新疆医科大学学报

目的探讨双轨道护理模式对3岁以下肾结石患儿行微创经皮肾镜碎石取石术(MPCNL)临床效果的作用。方法抽取2011年12月-2014年12月在新疆医科大学第一附属医院住院治疗的肾结石患儿及家属88例作为研究对象,根据患者所接受的护理干预的不同分为干预组(48例)和对照组(40例),对照组实施普通外科护理,干预组实施双轨道护理干预,对两组患儿术后并发症、不良事件、患儿家属的满意度、住院时间进行比较。结果干预组患儿术后感染、不良事件发生率低于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05);干预组家属满意度高于对照组,差异有统计学意义(P<0.05)。结论双轨道护理干预能够降低3岁以下肾结石患儿术后感染的发生率及不良事件的发生率,缩短患儿住院时间,提高家属满意度,值得临床推广应用。

Objective To investigate the clinical efficacy of MPCNL care with double track nursing intervention for children with kidney stones under 3 years old. Methods 88 cases of patients with kidney stones and their families in the First Affiliated Hospital of Xinjiang Medical University from 2013. 12 to 2014. 12 were selected and divided into the experimental group and the control group according to the different nursing intervention,with the general surgical nursing in the control group and double track nursing intervention in the intervention group. Postoperative complications,adverse events,family satisfaction,duration of hospitalization in the two groups were compared and analyzed in the two groups. Results There was less postoperative infection,fewer the incidences of adverse events,shorter hospitalization time and higher family satisfaction in the intervention group than those in the control group,with the statistically significant difference( P < 0. 05). Conclusion It showed that the double track nursing intervention can reduce postoperative infection,reduce the incidence of adverse events,shorten the hospitalized time,increase the family satisfaction and promote the rehabilitation of children with kidney stones under 3 years old after the operation,which deserved the clinical application.