以循证理论为基础的疼痛护理对肾结石手术患者术后康复效果及疼痛的影响路新

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《实用全科护理学》( ISSN3080-7638、EISSN3080-7646 )

发布者：Quest Press

发布日期：2025/10/19

10.12479/questpress-syqkhlx.20250309

Open Access

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以循证理论为基础的疼痛护理对肾结石手术患者术后康复效果及疼痛的影响

路新

乌兰浩特市人民医院，内蒙古乌兰浩特，137400

摘要：目的探讨对肾结石手术患者应用以循证理论为基础的疼痛护理下的临床效果。方法选取肾结石手术患者56 例，依照病例号排序法分成参照组（常规护理）和循证组（常规护理+以循证理论为基础的疼痛护理）各28 例，对比临床效果。结果循证组的自主排尿时间、肠鸣音恢复时间、首次排气时间、下床活动时间及住院时间均短于参照组（P＜0.05）。护理前组间的疼痛程度及睡眠质量互比无差异（P＞0.05）；护理后循证组在术后1d、术后3d 及术后5d 的疼痛程度及睡眠质量评分均低于参照组（P＜0.05）。循证组的并发症的总发生率低于参照组（P＜0.05）。结论以循证理论为基础的疼痛护理对肾结石手术患者术后康复效果具有显著的加速作用，同时在改善其术后疼痛、提升睡眠质量以及控制并发症方面表现优异。
关健词：循证理论；疼痛护理；肾结石手术；康复效果

Effect of pain nursing based on evidence-based theory on postoperative rehabilitation and pain of patients with renal calculi surgery

Xin Lu
Ulanhot People's Hospital, Ulanhot, Inner Mongolia 137400，China

Abstract：Objective To explore the clinical effect of pain nursing based on evidence-based theory in patients with renal calculi surgery. Methods 56 patients with renal calculi were selected and divided into the reference group (routine nursing) and the evidence-based group (routine nursing+pain nursing based on evidence-based theory) according to the case number sorting method, with 28 cases in each group. Results the autonomic micturition time, bowel sounds recovery time, first exhaust time, ambulation time and hospitalization time of the evidence-based group were shorter than those of the control group (P<0.05). There was no difference in the pain degree and sleep quality between the two groups before nursing (P>0.05); The pain degree and sleep quality score of the evidence-based group at 1D, 3D and 5D after operation were lower than those of the control group (P<0.05). The total incidence of complications in the evidence-based group was lower than that in the control group (P<0.05). Conclusion pain nursing based on evidence-based theory has a significant accelerating effect on the postoperative rehabilitation of patients with renal calculi surgery, and has excellent performance in improving postoperative pain, improving sleep quality and controlling complications.
Keywords : evidence based theory; Pain care; Kidney stone surgery; Rehabilitation effect

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