摘要
目的:探讨个性化护理干预在十二指肠溃疡伴急性穿孔患者中的应用价值。方法:选取2018年1月-2022年1月南京医科大学附属南京医院收治的56例十二指肠溃疡急性穿孔患者作为研究对象,患者均拟行腹腔镜下十二指肠溃疡穿孔修补术,采用随机数字表法分为观察组与对照组,各28例。对照组围术期予以常规护理,观察组围术期予以个性化护理干预,比较两组手术一般指标、护理前后心理状态、护理满意度及术后并发症发生情况。结果:观察组排气时间、排便时间、首次下床活动时间早于对照组,引流管置管时间及住院时间短于对照组,差异有统计学意义(P<0.05)。护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、护理满意度评分比较,差异无统计学意义(P>0.05);护理后,观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度评分高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:十二指肠溃疡并急性穿孔患者围术期实施个性化护理干预,可促进患者术后康复,降低术后并发症发生风险,并对改善患者焦虑、抑郁等负性情绪及护理满意度具有积极作用。
Objective:To explore the application value of personalized nursing intervention in patients with duodenal ulcer complicated with acute perforation.Methods:Fifty-six patients with acute perforation of duodenal ulcer admitted to Nanjing Hospital Affiliated to Nanjing Medical University from January 2018 to January 2022 were selected as the study subjects.All patients were planned to undergo laparoscopic repair of duodenal ulcer perforation,and were divided into observation group and control group according to random number table method,with 28 cases in each group.The control group received routine nursing during perioperative period,while the observation group received personalized nursing intervention during perioperative period.The general surgery indicators,psychological state before and after nursing,nursing satisfaction before and after nursing and the incidence of postoperative complications were compared between the two groups.Results:The exhaust time,defecation time,first ambulation time,drainage tube catheterization time and length of hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of selfrating anxiety scale(SAS),self-rating depression scale(SDS)and nursing satisfaction between the two groups before nursing(P>0.05).After nursing,the SAS and SDS scores in the observation group were lower than those in the control group,and the nursing satisfaction scores in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative 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 personalized nursing intervention in the perioperative patients with duodenal ulcer and acute perforation can promote the postoperative recovery of patients,reduce the risk of postoperative comp
作者
朱梦媛
Zhu Meng-yuan(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101-103,共3页
Chinese Community Doctors
关键词
个性化护理干预
十二指肠溃疡
急性消化道穿孔
术后康复进程
Personalized nursing intervention
Duodenal ulcer
Acute gastrointestinal perforation
Postoperative rehabilitation process
