摘要
目的研究全程护理对腹腔镜胆囊切除术患者术前焦虑及术后康复的影响。方法选取2014年11月—2016年2月该院收治的110例行腹腔镜胆囊切除术患者,随机分组,各55例。对照组给予常规护理干预,观察组采取全程护理干预,对比两组干预前后焦虑评分变化情况,比较两组术后肛门排气、下床活动及住院时间,统计两组护理满意度与并发症发生情况。结果干预前,两组焦虑评分对比差异无统计学意义(P>0.05),干预后观察组焦虑评分为(42.4±2.7)分,对照组为(46.2±1.6)分,两组对比差异有统计学意义(P<0.05);干预后,观察组术后肛门排气时间为(28.4±2.8)h、下床活动时间为(14.9±4.1)h、住院时间为(3.7±0.6)d;对照组分别为(35.6±3.7)h、(25.2±6.3)h、(5.2±0.5)d,观察组明显短于对照组,差异均具有统计学意义(P<0.05);且观察组护理满意度高于对照组,并发症发生率低于对照组差异均有统计学意义(P<0.05)。结论对腹腔镜胆囊切除术患者实施全程护理,可明显缓解患者术前焦虑,促进其术后康复,具有较高应用价值。
Objective To study the effect of whole course nursing on preoperative anxiety and postoperative rehabilitation of patients undergoing laparoscopic cholecystectomy.Methods 110 cases of laparoscopic cholecystectomy in our hospital from November 2014 to February 2016 were selected.They were randomly divided into two groups,each of 55 cases.The control group was given routine nursing intervention,the observation group was treated with full nursing intervention.We compared two groups of postoperative anal exhaust,get out of bed activities and hospital stay,counted two groups of nursing satisfaction and the occurrence of complications. Results Before the intervention,two groups of anxiety score differences had no statistical significance（P 〉 0.05）,the observation group,the anxiety scores for the intervention（42.4±2.7）points,control group（46.2±1.6）points,differences between the two groups has statistical significance（P 〈 0.05）;After the intervention,The postoperative anal exhaust time of observation group was（28.4 ±2.8）h,and the time of getting out of bed was（14.9±4.1）h,and the length of stay was（3.7±0.6）d;The control group were（35.6±3.7）h,（25.2±6.3）h,（5.2±0.5）d,The observation group was significantly shorter than the control group,the difference was statistically significant（P 〈 0.05）;And nursing satisfaction of observation group was higher than that of control group,the incidence of complications was significantly lower than that of the control group（P 〈 0.05）.Conclusion The implementation of the whole course nursing for patients with laparoscopic cholecystectomy can obviously relieve the anxiety before operation,promote the postoperative recovery,and has high application value.
出处
《系统医学》
2017年第1期149-151,共3页
Systems Medicine
关键词
全程护理
腹腔镜胆囊切除术
术前焦虑
术后康复
Whole course nursing
Laparoscopic cholecystectomy
Preoperative anxiety
Postoperative rehabilitation
