层级管理下责任制整体护理对输尿管结石手术患者的影响

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[Abstract]Objective： To explore the influence of responsibility system holistic nursing under hierarchical management on patients with ureteral calculi surgery.Method：According to therandom numbertable method，82 patients undergoing ureteralcalculi surgery in the ital of Shangrao from January 2O21 to December 2023 were divided into the observation group （responsibility system holistic nursing under hierarchical management） and the control group （routine nursing），41 cases in each group.The surgical indicators，nursingsatisfaction，quality of life，self-care ability and complications were compared between two groups.Result： The hospitalization time， firstdefecation timeand firsttime to getoutof bed intheobservation group were shorter than those in the control group，the nursing satisfaction score was higher than that in the control group，and the incidence of complications waslower than that in the control group，the differences were statistically significant （ P <0.05）. Compared with those before nursing，thequality of life and self-care ability scores of two groups after nursing were diferent，and those inthe observation group were higher than those in the control group，the diffrences were statistically significant （ P <0.05）.Conclusion：Responsibility system holistic nursing under hierarchical management in patients undergoing ureteral calculi surgerycanshorten the hospitalization time，first defecationtimeand firsttime to get outofbed，improvethequalityoflifeandnursing satisfaction，andtheincidenceofpostoperativecomplications is low，improve self-care ability.

[Keywords]Hierarchical managementResponsibilitysystem holistic nursingSelf-care abilityUreteral calculi surgeryQuality of lifeNursing satisfaction

First-author's address： Department of Surgery， the First Affiliated ital of Jiangxi Medical College，Shangrao334000，China doi：10.3969/j.issn.1674-4985.2025.21.021

输尿管结石为常见泌尿系统疾病，其形成与尿路梗阻、尿液成分异常及尿路感染等多种因素相关，当结石阻塞尿路，导致尿液无法正常排出回流到肾脏，不仅增加肾脏负担，而且为细菌提供了良好的滋生环境，引起尿路感染，严重影响患者的日常生活[-2]。（剩余5797字）