Application effect of rapid rehabilitation nursing based on evidence-based concept in minimally invasive kidney stone surgery
基于循证理念的快速康复护理在肾结石微创手术中的应用效果

摘要

目的 观察分析对肾结石微创手术患者实施基于循证理念的快速康复护理的临床效果和应用价值。方法 采用回顾性研究方法，选择院内就诊的60例肾结石微创手术患者（样本纳入例数：60例；样本纳入时间：2022年5月至2023年5月），以随机摸球为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，基于循证理念的快速康复护理。收集分析护理效果。结果与对照组（常规护理）相比，实验组（基于循证理念的快速康复护理）术后恢复所需时间（肠鸣音恢复时间/肛门排气时间/首次下床时间）、住院时间更短，护理后的生活质量评分（角色功能/情绪功能/认知功能/社会功能/躯体功能）更高，日常生活活动能力评分更高，负性情绪评分（焦虑/抑郁）、疼痛程度评分更低，睡眠质量评分（睡眠质量/入睡时间/睡眠时间/睡眠效率/睡眠障碍/催眠药物/日间功能障碍）更低，差异具有统计学意义（P<0.05）。结论 基于循证理念的快速康复护理可以有效促进肾结石微创手术患者预后改善，缓解疼痛，缩短恢复所需时间，减少住院时间减轻患者负担，缓解负性情绪改善生活质量，促进日常生活活动能力提高，有较高应用价值。

Abstract

Objective To observe and analyze the clinical effect and application value of evidence-based rapid rehabilitation nursing for patients with kidney stones undergoing minimally invasive surgery.
Methods A retrospective study was carried out to select 60 patients with renal calculus undergoing minimally invasive surgery (sample number: 60; Sample inclusion time: May 2022 to May 2023) was divided into control and experimental groups based on random ball touching, and the number of observed cases was highly consistent. Implement routine nursing, rapid rehabilitation nursing based on evidence-based concept. The nursing effect was collected and analyzed.
Results Compared with the control group (conventional care), the experimental group (evidence-based rapid rehabilitation care) had shorter postoperative recovery time (bowel sound recovery time/anal exhaust time/first time out of bed), shorter hospital stay, and higher post-nursing quality of life scores (role function/emotional function/cognitive function/social function/physical function). The score of activity of daily living ability was higher, the score of negative emotion (anxiety/depression), pain degree was lower, and the score of sleep quality (sleep quality/time to fall asleep/time to sleep/sleep efficiency/sleep disturbance/hypnotic drugs/daytime dysfunction) was lower, with statistical significance (P<0.05).
Conclusion   Rapid rehabilitation nursing based on evidence-based concept can effectively improve the prognosis of patients with minimally invasive kidney stone surgery, relieve pain, shorten the time required for recovery, reduce the length of hospital stay, reduce the burden of patients, relieve negative emotions, improve the quality of life, and promote the improvement of activities of daily living, which has high application value.