery, The First College of Clinical Medical Science, China Three Gorges University Yichang, Hubei Province, China.
出版信息
Am J Transl Res. 2021 Apr 15;13(4):3214-3221. eCollection 2021.
OBJECTIVE
To explore the effect of Omaha system-based continuing care in patients with retained double J tube after urinary calculus surgery.
METHODS
A total of 124 patients hospitalized with retained double J ureteral stent after urinary calculus surgery were selected as the research subjects. According to the random number table method, they were divided into observation group (n=62) and control group (n=62). The control group was given regular continuing care, while the observation group was given the Omaha system-based continuing care. Awareness of knowledge regarding retained double J tube, anxiety, depression, sleep quality, quality of life, incidence of complications, and patient satisfaction were compared between the two groups.
RESULTS
Compared with the control group, patients in observation group did better in the knowledge awareness concerning the purpose of retained double J ureteral stent, daily water consumption, exercise, urination, and extubation time; the observation group was also significantly higher in Self-Rating Anxiety Scale (SAS) scores and lower in Self-Rating Depression Scale (SDS) scores and PSQI scores (all P<0.05). The quality of life (QOL) scores in all aspects of patients in observation group were significantly higher than those of the control group (P<0.05). The incidence of infection, bleeding, fever, back pain, displacement, bladder irritation or other complications in the observation group was significantly lower than that of the control group. Satisfaction rate of patients in the observation group with out-of-hospital continuing care was significantly higher than that of patients in the control group (all P<0.05).
CONCLUSION
The Omaha system-based continuing care has a better nursing effect on patients with retained double J tube after urinary calculus surgery. It can improve patients' compliance with treatment, relieve their anxiety and depression, improve their quality of life, reduce overall complications incidence rate and ultimately improve patients' satisfaction with clinical care.
目的
探讨基于奥马哈系统的延续性护理对尿路结石手术后留置双J管患者的影响。
方法
选取124例尿路结石手术后留置双J输尿管支架的住院患者作为研究对象。根据随机数字表法，将其分为观察组（n = 62）和对照组（n = 62）。对照组给予常规延续性护理，观察组给予基于奥马哈系统的延续性护理。比较两组患者对留置双J管相关知识的知晓情况、焦虑、抑郁、睡眠质量、生活质量、并发症发生率及患者满意度。
结果
与对照组相比，观察组患者对留置双J输尿管支架的目的、每日饮水量、运动、排尿及拔管时间等知识的知晓情况更好；观察组的焦虑自评量表（SAS）评分显著更高，抑郁自评量表（SDS）评分及匹兹堡睡眠质量指数（PSQI）评分更低（均P < 0.05）。观察组患者各方面的生活质量（QOL）评分均显著高于对照组（P < 0.05）。观察组感染、出血、发热、腰痛、移位、膀胱刺激等并发症的发生率显著低于对照组。观察组患者对院外延续性护理的满意度显著高于对照组（均P < 0.05）。
结论
基于奥马哈系统的延续性护理对尿路结石手术后留置双J管患者具有较好的护理效果。它可提高患者的治疗依从性，缓解其焦虑和抑郁情绪，改善生活质量，降低总体并发症发生率，最终提高患者对临床护理的满意度。
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