中文摘要：

目的观察五行情绪护理在上尿路结石行输尿管软镜下钬激光碎石术中的效果。方法将200例上尿路结石行输尿管软镜下钬激光碎石术患者按随机数字表法分为观察组和对照组各100例。对照组患者给予常规护理方法，观察组患者采用针对患者负性情绪制定的五行情绪护理方案，评价两组患者术中疼痛情况及心理状态，总结患者对治疗效果的满意度。结果观察组患者术中中度疼痛发生率为31％，显著低于对照组的43％，两组间差异有统计学意义（P〉0．05）。两组患者入院时均处于轻度抑郁和焦虑状态，但组间差异无统计学意义（P〉0．05）；而出院1周后两组患者的HAMD得分及sAs评分较入院时均有所改善，且观察组HAMD及SAS评分显著低于对照组（均P〈0．05）。观察组患者的满意度为98％，对照组为83％，组间差异亦有统计学意义（x^2=11．893，P〈0．001）。结论五行情绪护理方案对上尿路结石行输尿管软镜下钬激光碎石术患者的负性情绪有一定的改善作用，可减轻患者术中的疼痛程度，并提高患者的治疗满意度。

英文摘要：

Objective To investigate the effect of Wuxing emotional nursing in patients with upper urinary tract stones underwent ureter soft lenses and holmium laser lithotripsy. Methods 200 patients with upper urinary tract stones and underwent ureter soft lenses and holmium laser lithotripsy were randomly divided into observation group and control group, 100 cases in each group. Routine care was given to patients in the control group. The observation group received Wuxing emotional nursing programs according to three kinds of negative emotions. Surgery patients were evaluated for pain conditions and psychological state, and satisfaction with treatment effect was Summarized. Results Incidence of moderate pain in patients of the observation group （31%） was significantly lower than that of the control group （43 %）. The difference between the two groups was statistically significant （P〈0.05）. The patients of two groups were in mild depression and anxiety on admission （P〉0. 05）. Discharged one week later, HAMD score and SAS scores of two groups were improved compared with admission. HAMD score and SAS scores of observation group were significantly lower than that of the control group （P〈0.05）. Satisfaction of observation group （98 %）, was statistically different from that of the control group （83%） （x^2 = 11893, P〈0001）. Conclusion Wuxing emotional nursing programs can improve neg- ative emotions in patients with upper urinary tract calculi underwent ureteral soft lenses and holmium laser lithotripsy, reduce the level of pain in patients in surgery and increase the satisfaction with treatment.