摘要
目的探讨人性化护理干预在胆石症伴胆囊炎患者腹腔镜胆囊切除术应用效果研究。方法方便选取2018年1月-2021年1月该院收治的240例胆石症伴胆囊炎患者作为研究对象,均行腹腔镜胆囊切除术,前瞻性随机数表法将手术患者分为两组,各120例。对照组行常规护理,研究组在此基础上增加人性化护理干预,对比两组患者术后恢复指标、并发症发生率、配合度以及生活质量。结果研究组肛门排气时间、住院时间均短于对照组(10.21±1.17)h vs(17.56±2.18)h,(7.21±1.22)d vs(10.65±1.32)d,差异有统计学意义(t=32.543、20.965,P<0.05);研究组患者配合度高于对照组(93.33%vs 76.67%),差异有统计学意义(χ^(2)=13.070,P<0.05);研究组并发症发生率低于对照组(4.17%vs 12.50%),差异有统计学意义(χ^(2)=5.455,P<0.05)。护理前两组患者生活质量各指标对比,差异无统计学意义(P>0.05),人性化护理7 d后,研究组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论胆石症伴胆囊炎患者腹腔镜胆囊切除术后行人性化护理可提升患者配合率,改善患者术后指标,缩短住院时间,降低并发症发生率,提升患者的预后生活质量,具有积极的临床应用价值。
Objective To explore the effect of humanized nursing intervention in laparoscopic cholecystectomy for patients with cholelithiasis and cholecystitis.Methods A total of 240 patients with cholelithiasis and cholecystitis who were admitted to the hospital from January 2018 to January 2021 were conveniently selected as the research objects,and they all underwent laparoscopic cholecystectomy.The prospective random number table method divided the surgical patients into two groups,each with 120 cases.The control group received routine nursing,and the study group added humanized nursing intervention on this basis.The postoperative recovery indicators,complication rate,cooperation level and quality of life were compared between the two groups.Results Anal exhaust time and hospital stay in the study group were shorter than those in the control group[(10.21±1.17)h vs(17.56±2.18)h,(7.21±1.22)d vs(10.65±1.32)d],the difference was statistically significant(t=32.543,20.965,P<0.05).The degree of cooperation of patients in the study group was higher than that in the control group(93.33%vs 76.67%),the difference was statistically significant(χ^(2)=13.070,P<0.05).The incidence of complications in the study group was lower than that in the control group(4.17%vs 12.50%),and the difference was statistically significant(χ^(2)=5.455,P<0.05).There was no statistically significant difference in the quality of life indicators between the two groups before nursing(P>0.05).After 7 d of humanized nursing,the quality of life scores of patients in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Humanized care for patients with cholelithiasis and cholecystitis after laparoscopic cholecystectomy can increase the patient’s cooperation rate,improve the postoperative indicators of the patient,shorten the hospital stay,and reduce the incidence of complications,improve the prognostic quality of life of patients,which has positive clinical application value.
作者
陈晓君
CHEN Xiaojun(Operating Room,Nanping People's Hospital,Fujian University of Traditional Chinese Medicine,Nanping,Fujian Province,353000 China)
出处
《中外医疗》
2022年第5期158-162,共5页
China & Foreign Medical Treatment
关键词
人性化护理
胆石症
胆囊炎
腹腔镜胆囊切除术
效果
Humanized nursing
Cholelithiasis
Cholecystitis
Laparoscopic cholecystectomy
Effect
