摘要
目的:探讨老年急性结石性胆囊炎患者围手术期实施优质护理的临床效果。方法:选取2015年1月~2016年2月某院收治符合纳入标准的急性结石性胆囊炎且年龄大于或等于60岁的患者106例,分为研究组(53例)和对照组(53例),对照组在患者入院后及围术期给予常规基础护理,研究组在患者入院后及围术期给予优质护理,比较两组患者入院时、手术前、手术后疼痛情况及心理不良情绪评分,护理结束后评价临床护理实施效果。结果:两组患者一般资料包括性别、年龄、发病至入院时间及术式比较差异无统计学意义(P>0.05);入院后两组患者自身疼痛与SAS焦虑评分比较差异无统计学意义(P>0.05);经过在院治疗后,患者与术前其疼痛和焦虑情况均有较大改善,改善程度研究组优于对照组(P<0.01);术后对照组患者疼痛及焦虑情况较术前无明显改善,研究组患者术后疼痛及焦虑情况较术前明显改善,与对照组相比,组间差异具有显著的统计学意义(P<0.01);对照组临床护理满意率为73.58%,研究组临床护理满意率为92.45%,两组组间差异比较(P<0.01),差异具有显著的统计学意义。结论:优质护理在老年急性结石性胆囊炎患者中应用效果明显,可有效减轻患者入院后和术后疼痛及焦虑情况,使患者术前状态处于平稳,有效提高临床护理效果,取得患者认可,值得临床应用推广。
Objective:To investigate the clinical effect of high quality nursing care on elderly patients with acute calculus cholecystitis in perioperative period.Methods:106 patients with acute calculus cholecystitis who were older than or equal to 60 years of age treated in a hospital from January 2015 to February 2016 were selected and divided into study group(53 cases)and control group(53 cases).The patients in the control group received routine basic care after admission and during the perioperative period,and the patients in the study group were given high quality care after admission and during the perioperative period,then the pain status and psychological bad mood scores were compared between the two groups at the time of admission,before operation and after operation,and the effect of clinical nursing was evaluated after nursing.Results:The general information including gender,age,time and type of operation of two groups had no significant difference from onset to admission(P>0.05);After admission,the pain and SAS anxiety score of two groups had no statistically significant difference(P>0.05);After treatment in the hospital,patients,preoperative pain and anxiety were improved greatly,and the improvement degree of study group was better than that of control group(P<0.01);The postoperative pain and anxiety in the control group were no better than that before the operation.The postoperative pain and anxiety in the study group were significantly improved compared with that before the operation.Compared with the control group,the difference between the two groups was statistically significant(P<0.01);The clinical nursing satisfaction rate of the control group was 73.58%,and the clinical nursing satisfaction rate of the study group was 92.45%.The difference between the two groups was statistically significant(P<0.01).Conclusion:High quality nursing care in elderly patients with acute calculous cholecystitis has obvious application effect,which can effectively relieve the pain and anxiety of patients after admission and
出处
《数理医药学杂志》
2017年第11期1692-1695,共4页
Journal of Mathematical Medicine
关键词
结石性胆囊炎
急性
老年
优质护理
围术期
calculus cholecystitis
acute
old age
high quality nursing
perioperative period
