摘要
目的探究预见性护理在胆总管结石患者内镜下逆行胰胆管造影(ERCP)术中的应用效果。方法选择我院2017年9月至2020年9月收治的胆总管结石患者152例为研究对象,采用随机数字表法将其分为对照组(76例)与观察组(76例),两组均开展ERCP术,对照组给予常规护理,观察组在对照组基础上联合预见性护理。比较两组患者术后并发症发生情况、术后住院时间、住院期间焦虑抑郁情况及对护理服务的满意程度。结果观察组并发症发生率(2.63%)低于对照组(14.47%),差异有统计学意义(P<0.05);护理前两组患者综合医院焦虑抑郁量表(HADS)焦虑(A)、抑郁(D)评分比较,差异无统计学意义(P>0.05);护理后观察组HADS(A)评分为(7.12±1.16)分,(D)评分为(7.51±1.08)分,低于对照组的(8.33±1.58)分、(8.96±1.34)分,差异有统计学意义(P<0.05);观察组住院时间为(5.37±1.20)d,短于对照组的(7.41±1.53)d,差异有统计学意义(P<0.05);观察组护理总满意度(97.37%)高于对照组(81.58%),差异有统计学意义(P<0.05)。结论预见性护理在胆总管结石患者ERCP术中的应用可降低术后并发症,改善患者焦虑抑郁水平,缩短住院时间,提升患者对护理服务的满意程度。
Objective To investigate the application efficacy of predictive nursing in endoscopic retrograde cholangiopancreatography(ERCP)for patients with common bile duct stones(CBDS).Methods A total of 152 patients with CBDS admitted to our hospital from September 2017 to September 2020 were selected as the research objects,and they were divided into the control group(n=76)and the observation group(n=76)according to the random number table method.Both groups were performed with ERCP.Meanwhile,the control group was treated with conventional nursing,while the observation group was treated with predictive nursing on the basis of the control group.The incidence of postoperative complications,postoperative hospitalization time,anxiety and depression during hospitalization and satisfaction with nursing service were compared between the two groups of patients.Results The incidence of complications in the observation group was 2.63%,which was lower than 14.47%in the control group,with statistically significant difference(P<0.05).Before nursing,there were no statistically significant differences in anxiety(A)and depression(D)scores of comprehensive hospital anxiety and depression scale(HADS)between the two groups(P>0.05).After nursing,the scores of HADS(A)and(D)in the observation group were(7.12±1.16)points and(7.51±1.08)points,which were lower than(8.33±1.58)points and(8.96±1.34)points in the control group,respectively,with statistically significant differences(P<0.05).The hospitalization time in the observation group was(5.37±1.20)days,which was shorter than(7.41±1.53)days in the control group,with statistically significant difference(P<0.05).The total nursing satisfaction of the observation group was 97.37%,which was higher than 81.58%of the control group,with statistically significant difference(P<0.05).Conclusion The application of predictive nursing in ERCP for patients with CBDS can reduce the postoperative complications,improve patients'anxiety and depression level,shorten hospitalization time and raise patients'sat
作者
龙雅洁
陈团友
江秀珠
LONG Yajie;CHEN Tuanyou;JIANG Xiuzhu(DepartmentⅡof Internal Medicine,Yangjiang Hospital of Traditional Chinese Medicine,Guangdong,Yangjiang 529500,China)
出处
《中国医药科学》
2021年第8期95-98,共4页
China Medicine And Pharmacy
基金
广东省阳江市卫生计生局科技计划项目(阳卫计2018005)。
关键词
预见性护理
胆总管结石
内镜下逆行胰胆管造影
综合医院焦虑抑郁量表
并发症
护理总满意度
Predictive nursing
Common bile duct stones
Endoscopic retrograde cholangiopancreatography
Comprehensive hospital anxiety and depression scale
Complicati ons
Total nursing satisfaction
