摘要
目的探讨辨证护理在结石性胆囊炎患者胆囊切除术围术期的应用效果。方法选取2017年4月~2019年2月我院收治的115例结石性胆囊炎患者作为研究对象,按照随机数字表法分为对照组(54例)和观察组(61例)。对照组给予传统方式护理;观察组给予辨证护理,比较两组的护理满意度、各项临床指标以及疼痛程度。结果观察组护理后总满意度(96.72%)高于对照组(70.37%),差异有统计学意义(P<0.05)。观察组住院时间、拔出引流管时间及肠功能恢复时间短于对照组,差异有统计学意义(P<0.05)。观察组疼痛评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为1.64%,低于对照组的16.67%,差异有统计学意义(P<0.05)。结论对结石性胆囊炎患者在胆囊切除术围术期实施辨证护理,能有效缩短其住院、拔出引流管及肠功能恢复时间,缓解疼痛感,减少并发症的发生,提高护理满意度,临床应用及推广价值较高。
Objective To investigate the effect of syndrome differentiation nursing in the perioperative period of cholecystectomy in patients with calculous cholecystitis.Methods A total of 115 patients with calculous cholecystitis admitted to our hospital from April 2017 to February 2019 were selected as the study subjects.According to the random number table method,patients were divided into control group(54 cases)and observation group(61 cases).The control group was given traditional nursing care,the observation group was given syndrome differentiation nursing.The nursing satisfaction,clinical indicators and pain degree between two groups were compared.Results The total satisfaction of nursing patients in the observation group(96.72%)was higher than that in the control group(70.37%),and the difference was statistically significant(P<0.05).The time of hospital stays,the time of pulling out drainage tube and the recovery time of bowel function in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The pain score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 1.64%,which was lower than that in the observation group(16.67%),the difference was statistically significant(P<0.05).Conclusion Differention nursing for patients with calculous cholecystitis in the perioperative period can effectively shorten the time of hospital stay,time of pulling out the drainage tube and recovery time of bowel function,relieve pain,reduce the occurrence of complications and improve nursing satisfaction,with a high value of clinical application and clinical promotion.
作者
周琪
ZHOU Qi(The First Department of Surgery,Fengcheng Fengkuang General Hospital,Jiangxi Province,Fengcheng331100,China)
出处
《中国当代医药》
2019年第33期230-232,共3页
China Modern Medicine
关键词
结石性胆囊炎
胆囊切除术
围术期
辨证护理
并发症
Calculous cholecystitis
Cholecystectomy
Peri-operative period
Syndrome differentiation nursing
Complications
