摘要
目的探讨腹腔镜治疗胆囊结石伴胆囊炎患者采用围术期护理干预的效果。方法随机选择2019年3月—2020年5月该院接收的100例胆囊结石并胆囊炎患者为研究对象,采用随机化原则分成对照组与研究组,各50例。对照组予围术期常规护理,研究组予围术期综合护理。比较两组视觉模拟评分法(VAS)评分、临床指标、术后并发症和护理满意度。结果研究组护理后VAS评分(0.26±0.11)分低于对照组(1.84±0.61)分,差异有统计学意义(t=18.025,P<0.05);护理后研究组下床活动时间(16.43±5.84)h、首次排气时间(36.20±7.53)h、住院时间(3.51±1.19)d低于对照组(23.77±7.04)h、(48.16±8.59)h、(4.75±1.29)d,差异有统计学意义(t=5.674、7.403、4.996,P<0.05);研究组术后并发症总发生率4.00%低于对照组18.00%,护理总满意度98.00%高于对照组82.00%,差异有统计学意义(χ^(2)=5.005、7.111,P<0.05)。结论围术期综合护理干预运用在腹腔镜治疗的胆囊结石伴胆囊炎患者中能减轻疼痛、减少并发症,还能促进术后恢复,密切护患关系,值得推荐。
Objective To explore the effect of perioperative nursing intervention in the treatment of patients with gallbladder stones and cholecystitis by laparoscopy.Methods The 100 patients with gallbladder stones and cholecystitis accepted by the hospital from March 2019 to May 2020 were randomly selected as the research objects,and were divided into the control group and the study group with 50 cases each according to the principle of randomization.The control group received perioperative routine care,and the study group received perioperative comprehensive care.The visual analogue scale(VAS)score,clinical indicators,postoperative complications and nursing satisfaction were compared between the two groups.Results The VAS score(0.26±0.11)points of the study group after nursing was lower than that of the control group(1.84±0.61)points,and the difference was statistically significant(t=18.025,P<0.05);the study group got out of bed time after nursing(16.43±5.84)h,first exhaust time(36.20±7.53)h,hospitalization time(3.51±1.19)d lower than the control group(23.77±7.04)h,(48.16±8.59)h,(4.75±1.29)d,the difference was statistically significant(t=5.674,7.403,4.996,P<0.05);the total incidence of postoperative complications in the study group was 4.00%lower than that of the control group 18.00%,and the total nursing satisfaction was 98.00%higher than that of the control group 82.00%,the difference was statistically significant(χ^(2)=5.005,7.111,P<0.05).Conclusion The use of perioperative comprehensive nursing intervention in laparoscopically treated patients with gallbladder stones and cholecystitis can reduce pain,reduce complications,promote postoperative recovery,and maintain a close nurse-patient relationship.It is worth recommending.
作者
白洁
BAI Jie(The Third Department of General Surgery,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia Autonomous Region,014010 China)
出处
《中外医疗》
2021年第23期115-117,121,共4页
China & Foreign Medical Treatment
关键词
胆囊炎
疼痛程度
腹腔镜
围术期护理干预
护理满意度
胆囊结石
Cholecystitis
Pain degree
Laparoscopy
Perioperative nursing intervention
Nursing satisfaction
Gallbladder stones
