摘要
目的探讨腹腔镜手术治疗老年急性结石性胆囊炎中循证护理干预实施的效果。方法选取2013年9月—2015年11月在新疆医科大学附属中医医院行腹腔镜手术治疗的92例老年急性结石性胆囊炎作为研究对象,采用随机数字法分为观察组和对照组,每组各46例。对照组患者围术期给予常规护理干预措施,观察组患者围术期给予循证护理干预措施。观察两组患者的护理干预效果、疼痛程度、护理满意度。结果观察组患者护理干预的总有效率为95.65%,明显高于对照组的67.39%（χ2=10.391,P〈0.05）。观察组患者术后1、4及6d的疼痛程度均低于对照组（t=5.598、8.623、10.495,P〈0.05）,观察组患者的护理满意度为93.48%,明显高于对照组的76.08%（χ2=5.392,P〈0.05）。结论循证护理在腹腔镜手术治疗老年急性结石性胆囊炎中有着非常显著的干预效果。
Objective To explore the effect of the implementation of evidence-based nursing intervention in the treatment of elderly patients with acute cholecystitis by laparoscopic operation.Methods 92 cases of elderly patients with acute cholecystitis treated with laparoscopic operation in our hospital selected from September 2013 to November 2015 were devided into observation group and control group（46cases in each group）.The control group were treated with routine nursing intervention in the perioperative period,while the observation group were administered with evidence-based nursing intervention.The effects of nursing intervention,pain grades,nursing satisfaction in the two groups were observed.Results The total effective rate of nursing intervention in the observation group was 95.65%,which was significantly higher than that of 67.39%in the control group（χ2=10.391,P〈0.05）.The pain degrees of patients in the observation group at the 1st day,the 4th day and the 6th day after operation were lower than those in control group（t=5.598,8.623,10.495 respectively,P〈0.05）.The nursing satisfaction of the observation group was 93.48%,which was significantly higher than that of 76.08%in the control group（χ2=5.392,P〈0.05）.Conclusion Evidence-based nursing has a more significant effect on laparoscopic surgery for the elderly patients with acute cholecystitis.
出处
《新疆医科大学学报》
CAS
2016年第7期919-922,共4页
Journal of Xinjiang Medical University
基金
新疆医科大学人文社会科学基金项目-改革与发展专项(2015XYFG07)
