摘要
目的:探讨优质护理服务对消化道穿孔腹腔镜修补术患者生活质量及预后结局的影响。方法:选取2019年1月-2022年1月南京医科大学附属南京医院收治的120例消化道穿孔患者作为研究对象,随机分为观察组与对照组,各60例。对照组接受常规住院护理,观察组接受优质护理服务,对比两组术后恢复情况、疼痛程度、生活质量、护理总满意度及并发症发生情况。结果:观察组排气时间、肠鸣音恢复时间早于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。观察组术后1 d、3 d、7 d的VAS评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组生理功能、精神状态、健康状况、躯体感觉评分比较,差异无统计学意义(P>0.05);干预后,观察组生理功能、精神状态、健康状况、躯体感觉评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:在消化道穿孔腹腔镜修补术患者围术期实施优质护理服务,能显著提高护理服务质量,改善患者生活质量,减轻焦虑、抑郁情绪及提升护理满意度,具有应用及推广价值。
Objective:To explore the influence of high-quality nursing service on the quality of life and prognosis of patients with gastrointestinal perforation undergoing laparoscopic repair.Methods:A total of 60 patients with gastrointestinal perforation admitted to Nanjing Hospital Affiliated to Nanjing Medical University from January 2019 to January 2022 were selected as the study subjects.The patients were randomly divided into observation group and control group,wit 60 cases in each group.The control group received routine hospitalization nursing,and the observation group received high-quality nursing services.The postoperative recovery,pain degree,quality of life,total satisfaction with nursing and complications were compared between the two groups.Results:The exhaust time,bowel sound recovery time and length of hospital stay in the observation group were all shorter than those in the control group,and the differences were statistically significant(P<0.05).At 1 days,3 days and 7 days after surgery,the VAS scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there were no significant differences in physiological function,mental state,health status,and somatosensory scores between the two groups(P>0.05).After the intervention,the physiological function,mental state,health status,and somatosensory scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction with nursing in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of high-quality nursing service in the patients with gastrointestinal perforation during the perioperative period of laparoscopic repair can significantly
作者
张菁菁
Zhang Jing-jing(Nanjing Hospital Affiliated to Nanjing Medical University(Nanjing First Hospital),Nanjing 210006,Jiangsu Province,China)
出处
《中国社区医师》
2022年第31期98-100,共3页
Chinese Community Doctors
关键词
优质护理服务
消化道穿孔
腹腔镜修补术
生活质量
预后结局
High-quality nursing service
Gastrointestinal perforation
Laparoscopic repair
Quality of life
Prognostic outcome
