目的 探讨基于结石成分分析和尿液理化性质检测的护理措施对尿石症患者的效果比较.方法 选择2013年12月～2015年12月在承德医学院附属医院泌尿外科诊治的尿路结石患者300例为研究对象.按照随机数字表法将患者分为对照组、结石分析组和结石分析+24 h尿理化分析组,每组各100例.对照组实施常规护理,结石分析组在常规护理基础上依据红外光谱结石成分分析结果实施相应的个体化护理干预,结石分析+24 h尿理化分析组在常规护理基础上依据结石成分及24 h尿液理化性质检测的分析结果实施相应的个体化护理干预.比较3组患者结石复发率、复发时间、护理满意度和生活质量.结果 对照组患者的结石复发率高于结石分析组及结石分析+24 h尿理化分析组,复发时间低于结石分析组及结石分析+24 h尿理化分析组,差异均有统计学意义(P＜0.05);结石分析组与结石分析+24 h尿理化分析组患者的结石复发率及复发时间比较,差异无统计学意义(P＞0.05).结石分析+24 h尿理化分析组与结石分析组护理满意度和生活质量得分均高于对照组,结石分析+24 h尿理化分析组高于结石分析组,差异均有统计学意义(P＜0.05).结论 依据红外光谱分析法及24 h尿液理化性质检测的分析结果,对泌尿系统结石患者实施针对性的个体化护理干预,不仅可以降低结石复发率、延长结石复发时间,而且可以提高患者的护理满意度和生活质量,值得临床应用和推广.%Objective To explore the effect of the components of stones analysis and urine physicochemical properties detection-based nursing measures on patients with urinary stones.Methods A total of 300 patients with urinary stones diagnosed and treated in the Department of Urology,the Affiliated Hospital of Chengde Medical College from December 2013 to December 2015 were selected as the research objects and were divided into the control group,the stones analysis group and the stones analysis with 24 h urine physicochemical analysis group according to the random number table,with 100 patients in each group.The control group was given routine nursing,the stones analysis group was applied the corresponding individualized nursing intervention on the results of the composition analysis of infrared spectrum stones on the based of routine nursing,and the stones analysis with 24 h urine physicochemical analysis group was applied the analysis of the stone components and 24 h urine physicochemical properties detection.The recurrence rate,the recurrence time of urinary tract stones,nursing satisfaction and quality of life were compared among the three groups.Results The recurrence rate in the control group were much higher than those of the stones analysis group and the stones analysis with 24 h urine physicochemical analysis group,the recurrence time in the control group were shorter than those of the other two groups,with statistically significant differences (P ＜ 0.05),but with no statistically significant differences between the stones analysis group and the stones analysis with 24 h urine physicochemical analysis group (P ＞ 0.05).The nursing satisfactory and the life of quality in the two groups were all higher than those of control group,and those in the stones analysis with 24 h urine physicochemical analysis group were all higher than those of stones analysis group,with statistically significant differences (P ＜0.05).Conclusion According to the analysis results of infrared spectrophotometry and 24 h urine physicochemical properties detection,the implementation of individualized nursing intervention in patients with urinary tract stones can not only reduce the recurrence rate,extending the recurrence time,but also can improve patients' nursing satisfaction and promote their life quality.It is worthy of clinical application and popularization.
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