摘要
目的探讨手术治疗急性化脓性阑尾炎的围手术期护理措施。方法从本院2018年1月至2019年4月接受的手术治疗的急性化脓性阑尾炎患者中,抽取68例,采用个数字单双原则将其划分为对照组(双数患者)和观察组(单数患者),各34例。对照组患者实行常规护理(术后给予补液、抗感染、饮食指导等),观察组患者实行围手术期护理方案,观察两组患者护理后心里状况以及肠粘连、感染、切口坏死等相关并发症发生情况。结果①观察组患者护理后焦虑、抑郁评分相较于对照组均得到了显著的降低,有效改善了患者心理状态(P<0.05);②观察组患者肠粘连、感染、切口坏死等相关并发症发生率相较于对照组患者得到了显著的降低(P<0.05)。结论急性化脓性阑尾炎起病急骤、发展迅速,需要尽快采取手术进行治疗,但患者受到病痛折磨的同时又需积极面对手术,使得其容易产生严重的负面情绪,因此在急性化脓性阑尾炎手术患者治疗期间实施围手术期护理措施能够有效促进患者焦虑、抑郁等不良心理状态的改善,缓解其烦躁、恐惧等情况,提高其对手术治疗的信心,还能有效降低患者术后肠粘连、感染、切口坏死等相关并发症的发生,从而改善患者生存质量,有助于患者预后,是有效的护理方案。
Objective To explore the perioperative nursing measures of surgical treatment of acute suppurative appendicitis. Methods 68 patients with acute suppurative appendicitis who received surgical treatment in our hospital from January 2018 to April 2019 were selected and divided into the control group(even number patients) and the observation group(odd number patients) with 34 patients in each group using the odd-even principle. Patients in the control group were given routine nursing(postoperative fluid rehydration, anti-infection, dietary guidance, etc.), patients in the observation group were given perioperative nursing program, and patients in the two groups were observed for their psychological status after nursing, intestinal adhesion, infection, incision necrosis and other related complications. Results ①The scores of anxiety and depression in the observation group were significantly lower than those in the control group, effectively improving the patients’ psychological state(P<0.05). ②The incidence of intestinal adhesion, infection, incision necrosis and other related complications in the observation group was significantly lower than that in the control group(P<0.05). Conclusion Acute suppurative appendicitis sudden onset, development is rapid, need take surgical treatment as soon as possible, but patients are suffering should actively face surgery again at the same time, makes it easy to produce serious negative emotions, so in the treatment of patients with acute suppurative appendicitis surgery during perioperative nursing measures can effectively promote the improvement of the patients with anxiety, depression and other adverse psychological state, alleviate the fidgety, fear, etc., to improve their confidence in the surgical treatment, can effectively reduce the patients’ postoperative intestinal adhesion, infection, incision necrosis and related complications, to improve the quality of survival, the prognosis of patients with help, Is an effective care program.
作者
崔宇
CUI Yu(Department of General Surgery,Zhangwu County Fourth People's Hospital,Zhangwu 123200,China)
出处
《中国医药指南》
2020年第21期248-249,共2页
Guide of China Medicine
关键词
手术
急性化脓性阑尾炎
围手术期护理措施
心理状态
并发症
Surgery
Acute suppurative appendicitis
Perioperative nursing measures
Mental state
Complications