摘要
目的:观察循证式手术室护理在腹腔镜胆囊切除术患者中的应用效果。方法:选取本院2017年6月-2019年5月收治的80例腹腔镜胆囊切除术患者为观察对象,将其按就诊顺序进行分组,单序号的40例为观察组,双序号的40例为对照组。对照组实施常规手术室护理,观察组实施循证式手术室护理。比较两组血压和心率、手术相关并发症发生情况、术后恢复时间。结果:术前1 d,两组血压和心率比较,差异均无统计学意义(P>0.05)。观察组术中30 min、术后2 h血压和心率与术前1 d比较,差异均无统计学意义(P>0.05),而对照组术中30 min、术后2 h血压和心率均较术前1 d明显上升(P<0.05)。观察组术中30 min、术后2 h血压和心率均明显低于对照组(P<0.05)。观察组手术相关并发症发生率5.00%明显低于对照组22.50%,差异有统计学意义(P<0.05)。观察组肛门排气时间、下床活动时间及住院时间均明显短于对照组,差异均有统计学意义(P<0.05)。结论:循证式手术护理能有效维持腹腔镜胆囊切除术患者生理水平的稳定,并减少手术相关并发症,缩短术后恢复时间。
Objective:To observe the application effect of evidence-based operating room nursing in patients undergoing laparoscopic cholecystectomy.Method:A total of 80 patients with laparoscopic cholecystectomy admitted to our hospital from June 2017 to May 2019 were selected as observation subjects.The patients were divided into groups according to the order of admission.The 40 patients with single serial number were the observation group,and the 40 patients with double serial number were the control group.The control group received conventional operating room nursing,while the observation group received evidence-based operating room nursing.Blood pressure,heart rate,operative complications and postoperative recovery time were compared between the two groups.Result:Comparison of blood pressure and heart rate between the two groups 1 day before operation showed no statistically significant differences(P>0.05).Blood pressure and heart rate in the observation group at 30 min and 2 h after operation were not significantly different from those at 1 d before operation(P>0.05),while blood pressure and heart rate in the control group at 30 min and 2 h after operation were significantly higher than those at 1 d before operation(P<0.05).Blood pressure and heart rate in the observation group were significantly lower than those in the control group at 30 min and 2 h after operation(P<0.05).The incidence of operation related complications in the observation group was 5.00%significantly lower than 22.50%in the control group,the difference was statistically significant(P<0.05).The time of anal exhaust,time of getting out of bed and time of hospitalization in the observation group were significantly shorter than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Evidence-based operation nursing can effectively maintain the physiological stability of patients with laparoscopic cholecystectomy,reduce surgery-related complications,and shorten the postoperative recovery time.
作者
吴小金
梁业
WU Xiaojin;LIANG Ye(Xingang Central Hospital of Xinyu City,Xinyu 338000,China;不详)
出处
《中国医学创新》
CAS
2020年第34期85-89,共5页
Medical Innovation of China
基金
新余市科技计划项目(20173090840)。
关键词
循证护理
手术室护理
腹腔镜胆囊切除术
Evidence-based nursing
Operating room nursing
Laparoscopic cholecystectomy
