The application value of evidence-based predictive nursing in bladder spasm after ureteral stone surgery
循证依据的预见性护理在输尿管结石术后膀胱痉挛中的应用价值

摘要

目的 对于循证依据的预见性护理在输尿管结石术后膀胱痉挛中的研究效果进行探讨。方法 选择我院2023.01-2025.01所接收的480例输尿管结石患者为研究对象，按照随机数字表法分为观察组（循证依据的预见性护理）与对照组（常规护理），比较两组术后膀胱痉挛发生情况及排尿改善情况。结果 观察组术后膀胱痉挛发生率（4.58%）低于对照组，持续时间与发作频率（2.61±0.53min/次、6.05±1.33次/d）短于对照组，术后最大尿流量与排尿量增加度高于（19.65±3.04，225.09±22.41）对照组，夜尿频率（1.56±0.34）低于对照组（P<0.05）。结论 对输尿管结石术后膀胱痉挛患者开展循证依据的预见性护理效果明显，值得广泛推广与应用。

Abstract

Objective To explore the research effect of evidence-based predictive nursing in bladder spasm after ureteral stone surgery.
Methods 480 patients with ureteral stones admitted to our hospital from January 2023.01 to May 2025.01 were selected as the research subjects. They were randomly divided into an observation group (evidence-based predictive nursing) and a control group (routine nursing) according to a random number table method. The incidence of postoperative bladder spasm and improvement of urination were compared between the two groups.
Results The incidence of postoperative bladder spasms in the observation group (4.58%) was lower than that in the control group, and the duration and frequency of attacks (2.61 ± 0.53min/time, 6.05 ± 1.33 times/day) were shorter than those in the control group. The maximum urine flow and increase in urine output after surgery were higher than those in the control group (19.65 ± 3.04, 255.09 ± 22.41), and the frequency of nocturia (1.56 ± 0.34) was lower than that in the control group (P<0.05).
Conclusion   Evidence based predictive nursing for patients with bladder spasm after ureteral stone surgery is effective and worthy of wide promotion and application.