摘要
目的 探究胆囊结石患者腹腔镜手术治疗中针对性护理干预的应用效果。方法 本次158例研究对象是2019年2月至2010年2月在本院行腹腔镜手术的胆囊结石患者,经随机数表法分组,每组79例。对照组患者应用传统护理模式,术前告知相关注意事项、叮嘱禁食禁水、常规备皮,术后做好生命体征及病情监测、遵医嘱给药等。观察组患者应用针对性护理干预模式,主要包括健康宣教、心理疏导、环境优化、术前准备、并发症护理、出院指导等。对比两组术后恢复、并发症及护理满意度情况。结果观察组首次肛门排气时间、下床活动时间、住院时间分别为(1.17±0.56)d、(1.79±0.41)d、(4.23±1.02)d,对照组分别为(1.68±0.42)d、(2.27±0.54)d、(6.34±1.15)d,差异有统计学意义(P<0.05)。观察组并发症发生率为3.79%,显著高于对照组的13.92%,差异有统计学意义(P<0.05)。观察组比对照组护理满意度高,分别为94.49%和81.01%,差异有统计学意义(P<0.05)。结论 胆囊结石腹腔镜手术治疗的患者在接受手术治疗的过程中,心理和生理均会受到不同程度的伤害,应用针对性护理干预,有助于缩短恢复时间、减少并发症、提高满意度,保证手术质量及安全性。
Objective To explore the application effect of nursing intervention in laparoscopic surgical treatment of patients with gallstone.Methods A total of 158 patients with cholecystolithiasis who underwent laparoscopic surgery in our hospital from February 2019 to February 2010were included in this study. They were divided into 79 patients in each group by numerical table method. Patients in the reference group received traditional nursing mode, and were informed of relevant precautions before surgery, urged to abstain from food and water, routine skin preparation,vital signs and condition monitoring after surgery, and drug administration as advised by doctors. The observation group received targeted nursing intervention mode, including health propaganda and education, psychological counseling, environmental optimization, preoperative preparation,complication care, discharge guidance, etc. Postoperative recovery, complications and nursing satisfaction were compared between the two groups.Results The time of first anal exhaust, time of ambulation and length of hospital stay in the observation group were(1.17±0.56) d,(1.79±0.41) d,(4.23±1.02) d, respectively, and in the reference group were(1.68±0.42) d,(2.27±0.54) d,(6.34±1.15) d, respectively. The difference was statistically significant(P<0.05). The incidence of complications in the observation group was 3.79%, which was significantly higher than that in the reference group(13.92%), with statistical significance(P<0.05). The nursing satisfaction of observation group was higher than that of reference group(94.49% and 81.01%, respectively), and the difference was statistically significant(P<0.05). Conclusion In the process of laparoscopic cholecystolithiasis surgery, patients will be psychologically and physiologically injured to varying degrees. The application of targeted nursing intervention can help shorten the recovery time, reduce complications, improve satisfaction, and ensure the quality and safety of surgery.
作者
邢影
XING Ying(Liaoning Chaoyang Central Hospital,Chaoyang 122000,China)
出处
《中国医药指南》
2023年第1期162-164,共3页
Guide of China Medicine
关键词
胆囊结石
腹腔镜手术
针对性护理干预
并发症
护理满意度
Gallstone
Laparoscopic surgery
Targeted nursing intervention
Complications
Nursing satisfaction
