摘要
目的研究快速康复护理对腹腔镜胆囊切除术患者术后恢复及负性情绪的影响。方法选取该院2015年10月-2017年1月收治的行腹腔镜胆囊切除术患者92例为研究对象，采用随机数字表法将其分为对照组和观察组，各46例。对照组患者接爱常规护理干预，观察组患者在此基础上接受快速康复护理干预。比较两组患者的术中出血量、术后预后指标及并发症发生率，同时比较两组护理前后的焦虑和抑郁评分。结果观察组的术中出血量、首次下床活动时间、肠道排气时间及住院时间均明显低于对照组，差异有统计学意义（均P〈0．01）；护理后，观察组的SAS和SDS评分均明显低于对照组，差异有统计学意义（均P〈0．01）；观察组的总并发症发生率明显低于对照组，差异有统计学意义（P〈0．01）。结论快速康复护理能够有效促进腹腔镜胆囊切除术患者术后恢复，降低并发症发生率及术中出血量，并能改善患者的负性情绪，符合现代护理发展的方向，值得临床推广。
Objective To study the effect of rapid rehabilitation nursing on postoperative recovery and nega- tive emotions in patients with laparoscopic choleeystectomy. Methods A total of 92 cases of patients underwent laparo- scopic cholecystectomy admitted to this hospital from October 2015 to January 2017 were selected as the research ob- jects. According to the random number table method, they were divided into the control group and the observation group, 46 cases of each group. The control group received routine nursing intervention. On the basis of this, the pa- tients of the observation group received rapid rehabilitation nursing intervention. The amount of bleeding, the index of postoperative prognosis and the incidence of complications of two the groups were compared. At the same time, the scores of anxiety and depression of the two groups before and after the nursing were compared. Results The amount of bleeding during operation, ambulation time, intestinal exhaust time and hospitalization time of the observation group were significantly lower than those of the control group, and the differences were statistically significant （ P〈0. 01 ）. After nursing, the SAS and SDS scores of the observation group were significantly lower than those of the control group, and the differences were statistically significant （ P〈0. 01 ）. The incidence of complications of the observation group was significantly lower than that of the control group, and the difference was statistically significant （P 〈 0.01 ）. Conclusions The rapid rehabilitation nursing of laparoscopic cholecystectomy can effectively promote postoperative re- covery of patients, reduce the incidence of complications and bleeding and improve the patients＂ negative emotions. It conforms to the direction of modern nursing development. It is worthy of clinical promotion.
作者
何雪梅
余秀萍
王庆
林秀娟
张艳
He Xuemei;Yu Xiuping;Wang Qing;Lin Xiujuan;Zhang Yah(General Surgery Department,the People＇s Hospital of Jiangmen City in Guangdong Province,Jiangmen 529000,China)
出处
《国际护理学杂志》
2018年第19期2601-2605,共5页
international journal of nursing
关键词
快速康复护理
腹腔镜胆囊切除术
术后恢复
负性情绪
emotionRapid rehabilitation nursing
Laparoscopic cholecystectomy
Postoperative recovery
Negative
