观察疼痛护理联合健康干预对经皮肾镜取石术患者 临床效果及睡眠质量的影响

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Effect of Pain Nursing Combined with Health Intervention on Clinical Outcomes and Sleep Quality in Patients Undergoing Percutaneous Nephrolithotomy

CHEN Shuzhu1，WU Jianhua1 ，DENG Feng' ，LIN Xiaoyan’ ，HOU Meiying1，ZHANG Yanru² （1Fujian Funeng Group General Hospital，Fuzhou 35O025，China；2 The First AffiliatedHospital ofFujianMedicalUniversity，Fuzhou35ooO4，China）

AbstractObjective：To investigate thefectof pain nursingcombined withhealth interventionon clinicaloutcomesandsleep qualityi patientsundergoing percutaneous nephrolithotomy（PCNL）.Methods：Atotalof 96 patients withrenal calculi whounderwentPCNLinthe Departmentof UrologyofFujianFunengGoup General HospitalfromJanuary2O22 toDecember2022 were selectedandrandomlydividedintoanoservationgroupandacontrolgroupusingtheenvelopemethod，with48patientsineach group.Thecontrol groupreceivedroutine nursing care，whiletheobservation groupreceived pain nursingcombined with health interventiononthebasis ofroutinecare.ThePitsburgh SleepQualityIndex（PSQI）was usedtocomparesleepqualitybetweenthe two groups.Pain intensity was evaluatedusing the Numeric Rating Scale（NRS）at24，48，and72 hours aftersurgery（scored from Oto10，withhighersoresindicatingstrongerpain）.Surgical indicatorsicluding intraoperativeblodloss，toneclearancerate， operationtime，andlengthofhospitalstaywererecordedandcomparedbetweengroups.ResultsAfterintervention，thelengthof hospitalstayintheobservationgroupwasshorterthanthatinthecontrolgroup，andthediferencewasstatisticallsignificant （ P<0.05 ）. At 24，48，and 72 hours after surgery，NRS scores in the observation group were significantly lower than those in the control group，with statistically significant differences （ P<0.05）. On the day of discharge，PSQI scores in the observation group were significantly lower than those in the control group，and the diffrence was statistically significant（ P<0.05 ） . Conclusion ： Pain nursingcombinedwith health interventioncanpromoteearlypostoperativerecoveryinpatientsundergoingpercutaneous nephrolithotomy，effectively relieve postoperative pain，and improve sleep quality.

KeywordsRenalcalculi； Urolithiasis；Percutaneous nephrolithotomy；Painnursing；Health intervention； Sleepquality；Pain;Postoperative recovery

中图分类号：R691.9;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.10.045

尿石症是泌尿系统的常见疾病之一，具有较高的临床发病率。（剩余5629字）