摘要
目的评价个体化护理应用于胆结石手术护理中的临床价值。方法方便选取该院于2018年1月—2020年2月接收的行胆结石手术患者共计140例。采用随机数字表法分为研究组和对照组,每组70例。对照组行基础干预,研究组在上述基础上行个体化护理模式,记录两组间干预前后负性情绪分值、生活质量评分以及并发症发生率。结果两组干预前焦虑自评量表(SAS)、抑郁自评量表(SDS)分值对比差异无统计学意义(P>0.05);干预后研究组SAS、SDS分值优于对照组,差异有统计学意义(P<0.001);干预前两组总体健康、生理功能、社会功能、情感职能、精神健康、生理职能、躯体疼痛、精力分值比较差异无统计学意义(P>0.05);干预后研究组高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05);研究组手术用时(60.74±14.60)min、术后初次排气用时(2.05±1.15)h、卧床休息时间(8.04±1.40)h、术后肠道功能恢复用时(2.05±0.75)h以及住院用时(3.15±1.32)d优于对照组(81.55±16.50)min、(2.87±1.48)h、(11.00±1.50)h、(3.46±1.17)d、(5.82±1.55)d,组间对比差异有统计学意义(t=7.902、3.660、12.069、8.488、10.972,P<0.001)。结论对行胆结石手术的患者,实施个体化护理模式,不仅有利于手术中配合的强化,同时稳定了患者的负性情绪,提升了生活质量。
Objective To evaluate the clinical value of individualized nursing in the surgical nursing of gallstones.Methods Conveniently selected 140 patients underwent gallstone surgery were admitted to the hospital from January 2018 to February 2020.Used random number table method,they were divided into study group and control group,a group of 70 cases.The control group underwent basic intervention,and the study group performed an individualized nursing model on the above basis,and recorded negative emotion scores,quality of life scores,and complication rates between the two groups before and after the intervention.Results The comparison of SAS and SDS scores between the two groups before intervention was not statistically significant(P>0.05);after intervention,the self rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the study group were better than those of the control group,the difference was statistically significant(P<0.001);There was no significant difference in overall health,physiological function,social function,emotional function,mental health,physiological function,physical pain,and energy score between the two groups(P>0.05);the study group was higher than the control group after the intervention,and the difference was statistically significant(P<0.05);the complication rate of the study group was lower than that of the control group,and the comparison between the groups was statistically significant(P<0.05);the operation time of the study group was(60.74±14.60)min,and the postoperative initial exhaust time was(2.05±1.15)h,bed rest time(8.04±1.40)h,postoperative intestinal function recovery time(2.05±0.75)h and hospitalization time(3.15±1.32)d are better than the control group(81.55±16.50)min,(2.87±1.48)h,(11.00±1.50)h,(3.46±1.17)d,(5.82±1.55)d.The difference between the groups was statistically significant(t=7.902,3.660,12.069,8.488,10.972,P<0.001).Conclusion For patients undergoing gallstone surgery,the implementation of an individualized nursing model is not only conducive to the strengthening of cooperation during the operation,but also stabilizes the patient's negative emotions and improves the quality of life.
作者
周莉娅
ZHOU Liya(Department of General Surgery,Tengzhou Hospital of Traditional Chinese Medicine,Tengzhou,Shandong Province,277599 China)
出处
《中外医疗》
2021年第28期105-108,共4页
China & Foreign Medical Treatment
关键词
胆结石
个体化护理
负性情绪
生活质量
并发症
效果分析
Gallstones
Individualized care
Negative emotions
Quality of life
Complications
Effect analysis
作者简介
周莉娅(1977-),女,硕士,主管护师,研究方向为外科护理。
