摘要
目的:探究整体性护理在腹腔镜胆囊切除术手术室中的应用价值。方法:选取80例腹腔镜胆囊切除术患者作为研究对象,按照干预方式不同将患者分为对照组(n=40,采用常规手术室护理)和观察组(n=40,采用整体性手术室护理)。比较两组患者手术情况、恢复指标、应激反应、心理弹性、护理满意度。结果:与对照组相比,观察组患者术中出血量更少(P<0.05);手术时间、术后首次下床活动时间、肠鸣音恢复时间、排便时间及住院时间均更短(P<0.05);术前1 d和术中两个时间点收缩压、舒张压、心率、血清皮质醇、促肾上腺皮质激素均更低(P<0.05);心理弹性量表得分及护理满意度均更高(P<0.05)。结论:整体性手术室护理对于腹腔镜胆囊切除术患者而言,更能缩短手术时间和减少术中出血量,改善手术预后,减轻应激反应,提升心理弹性和护理满意度,适合在手术室应用推广。
Objective:To explore the application value of holistic nursing in laparoscopic cholecystectomy operating room.Methods:A total of 80 patients underwent laparoscopic cholecystectomy were divided into control group(n=40,with conventional operating room care)and observation group(n=40,with overall operating room care).The operation status,recovery index,stress response,psychological resilience,and nursing satisfaction were compared between the two groups.Results:The intraoperative blood loss of patients in observation group was less,and the surgical time,first postoperative ambulation time,recovery time of bowel sounds,defecation time,and hospitalization time in observation group were shorter than those in control group(P<0.05).The systolic blood pressure,diastolic blood pressure,heart rate,serum cortisol and adrenocorticotropic hormone in observation group at 1 day before surgery and during surgery were lower than those in control group(P<0.05).The psychological resilience scale scores and nursing satisfaction in observation group were higher than those in control group(P<0.05).Conclusion:Compared with conventional operating room nursing,holistic operating room nursing can better shorten the surgical time,reduce the intraoperative blood loss,improve the surgical prognosis,relieve the stress response,enhance the psychological resilience and nursing satisfaction in patients with laparoscopic cholecystectomy.It is suitable for application and promotion in the operating room.
作者
周代凤
陈李兵
ZHOU Dai-feng;CHEN Li-bing(Operating Room,Anqing Hospital of Traditional Chinese Medicine,Anqing 246004,Anhui,China;Department of General Surgery,Anqing Hospital of Traditional Chinese Medicine,Anqing 246004,Anhui,China)
出处
《川北医学院学报》
2024年第1期132-136,共5页
Journal of North Sichuan Medical College
基金
安徽省高等学校科学研究项目(2023AH053421)。
关键词
腹腔镜胆囊切除术
整体性手术室护理
手术情况
应激反应
Laparoscopic cholecystectomy
Holistic operating room nursing
Surgical condition
Stress response
作者简介
周代凤(1982-),女,主管护师。E-mail:ahllong@163.com。
