Application of High-Quality Nursing Mode in Percutaneous Nephrolithotomy Under Local Anesthesia

Objective: To explore the application experience of high-quality nursing management mode in patients undergoing percutaneous nephrolithotripsy under local anesthesia. Methods: From September 2020 to September 2022, 80 cases of percutaneous nephrolithotomy under local anesthesia were treated with high-quality nursing mode (informatization, individualization and whole process of nursing mode). Before operation, comprehensive evaluation, psychological nursing, propaganda of operation methods and posture training were done through images, pictures, WeChat and brochures. Posture placement, heat preservation and psychological guidance were done during operation, and attention was paid to drainage tube after operation. The psychological state, pain score and nursing satisfaction of patients before and after operation were compared. Results: All the 90 patients were successfully operated, with pleural effusion in 3 cases, blockage of drainage tube in 4 cases, temperature rise in 2 cases, and hematuria in 3 cases. All patients were cured after symptomatic treatment and nursing. After operation, the psychological state, pain score and nursing satisfaction of the patients were significantly improved (P<0.05). Conclusion: Percutaneous nephrolithotomy under local anesthesia has the advantages of less trauma and quick recovery, but patients may have bad feelings of nervousness and anxiety. High-quality nursing management mode can effectively relieve patients' bad feelings, improve sleep quality, relieve pain and promote patients' quick recovery.