摘要
目的研究在高龄患者进行腹腔镜胆囊手术时配合的有效围手术期护理措施。方法对2019年3月至2020年4月我院经过腹腔镜胆囊手术治疗的86例高龄患者随机分为观察组和对照组,平均为43例。通过常规护理为对照组患者实施护理,通过综合护理为观察组实施护理,同时对经过不同护理之后两组患者的疼痛、并发症发生率、康复指标、负面心理、生活质量等方面的统计学差异进行对比。结果①观察组在护理之后评估疼痛,相比对照组而言明显减轻(P<0.05)。②在护理以后对两组患者的并发症发生概率做出系统性评价,观察组(3例,占6.98%)比对照组(13例,占30.23%)的水平明显更低(P<0.05)。③护理之后观察组相对对照组而言,机械通气时间、胃肠功能恢复时间、住院时间都明显缩短(P<0.05)。④观察组和对照组患者在开展护理之前评估焦虑量表评分和抑郁量表评分比较无差异(P>0.05),但经过护理以后观察组患者的焦虑量表和抑郁量表,评分改善效果比对照组都更加显著(P<0.05)。⑤观察组和对照组患者在开展护理之前评价生活质量评分比较无差异(P>0.05),护理之后,再次对两组患者的生活质量评分做评估和对比,观察组的生活质量提升幅度明显比对照组更高(P<0.05)。结论临床对于进行腹腔镜胆囊手术治疗的高龄患者在围手术期内为患者实施综合护理能够充分减轻患者术后疼痛,降低并发症出现的概率,提高患者的康复质量,缓解患者的负面心理,并提高整体生活质量。
Objective To study the effective perioperative nursing measures for elderly patients undergoing laparoscopic gallbladder surgery.Methods From March 2019 to April 2020,86 elderly patients who underwent laparoscopic cholecystectomy in our hospital were randomly divided into observation group and control group,with an average of 43 cases.The patients in the control group were nursed by routine nursing,while the patients in the observation group were nursed by comprehensive nursing.At the same time,the statistical differences of pain,incidence of complications,rehabilitation indicators,negative psychology and quality of life between the two groups after different nursing were compared.Results(1)Compared with the control group,the pain in the observation group was significantly reduced after nursing(P<0.05).(2)After nursing,the incidence of complications in the observation group(3 cases,accounting for 6.98%)was significantly lower than that in the control group(13 cases,accounting for 30.23%)(P<0.05).(3)After nursing,the time of mechanical ventilation,the recovery time of gastrointestinal function and the length of hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).(4)The patients in the observation group and the control group were assessed with the scores of anxiety scale and depression scale before nursing care,and there was no significant deviation between them(P>0.05).However,after nursing,the scores of anxiety scale and depression scale in the observation group were improved more significantly than those in the control group(P<0.05).(5)There was no significant difference between the observation group and the control group in the evaluation of quality of life before nursing(P>0.05).After nursing,the quality of life scores of the two groups of patients were evaluated and compared again.The improvement of quality of life in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Clinical comprehensive nursing for elderly patients undergoing laparoscopic gallbladder surgery during the perioperative period can fully relieve postoperative pain,reduce the probability of complications,improve the quality of rehabilitation of patients,alleviate the negative psychology of patients,and reduce the risk of complications,improve the overall quality of life.
作者
王丽红
WANG Lihong(Liaoyang Central Hospital,Liaoyang 111000,China)
出处
《中国医药指南》
2022年第32期50-53,共4页
Guide of China Medicine
关键词
综合护理
高龄
腹腔镜胆囊手术
生活质量
疼痛
负面心理
Comprehensive nursing
Elderly
Laparoscopic gallbladder surgery
Quality of life
Pain
Negative psychology
