Observation on the effect of comprehensive nursing intervention during the perioperative period of patients with urinary calculi complicated with urinary tract infection
泌尿系结石合并尿路感染围手术期综合护理干预效果观察

摘要

目的 探讨综合护理干预用于泌尿系结石合并尿路感染患者围手术期的临床效果。方法 纳入2025年1月-2026年5月我院收治的80例泌尿系结石合并尿路感染患者，随机分为两组，对照组（40例），实施泌尿外科常规围手术期护理，观察组（40例）在常规护理基础上开展术前、术中、术后一体化综合护理干预，对比两组术后感染并发症发生率、术后视觉模拟疼痛评分（VAS）评分、住院时长、护理满意度。结果 观察组术后感染并发症发生率、术后24h与48h VAS疼痛评分、住院时间短于对照组，护理满意度高于对照组，差异均有统计学意义（P＜0.05）。结论 对泌尿系结石合并尿路感染患者实施围手术期综合护理干预，可有效降低术后感染风险，缓解术后疼痛，改善负性情绪，缩短住院周期，提升护理满意度，适合临床推广。

Abstract

Objective To explore the clinical effect of comprehensive nursing intervention for patients with urinary calculi complicated with urinary tract infection during the perioperative period.
Methods A total of 80 patients with urinary calculi complicated with urinary tract infection admitted to our hospital from January 2025 to May 2026 were included. They were randomly divided into two groups. The control group (40 cases) received routine perioperative nursing in urology, while the observation group (40 cases) received integrated comprehensive nursing intervention before, during and after the operation on the basis of routine nursing. The postoperative infection complication rate, Visual Analogue Scale (VAS) pain scores, hospital stay, and nursing satisfaction were compared between the two groups.
Results The postoperative infection complication rate, 24-hour and 48-hour VAS pain scores, hospital stay of the observation group were shorter than those of the control group, and the nursing satisfaction was higher than that of the control group. The differences were statistically significant (P < 0.05).
Conclusion   Implementing comprehensive nursing intervention during the perioperative period for patients with urinary calculi complicated with urinary tract infection can effectively reduce the risk of postoperative infection, relieve postoperative pain, improve negative emotions, shorten the hospital stay, and improve nursing satisfaction. It is suitable for clinical promotion.