摘要
目的探究快速康复在哺乳期腹腔镜下胆囊切除术后护理中的应用。方法选择2017年3月-2018年3月德阳市人民医院行腹腔镜下胆囊切除术的患者,共100例,全部患者均处于哺乳期。采用随机数字表法进行分组,观察组采用快速康复护理;对照组采用常规围手术期护理,对于两组护理效果进行对比分析。结果①观察组术后自主活动时间、排气排便时间、术后进食时间、住院时间均比对照组短,具有显著差异(P<0.05)。②观察组总并发症发生率比对照组少,具有显著差异(P<0.05)。③观察组护理总满意度比对照组高,具有显著差异(P<0.05)。④观察组及对照组护理前焦虑及抑郁评分比较并无差异(P>0.05),护理后观察组及对照组焦虑及抑郁评分较护理前均有所下降(P<0.05),相对比观察组焦虑及抑郁评分下降更明显(P<0.05)。结论快速康复应用在哺乳期腹腔镜下胆囊切除术后护理中可以显著缩短患者手术后康复活动时间、康复排气和排便时间、术后进食时间、住院时间,并且降低患者的并发症的发病率,值得进行推广。
Objective To explore application of rapid rehabilitation in nursing after laparoscopic cholecystectomy during lactation.Methods The paper chose 100 patients with laparoscopic cholecystectomy during lactation in Deyang City People’s Hospital from March 2017 to March 2018,and divided them into groups with random number table method.Observation group was treated with rapid rehabilitation nursing,and control group with routine perioperative nursing.Nursing effect between two groups was compared and analyzed.Results①time of postoperative self activity,exhaust and defecation,postoperative eating and hospitalization in observation group was significantly shorter than control group,with statistical significance,(P<0.05).②Incidence of total complications in observation group was significantly lower than control group,with statistical significance,(P<0.05).③Total nursing satisfaction degree in observation group was higher than control group,with statistical significance,(P<0.05).④There was no difference in anxiety and depression scores between observation group and control group before nursing,(P>0.05).After nursing,anxiety and depression scores of observation group and control group were lower than before nursing,(P<0.05),which was more obvious in observation group(P<0.05).Conclusion Rapid rehabilitation can shorten time of rehabilitation,postoperative exhaust and defecation time,postoperative food intake and hospital stay significantly,and reduce complications incidence in nursing after laparoscopic cholecystectomy.
作者
李茜
LI Qian(Department of Hepatobiliary and Pancreatic Surgery,Deyang City People's Hospital,Deyang,Sichuan,618000)
出处
《智慧健康》
2022年第6期187-189,共3页
Smart Healthcare
关键词
快速康复
哺乳期
腹腔镜下胆囊切除术
护理
Rapid rehabilitation
Lactation
Laparoscopic cholecystectomy
Nursing
作者简介
李茜(1994-),女,汉族,四川德阳,大专,护士,研究方向:肝胆胰外科。
