摘要
目的探讨综合护理干预在结石性胆囊炎胆囊切除术围手术期的临床效果。方法选取2017年3月～2018年6月期间我院收治的56例行胆囊切除术的结石性胆囊炎患者为研究对象,按照入院顺序将所有患者分为观察组和对照组两组,各28例,观察组患者围手术期实施综合护理干预,对照组患者围手术期实施常规护理干预,观察并记录两组患者的手术时间、术中出血量、住院时间、术后并发症发生率及患者的护理满意度等指标,对比两组患者的护理干预效果。结果观察组患者术中出血量及住院时间均低于(短于)对照组,两组数据对比,观察组手术情况明显优于对照组,差异具有统计学意义(P<0.05);两组患者术后并发症发生率分别为7.14%、17.39%,差异具有统计学意义(P<0.05);观察组的护理总满意度为89.29%,明显高于对照组患者的护理满意度(64.29%),两组患者的护理满意度对比,差异有统计学意义(P<0.05)。结论给予结石性胆囊炎胆囊切除术患者围手术期实施综合护理干预能有效改善患者的手术情况,且手术预后效果好,降低患者术后并发症发生率,促进其尽快恢复,患者满意度,这一护理方法值得在临床上大力推广。
Objective To investigate the clinical effect of comprehensive nursing intervention in perioperative cholecystectomy for calculous cholecystitis. Methods A total of 56 patients with calculous cholecystitis who underwent cholecystectomy in our hospital from March 2017 to June 2018 were enrolled. All patients were divided into observation group and control group according to the order of admission, with 28 cases in each group. The observation group underwent comprehensive nursing intervention during the perioperative period, and the control group underwent routine nursing intervention during the perioperative period. The operation time, intraoperative blood loss, hospitalization time, the incidence of postoperative complications and the patient's nursing satisfaction, etc. were observed and recorded. The effect of nursing intervention between the two groups of patients was compared. Results The intraoperative blood loss and hospitalization time of the observation group were less than(shorter than) those of the control group. The data of the two groups were compared, and the operation situation in the observation group was significantly better than that of the control group, which was statistically significant(P<0.05). The incidence of postoperative complications in the two groups were 7.14% and 17.39%, respectively. The difference was statistically significant(P<0.05). The total satisfaction rate of the observation group was 89.29%, which was significantly higher than that of the control group(64.29%), and the difference between the two groups was statistically significant(P<0.05). Conclusion Perioperative comprehensive nursing intervention for patients with calculus cholecystitis and cholecystectomy can effectively improve the operation situation of patients, which has good prognosis of surgery, reduces the incidence of postoperative complications, promotes their recovery as soon as possible and improves patient satisfaction. This method of nursing deserves to be promoted clinically.
作者
张梅
罗艳
邹蓉
ZHANG Mei;LUO Yan;ZOU Rong(Department of First Surgery, Zhangshu People's Hospital in Jiangxi Province, Zhangshu 331200, China)
出处
《中国现代医生》
2019年第8期158-160,共3页
China Modern Doctor
关键词
结石性胆囊炎
胆囊切除术
围手术期
护理干预
Calculous cholecystitis
Cholecystectomy
Perioperative period
Nursing intervention
