摘要
目的探讨护理延伸服务在预防泌尿系结石复发中的方法及作用。方法将187例初发上尿路单发泌尿系结石行碎石治疗的患者随机分成对照组(93例)和观察组(94例)。两组住院期间均予以常规护理及健康教育,观察组在此基础上,出院后持续进行护理延伸服务,包括制定个性化的饮食指导方案,建立服务档案,定期进行家庭指导,组织集体健康教育讲座等措施。结果随访2年,对照组结石复发率为12.9%,观察组为3.2%,两组比较,差异有统计学意义(P<0.05)。结论护理延伸服务能有效降低泌尿系结石的复发率,从而提高患者的生活质量。
Objective To explore the effect of extended nursing care on prevention of relapse urinary stone. Methods Totally,187 patients with initial single upper urinary stone were randomly assigned into a control group （n=93） and an observational group （n=94）. Both groups received lithotripsy therapy,and were provided with conventional nursing service and health education during hospitalization. After discharge,extended nursing service,including making individualized diet plan,building service profiles,regular family visits,giving health education lectures,was provided to the observational group. Results After 2 years of follow-up,the recurrence rate was 12.9% in the control group and 3.2% in the observational group,which was found to have significant difference （P0.05）. Conclusion Extended nursing service can effectively lower the recurrence rate of urinary stone,and therefore improve patients′ quality of life.
基金
上海市浦东新区社会发展局卫生科技项目(PW2007A-9)
关键词
泌尿系结石
护理延伸服务
复发
urinary stone
extended nursing care
recurrence
