摘要
目的:探讨基于加速康复外科理念的精细化护理对胆囊结石合并胆囊炎患者的影响。方法:选取2018年2月1日~2019年5月31日治疗的胆囊结石合并胆囊炎患者116例为研究对象,采用数字列表法分为对照组和观察组各58例;对照组实施常规护理干预,观察组实施基于加速康复外科理念的精细化护理;比较两组心理弹性[采用心理弹性量表(CD-RISC10)]、生活质量[采用健康调查简表(SF-36)]、总满意度、并发症总发生率及患者术后恢复情况。结果:护理后,两组CD-RISC10评分均高于护理前(P<0.05),且观察组高于对照组(P<0.05);观察组SF-36评分高于对照组(P<0.05);观察组总满意度高于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05);观察组下床活动时间、首次排气时间、进食时间均早于对照组(P<0.05),住院时间短于对照组(P<0.05)。结论:对胆囊结石合并胆囊炎患者术后采取基于加速康复外科理念的精细化护理,能有效改善患者心理弹性,提高生活质量和满意度,降低并发症总发生率。
Objective:To explore the effect of refined nursing based on accelerated rehabilitation surgery concept on patients with cholecystolithiasis and cholecystitis.Methods:A total of 116 patients with cholecystolithiasis and cholecystitis during February 1,2018 to May 31,2019 were selected as research objects and divided into the control group and the observation group according to the digital list method,with 58 cases in each group.The control group was given routine nursing intervention,while the observation group was given meticulous nursing with the concept of accelerated rehabilitation surgery.And comparison was made on the psychological resilience by CD-RISC10,quality of life by SF-36,total satisfaction,total incidence of complications,and the recovery of patients after surgery.Results:After nursing,the CD-RISC10 scores were higher in the two group than those before nursing(P<0.05),and higher in the observation group than those in the control group(P<0.05).The SF-36 scores in the observation group were than th ose in the control group(P<0.05).The total satisfaction in the observation group was higher than that in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).The out of bed activity time,the first exhaust time,eating time were all earlier in the observation group than those in the control group(P<0.05).And the length of hospital stay was shorter than that in the control group(P<0.05).Conclusion:The application of refined nursing based on the concept of accelerated rehabilitation surgery in patients with cholecystolithiasis and cholecystitis can effectively improve the psychological resilience of patients,improve their quality of life and satisfaction,and reduce the total incidence of complications.
作者
朱琳
刘涵
赵真
Zhu Lin;Liu Han;Zhao Zhen(Qilu Hospital of Shandong University,Jinan Shandong 250012,China)
出处
《齐鲁护理杂志》
2021年第8期14-16,共3页
Journal of Qilu Nursing
关键词
加速康复外科理念
精细化护理
胆囊结石
胆囊炎
心理弹性
Concept of accelerated rehabilitation surgery
Refined nursing
Cholecystolithiasis
Cholecystitis
Psychological resilience
作者简介
通信作者:赵真表。
