临床护理路径在阑尾炎腹腔镜手术患者围术期的应用效果
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摘要
目的探讨临床护理路径在阑尾炎腹腔镜手术患者围术期的应用效果。方法选取2016年1月～2018年8月在我院接受阑尾炎腹腔镜手术治疗的120例患者作为研究对象,按照护理方法不同分为对照组和研究组,每组各60例。对照组患者在围术期采用传统护理方法进行干预,研究组采用临床护理路径对患者围术期进行护理教育。采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)对患者护理前后的抑郁和焦虑心理状况进行评价,并比较分析两组患者术后的治疗效果以及心理状况。结果研究组患者护理后的术后治疗总有效率为98.33%,高于对照组的80.00%,差异有统计学意义(P<0.05);两组患者护理前的心理状况评分比较,差异无统计学意义(P>0.05);护理后,两组的HAMD评分和HAMA评分均明显下降,且研究组明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术治疗的阑尾炎患者围术期应用临床护理路径进行干预,可显著提高手术效果,改善患者的心理状况,具有较高的实践价值。
Objective To explore the application effect of clinical nursing pathway in perioperative period of laparoscopic appendicitis surgery. Methods A total of 120 cases of appendicitis treated by laparoscopic appendectomy in our hospital from January 2016 to August 2018 were selected as the research objects. According to the different nursing methods, they were divided into control group and research group, with 60 cases in each group. The patients in the control group were intervened by traditional nursing methods during the perioperative period, while the patients in the study group were educated by clinical nursing pathway during the perioperative period. Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) were used to evaluate the depression and anxiety of patients before and after nursing. The therapeutic effect and psychological status of the two groups were compared and analyzed. Results The total effective rate of post-operative treatment in the study group was 98.33%, which was significantly higher than that in the control group(80.00%), the difference was statistically significant(P<0.05). There was no significant difference in the scores of psychological status between the two groups before nursing(P>0.05). After nursing, the HAMD score and HAMA score of the two groups decreased significantly, and the research group were significantly lower than those in the control group, the differences were statistically significant(P<0.05). Conclusion Intervention of clinical nursing pathway in perioperative period of appendicitis patients treated by laparoscopic surgery can significantly improve the effect of operation and psychological status of patients, and has high practical value.
Objective To explore the application effect of clinical nursing pathway in perioperative period of laparoscopic appendicitis surgery. Methods A total of 120 cases of appendicitis treated by laparoscopic appendectomy in our hospital from January 2016 to August 2018 were selected as the research objects. According to the different nursing methods, they were divided into control group and research group, with 60 cases in each group. The patients in the control group were intervened by traditional nursing methods during the perioperative period, while the patients in the study group were educated by clinical nursing pathway during the perioperative period. Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) were used to evaluate the depression and anxiety of patients before and after nursing. The therapeutic effect and psychological status of the two groups were compared and analyzed. Results The total effective rate of post-operative treatment in the study group was 98.33%, which was significantly higher than that in the control group(80.00%), the difference was statistically significant(P<0.05). There was no significant difference in the scores of psychological status between the two groups before nursing(P>0.05). After nursing, the HAMD score and HAMA score of the two groups decreased significantly, and the research group were significantly lower than those in the control group, the differences were statistically significant(P<0.05). Conclusion Intervention of clinical nursing pathway in perioperative period of appendicitis patients treated by laparoscopic surgery can significantly improve the effect of operation and psychological status of patients, and has high practical value.
引文
[1]潘子鹏,李闻.腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效及其安全性评价[J].昆明医科大学学报,2016,37(8):119-122.
[2]郭秋兰,林静华,罗汉媚,等.系统化护理干预对阑尾炎腹腔镜术后患者胃肠功能恢复的影响[J].护士进修杂志,2017,32(9):834-836.
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[5]李燕.综合护理干预对化脓性阑尾炎行腹腔镜切除术患者预后的影响[J].现代中西医结合杂志,2014,23(31):3510-3512.
[6]戴庆妍,李松芝,李国翠.快速康复外科在腹腔镜手术治疗小儿阑尾炎围术期护理中的应用效果观察[J].实用临床医药杂志,2017,21(14):193-194.
[7]丁帅.护理干预对腹腔镜阑尾切除术治疗小儿穿孔性阑尾炎效果的影响[J].现代中西医结合杂志,2015,24(20):2264-2266.
[8]史德利,范媛,李婉丽,等.临床护理路径在小儿阑尾炎经腹腔镜手术中的应用[J].中华现代护理杂志,2015,21(6):703-705.
[9]吴燕.围手术期综合护理干预对85例腹腔镜下急性阑尾炎切除患者的临床效果影响性研究[J].山西医药杂志,2018,47(14):1741-1743.
[10]徐涛,马颖璋,杨延松,等.腹腔镜手术治疗急性阑尾炎的临床疗效及对血清PCT和CRP水平的影响[J].现代生物医学进展,2016,16(23):4458-4461.
[11]杨玉柱.对急性阑尾炎病人开展腹腔镜手术的临床疗效观察[J].内蒙古医科大学学报,2014,36(1):64-66.
[12]宋芝鹏.心理护理对腹腔镜下阑尾炎手术患者焦虑抑郁状态及治疗依从性的影响[J].河南医学研究,2017,26(1):168-169.
[13]何婉珠,谭海燕,曾宇彤,等.快速康复外科护理模式降低老年阑尾炎患者腹腔镜术后并发症的实践[J].现代临床护理,2016,15(6):35-39.
[14]韦秀艺,王钰,朱云霞.围手术期护理干预对阑尾炎手术患者的疗效观察[J].中国医学工程,2015,23(5):104-105.
[15]邓瑞玲.综合护理干预对化脓性阑尾炎行腹腔镜切除术患者预后的影响[J].中国当代医药,2018,25(21):171-173.
[2]郭秋兰,林静华,罗汉媚,等.系统化护理干预对阑尾炎腹腔镜术后患者胃肠功能恢复的影响[J].护士进修杂志,2017,32(9):834-836.
[3]郭春景,赵忠菊.临床护理路径在老年阑尾炎腹腔镜切除术中的应用效果[J].中华现代护理杂志,2016,22(25):3633-3635.
[4]柴群英,何卓亚,许鸿芳.中西医结合护理干预急性阑尾炎的临床疗效[J].辽宁中医杂志,2015,42(11):2199-2201.
[5]李燕.综合护理干预对化脓性阑尾炎行腹腔镜切除术患者预后的影响[J].现代中西医结合杂志,2014,23(31):3510-3512.
[6]戴庆妍,李松芝,李国翠.快速康复外科在腹腔镜手术治疗小儿阑尾炎围术期护理中的应用效果观察[J].实用临床医药杂志,2017,21(14):193-194.
[7]丁帅.护理干预对腹腔镜阑尾切除术治疗小儿穿孔性阑尾炎效果的影响[J].现代中西医结合杂志,2015,24(20):2264-2266.
[8]史德利,范媛,李婉丽,等.临床护理路径在小儿阑尾炎经腹腔镜手术中的应用[J].中华现代护理杂志,2015,21(6):703-705.
[9]吴燕.围手术期综合护理干预对85例腹腔镜下急性阑尾炎切除患者的临床效果影响性研究[J].山西医药杂志,2018,47(14):1741-1743.
[10]徐涛,马颖璋,杨延松,等.腹腔镜手术治疗急性阑尾炎的临床疗效及对血清PCT和CRP水平的影响[J].现代生物医学进展,2016,16(23):4458-4461.
[11]杨玉柱.对急性阑尾炎病人开展腹腔镜手术的临床疗效观察[J].内蒙古医科大学学报,2014,36(1):64-66.
[12]宋芝鹏.心理护理对腹腔镜下阑尾炎手术患者焦虑抑郁状态及治疗依从性的影响[J].河南医学研究,2017,26(1):168-169.
[13]何婉珠,谭海燕,曾宇彤,等.快速康复外科护理模式降低老年阑尾炎患者腹腔镜术后并发症的实践[J].现代临床护理,2016,15(6):35-39.
[14]韦秀艺,王钰,朱云霞.围手术期护理干预对阑尾炎手术患者的疗效观察[J].中国医学工程,2015,23(5):104-105.
[15]邓瑞玲.综合护理干预对化脓性阑尾炎行腹腔镜切除术患者预后的影响[J].中国当代医药,2018,25(21):171-173.