| Abstract |
Objective To analyze and evaluate the clinical effects of evidence-based nursing based on ERAS concept in patients undergoing kidney stone surgery, and to specifically analyze and summarize the data on postoperative recovery time, complication rate, pain score and quality of life. Methods The experimental samples were all selected from patients who received kidney stone surgery in our hospital in recent 5 years, involving a total of 100 patients. According to the order of admission time, the first 50 patients received routine nursing (control group n=50), and the last 50 patients received evidence-based nursing countermeasures based on the concept of ERAS (observation group n=50). The relevant data indicators after different interventions were collected and recorded in the two groups, and the analysis and test were completed with the help of statistical tools to observe the difference in the comparison results. Results The time of postoperative exhaust (13.21±2.12), the time of getting out of bed (9.02±1.54), the time of postoperative defecation (17.16±2.27) and the time required for hospitalization (6.09±1.08) in the observation group were lower than those in the control group. The incidence of complications in the observation group: incision bleeding/fluid (2 cases, 2.00%), incision infection (1 case, 2.00%), abdominal distension (3 cases, 6.00%), dysuria (1 case, 2.00%) and urinary tract infection (1 case, 2.00%) were all better than those in the control group. Pain score: There was no significant difference between the two groups before care, and the observation group was lower than the control group (1.42±0.24) after care; The quality of life scores of the observation group were higher than those of the control group: physical health (83.38±2.60), social function (84.26±1.24), psychological function (84.18±3.29) and physiological function (85.12±1.30), and the P value of comparison between groups was <0.05, showing statistical significance. Conclusion Evidence-based nursing based on ERAS concept can significantly promote postoperative recovery, relieve postoperative pain, control the probability of complications, and improve quality of life in patients with kidney stone surgery. The overall intervention effect is accurate, which is worthy of clinical adoption and reference.
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