摘要
目的 探究品管圈用于经皮肾镜取石术(PCNL)对术后恢复的影响。方法 将2017年2月-2018年2月在我院接受PCNL的肾 结石患者按随机数字表法分为观察组(n=60)和对照组(n=60),对照组按常规临床路径进行护理干预,观察组按品管 圈活动方式护理,比较两组患者术后基本情况、数字评定量表(NRS)及并发症发生率。结果 观察组手术时间、术中 出血量、术后肾造瘘管留置时间、住院时间、术后恢复工作时间均显著低于对照组(P<0.05);两组患者术后各时 间节点VAS评分较术前均明显下降,且观察组显著低于对照组(P<0.05);该组术后并发症发生率亦显著低于对照组 (P<0.05)。结论 对PCNL患者应用品管圈活动的护理方法可减轻术后疼痛,减少并发症,更利于术后恢复。
Objective To explore the effects of quality control circle in percutaneous nephrolithotomy (PCNL) on postoperative recovery. Methods Patients with renal calculi receiving PCNL in our hospital from February 2017 to February 2018 were divided into observation group (n=60) and control group (n=60) according to the random number table method. Control group was given routine clinical pathway for nursing intervention, and observation group was given quality control circle activity for nursing. The postoperative basic conditions, Numeric Rating Scale (NRS) and incidence rate of complications were compared between the two groups. Results The operative time, intraoperative blood loss, postoperative renal fistula indwelling time, hospital stay and postoperative recovery time in observation group were significantly lower than those in control group (P<0.05). The VAS scores in the two groups at different time points after operation were significantly decreased compared with those before operation, and the score in observation group was significantly lower than that in control group (P<0.05). The incidence rate of postoperative complications group was also significantly lower than that in control group (P<0.05). Conclusion Nursing method of quality control circle activity for PCNL patients can reduce postoperative pain, reduce complications and facilitate postoperative recovery.
【关键词】品管圈;PCNL;恢复效果;影响
【中图分类号】R619
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.02.035
前言
肾结石是泌尿外科常见疾病之一,男性发病率高 于女性,结石较小者一般无明显症状,结石较大者可 能会出现肾区绞痛,甚至导致泌尿系统梗阻而引起血 尿[1]。目前最主要的治疗方式是手术治疗,经皮肾镜 取石术(PCNL)是治疗肾结石的常用方法,对治疗复杂 性肾结石安全有效[2],与其他手术方式相比有明显优 势。品管圈(QCC)是一种以人为本的新的管理模式[3], 是由工作场所相同、工作性质相似的人员为解决工作 问题、提高工作质量而自愿组成的小集体[4],其活动 宗旨是鼓励每个圈员主动参与,全面发挥自己的能 力,对推动医疗质量持续改进有积极的作用,现已成 为医院管理的重要手段[5]。本研究通过分析品管圈对 PCNL患者术后康复的影响,进一步总结和探讨品管圈 活动在提升护理质量方面的效果。
罕少疾病杂志
第26卷, 第 2 期
2019年03月
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