预见性护理模式在肝胆管结石手术患者中的应用效果
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摘要
目的探讨预见性护理模式在肝胆管结石手术患者中的应用效果。方法选取我院2016年10月～2018年3月收治的68例肝胆管结石手术患者作为研究对象,按照护理模式不同分为参照组(n=34)和预见组(n=34)。参照组采取常规护理干预,预见组在常规护理基础上采取预见性护理干预,比较两组护理效果、不良反应发生及临床情况。结果预见组护理总有效率显著高于参照组(P<0.05);预见组的手术时间、住院时间显著短于参照组,术中输液量、出血量显著少于参照组(P<0.05);预见组术后不良反应总发生率显著低于参照组,差异均有统计学意义(P<0.05)。结论对肝胆管结石手术患者采取预见性护理能有效改善其护理效果及临床情况。
Objective To explore the effect of predictive nursing in patients undergoing hepatolithiasis surgery. Methods From October 2016 to March 2018, 68 patients with hepatolith surgery in our hospital were selected as the research object, they were divided into control group(n=34), foresee group(n=34) according to the different nursing mode. The control group was adopted routine nursing intervention, the foresee group was take predictive nursing intervention based on routine nursing care, treatment effect, adverse reactions and clinical situation were compared between two groups. Results The total nursing efficiency of the predictive group was significantly higher than that of the control group(P<0.05). The operation time and hospitalization time of the foreseeing group were significantly shorter than that of the reference group, and the intraoperative transfusion volume and blood loss were significantly lower than that of the reference group(P<0.05). The total incidence of postoperative adverse reactions in the predictive group was significantly lower than that in the control group, the differences were statistically significant(P<0.05). Conclusion Predictive nursing for patients with hepatolithiasis can effectively improve the nursing effect and clinical situation.
Objective To explore the effect of predictive nursing in patients undergoing hepatolithiasis surgery. Methods From October 2016 to March 2018, 68 patients with hepatolith surgery in our hospital were selected as the research object, they were divided into control group(n=34), foresee group(n=34) according to the different nursing mode. The control group was adopted routine nursing intervention, the foresee group was take predictive nursing intervention based on routine nursing care, treatment effect, adverse reactions and clinical situation were compared between two groups. Results The total nursing efficiency of the predictive group was significantly higher than that of the control group(P<0.05). The operation time and hospitalization time of the foreseeing group were significantly shorter than that of the reference group, and the intraoperative transfusion volume and blood loss were significantly lower than that of the reference group(P<0.05). The total incidence of postoperative adverse reactions in the predictive group was significantly lower than that in the control group, the differences were statistically significant(P<0.05). Conclusion Predictive nursing for patients with hepatolithiasis can effectively improve the nursing effect and clinical situation.
引文
[1]李伟丽,程瑞莲.预见性护理模式在肝胆管结石手术患者护理中的临床效果分析[J].中国继续医学教育,2016,8(26):242-243.
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[4]朱海玥,尹大龙,孙丹,等.快速康复护理在肝胆管结石合并门脉高压患者手术中的临床应用[J].中国医药导报,2017,14(14):147-150.
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[8]李奇男,张玉怀,耿婕,等.快速康复外科在胆道结石患者围手术期护理中安全性和有效性的Meta分析[J].临床肝胆病杂志,2015,31(10):1660-1664.
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[10]杨青,付园,王小云,等.腹腔镜左半肝切除治疗肝胆管结石围手术期的护理体会[J].微创医学,2015,10(2):244-245,228.
[11]赵秀华,王超.经皮肝穿刺硬质胆道镜治疗复杂性肝胆管结石52例护理配合[J].齐鲁护理杂志,2018,24(16):47-49.
[12]王秀云,耿立轩,马金生,等.肝胆管结石合并胆管癌患者30例的预见性护理分析[J].临床医药文献电子杂志,2015,2(14):2839,2842.
[13]许源.预见性护理对肝胆管结石合并胆管癌手术患者围术期负性情绪及术后生活质量的影响[J].饮食保健,2018,5(31):213.
[14]杨春雨,孙丹,尹大龙,等.预见性护理对肝胆管结石合并胆管癌手术患者围术期负性情绪及术后生活质量的影响[J].中国医药导报,2018,15(7):154-157.
[15]甘家兵,朱少波,杨斌,等.高龄肝胆管结石患者手术治疗方式的选择探讨[J].基层医学论坛,2017,21(32):4467-4468.
[2]傅荣.舒适护理对老年肝胆管结石手术效果及安全性影响探究[J].大家健康(下旬版),2017,11(1):282.
[3]黄鹂,李明珠.肝胆管结石手术采用预见性护理模式的临床效果探讨[J].临床医药文献电子杂志,2017,4(54):10 575,10 578.
[4]朱海玥,尹大龙,孙丹,等.快速康复护理在肝胆管结石合并门脉高压患者手术中的临床应用[J].中国医药导报,2017,14(14):147-150.
[5]柴西英,孙秋芳.肝胆管结石手术患者中采用预见性护理的效果分析[J].首都食品与医药,2017,24(18):113-114.
[6]蒋桂荣.预见性护理在肝胆管结石手术患者护理中的应用效果观察[J].基层医学论坛,2017,21(12):1458-1459.
[7]赵凌燕.综合护理干预在肝胆管结石肝切除术后双套管冲洗引流中的应用[J].中国肝脏病杂志(电子版),2016,8(1):97-99.
[8]李奇男,张玉怀,耿婕,等.快速康复外科在胆道结石患者围手术期护理中安全性和有效性的Meta分析[J].临床肝胆病杂志,2015,31(10):1660-1664.
[9]王娟.优质综合护理模式对肝胆管结石肝切除术后患者双套管冲洗引流的影响[J].国际护理学杂志,2018,37(3):346-348.
[10]杨青,付园,王小云,等.腹腔镜左半肝切除治疗肝胆管结石围手术期的护理体会[J].微创医学,2015,10(2):244-245,228.
[11]赵秀华,王超.经皮肝穿刺硬质胆道镜治疗复杂性肝胆管结石52例护理配合[J].齐鲁护理杂志,2018,24(16):47-49.
[12]王秀云,耿立轩,马金生,等.肝胆管结石合并胆管癌患者30例的预见性护理分析[J].临床医药文献电子杂志,2015,2(14):2839,2842.
[13]许源.预见性护理对肝胆管结石合并胆管癌手术患者围术期负性情绪及术后生活质量的影响[J].饮食保健,2018,5(31):213.
[14]杨春雨,孙丹,尹大龙,等.预见性护理对肝胆管结石合并胆管癌手术患者围术期负性情绪及术后生活质量的影响[J].中国医药导报,2018,15(7):154-157.
[15]甘家兵,朱少波,杨斌,等.高龄肝胆管结石患者手术治疗方式的选择探讨[J].基层医学论坛,2017,21(32):4467-4468.