Abstract
Objective To explore the effectiveness of fast-track surgery （ FTS） in perioperative nursing of patients with percutaneous nephrolithotomy lithotomy with upper-pole access （PCNL）.Methods Seventy-six kidney stone （ KS） patients with PCNL in our hospital from November 2011 to December 2013 were chosen and randomly divided into the control group and the intervention group , each with 38 cases.The control group received the routine nursing , and the intervention group received the FTS nursing intervention .The hospital stays, the costs of treatment , the score of BI index of living scale and the incidence of complication were recorded and the patients ’ satisfaction were investigated at the end of nursing in two groups .Results The hospital stays, the costs of treatment, the score of BI index of living scale were respectively （8.8 ±2.3） d, （10 980.6 ±966.3）yuan and （84.6 ±9.4） in the intervention group, and were better than （12.4 ±3.0）d, （14 315.3 ±1 537.3） yuan and （68.9 ±7.3） in the control group, and the differences were statistically significant （t =4.682, 9.473, 6.741, respectively;P 〈0.05）.The incidence rate of complication in the intervention group was 10.5% including 2 cases of postoperative fever and 2 cases of postoperative pain , and was better than 31.6% including 4 cases of severe bleeding , 6 cases of postoperative fever , and 2 cases of postoperative pain in the control group , and the difference was statistically significant （χ2 =5.067, P〈0.05）. The patients’ satisfaction was 94.7%in the intervention group, and was high than 78.9%in the control group, and the difference was statistically significant （χ2 =4.145,P〈0.05）.Conclusions FTS nursing intervention adopted in KS patients with PCNL during perioperative period can effectively reduce the incidence of complications , and be accepted by the patients , and which is worthy of further promotion in clinical practice . Key words: Kidney stone; Perioperative nursing; Fast-track surgery; Percutaneous nephroscope ultrasonic lithotripsy
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
