综合护理干预在结石性胆囊炎胆囊切除术围手术期的护理效果观察
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摘要
目的探讨综合护理干预在结石性胆囊炎胆囊切除术围手术期的临床效果。方法选取2017年3月～2018年6月期间我院收治的56例行胆囊切除术的结石性胆囊炎患者为研究对象,按照入院顺序将所有患者分为观察组和对照组两组,各28例,观察组患者围手术期实施综合护理干预,对照组患者围手术期实施常规护理干预,观察并记录两组患者的手术时间、术中出血量、住院时间、术后并发症发生率及患者的护理满意度等指标,对比两组患者的护理干预效果。结果观察组患者术中出血量及住院时间均低于(短于)对照组,两组数据对比,观察组手术情况明显优于对照组,差异具有统计学意义(P<0.05);两组患者术后并发症发生率分别为7.14%、17.39%,差异具有统计学意义(P<0.05);观察组的护理总满意度为89.29%,明显高于对照组患者的护理满意度(64.29%),两组患者的护理满意度对比,差异有统计学意义(P<0.05)。结论给予结石性胆囊炎胆囊切除术患者围手术期实施综合护理干预能有效改善患者的手术情况,且手术预后效果好,降低患者术后并发症发生率,促进其尽快恢复,患者满意度,这一护理方法值得在临床上大力推广。
Objective To investigate the clinical effect of comprehensive nursing intervention in perioperative cholecystectomy for calculous cholecystitis. Methods A total of 56 patients with calculous cholecystitis who underwent cholecystectomy in our hospital from March 2017 to June 2018 were enrolled. All patients were divided into observation group and control group according to the order of admission, with 28 cases in each group. The observation group underwent comprehensive nursing intervention during the perioperative period, and the control group underwent routine nursing intervention during the perioperative period. The operation time, intraoperative blood loss, hospitalization time, the incidence of postoperative complications and the patient's nursing satisfaction, etc. were observed and recorded. The effect of nursing intervention between the two groups of patients was compared. Results The intraoperative blood loss and hospitalization time of the observation group were less than(shorter than) those of the control group. The data of the two groups were compared, and the operation situation in the observation group was significantly better than that of the control group, which was statistically significant(P<0.05). The incidence of postoperative complications in the two groups were 7.14% and 17.39%, respectively. The difference was statistically significant(P<0.05). The total satisfaction rate of the observation group was 89.29%, which was significantly higher than that of the control group(64.29%), and the difference between the two groups was statistically significant(P<0.05). Conclusion Perioperative comprehensive nursing intervention for patients with calculus cholecystitis and cholecystectomy can effectively improve the operation situation of patients, which has good prognosis of surgery, reduces the incidence of postoperative complications, promotes their recovery as soon as possible and improves patient satisfaction. This method of nursing deserves to be promoted clinically.
Objective To investigate the clinical effect of comprehensive nursing intervention in perioperative cholecystectomy for calculous cholecystitis. Methods A total of 56 patients with calculous cholecystitis who underwent cholecystectomy in our hospital from March 2017 to June 2018 were enrolled. All patients were divided into observation group and control group according to the order of admission, with 28 cases in each group. The observation group underwent comprehensive nursing intervention during the perioperative period, and the control group underwent routine nursing intervention during the perioperative period. The operation time, intraoperative blood loss, hospitalization time, the incidence of postoperative complications and the patient's nursing satisfaction, etc. were observed and recorded. The effect of nursing intervention between the two groups of patients was compared. Results The intraoperative blood loss and hospitalization time of the observation group were less than(shorter than) those of the control group. The data of the two groups were compared, and the operation situation in the observation group was significantly better than that of the control group, which was statistically significant(P<0.05). The incidence of postoperative complications in the two groups were 7.14% and 17.39%, respectively. The difference was statistically significant(P<0.05). The total satisfaction rate of the observation group was 89.29%, which was significantly higher than that of the control group(64.29%), and the difference between the two groups was statistically significant(P<0.05). Conclusion Perioperative comprehensive nursing intervention for patients with calculus cholecystitis and cholecystectomy can effectively improve the operation situation of patients, which has good prognosis of surgery, reduces the incidence of postoperative complications, promotes their recovery as soon as possible and improves patient satisfaction. This method of nursing deserves to be promoted clinically.
引文
[1]杨玉清.护理干预在结石性胆囊炎胆囊切除术围手术期的护理效果观察[J].实用临床护理学电子杂志,2017,2(51):98.
[2]李芳宁.综合性护理干预应用于结石性胆囊炎胆囊切除术围手术期的临床效果[J].临床医学研究与实践,2017,2(13):193-194.
[3]Charlotte S Loozen,Jelmer E Oor,Bert Ramshorst,et al.Conservative treatment of acute cholecystitis:a systematic review and pooled analysis[J].Surgical Endoscopy,2017,31(2):504-515.
[4]马丽,周燕萍.护理干预在结石性胆囊炎胆囊切除术围手术期的护理效果[J].实用临床护理学电子杂志,2017,2(13):75,82.
[5]吴远芬.护理干预在结石性胆囊炎胆囊切除术围手术期的护理效果观察[J].实用临床护理学电子杂志,2017,2(28):55,61.
[6]张启杰.腹腔镜胆囊切除术治疗复杂性胆囊结石的临床疗效及手术操作分析[J].当代医学,2018,24(4):60-61.
[7]金义.腹腔镜联合胆道镜胆囊切除术治疗胆囊结石患者的临床疗效[J].当代医学,2018,24(4):68-69.
[8]李芳宁.综合性护理干预应用于结石性胆囊炎胆囊切除术围手术期的临床效果[J].临床医学研究与实践,2017,2(13):193-194.
[9]MA Bozkurt,MG nen,KD Peker,et al.Admission after the gold interval in acute calculous cholecystitis:Should we really cool it off?[J].European Journal of Trauma and Emergency Surgery,2017,43(1):73-77.
[10]余国华.急性结石性胆囊炎腹腔镜胆囊切除术70例临床分析[J].中国现代医生,2013,51(5):151-152.
[11]钟晓锋.腹腔镜与开腹胆囊切除术治疗单纯结石性胆囊炎的疗效对比分析[J].中国现代医生,2014,52(12):11,14.
[12]蒲德富.急性结石性胆囊炎腹腔镜胆囊切除术的临床分析[J].中国现代医生,2013,51(17):159-160.
[13]徐宝霞.循证护理在结石性胆囊炎胆囊切除术围手术期的护理效果观察[J].中国医学创新,2017,20(32):94-97.
[14]董文侠.高龄胆囊炎、胆结石患者围手术期预见性护理[J].中国现代医生,2016,54(34):118,130.
[15]符于正,卢海芳.老年急性结石性胆囊炎的围手术期护理[J].中国现代医生,2013,51(4):56-57.
[16]郑爱华.循证护理在结石性胆囊炎患者围术期的应用效果[J].中国当代医药,2017,24(25):177-178.
[2]李芳宁.综合性护理干预应用于结石性胆囊炎胆囊切除术围手术期的临床效果[J].临床医学研究与实践,2017,2(13):193-194.
[3]Charlotte S Loozen,Jelmer E Oor,Bert Ramshorst,et al.Conservative treatment of acute cholecystitis:a systematic review and pooled analysis[J].Surgical Endoscopy,2017,31(2):504-515.
[4]马丽,周燕萍.护理干预在结石性胆囊炎胆囊切除术围手术期的护理效果[J].实用临床护理学电子杂志,2017,2(13):75,82.
[5]吴远芬.护理干预在结石性胆囊炎胆囊切除术围手术期的护理效果观察[J].实用临床护理学电子杂志,2017,2(28):55,61.
[6]张启杰.腹腔镜胆囊切除术治疗复杂性胆囊结石的临床疗效及手术操作分析[J].当代医学,2018,24(4):60-61.
[7]金义.腹腔镜联合胆道镜胆囊切除术治疗胆囊结石患者的临床疗效[J].当代医学,2018,24(4):68-69.
[8]李芳宁.综合性护理干预应用于结石性胆囊炎胆囊切除术围手术期的临床效果[J].临床医学研究与实践,2017,2(13):193-194.
[9]MA Bozkurt,MG nen,KD Peker,et al.Admission after the gold interval in acute calculous cholecystitis:Should we really cool it off?[J].European Journal of Trauma and Emergency Surgery,2017,43(1):73-77.
[10]余国华.急性结石性胆囊炎腹腔镜胆囊切除术70例临床分析[J].中国现代医生,2013,51(5):151-152.
[11]钟晓锋.腹腔镜与开腹胆囊切除术治疗单纯结石性胆囊炎的疗效对比分析[J].中国现代医生,2014,52(12):11,14.
[12]蒲德富.急性结石性胆囊炎腹腔镜胆囊切除术的临床分析[J].中国现代医生,2013,51(17):159-160.
[13]徐宝霞.循证护理在结石性胆囊炎胆囊切除术围手术期的护理效果观察[J].中国医学创新,2017,20(32):94-97.
[14]董文侠.高龄胆囊炎、胆结石患者围手术期预见性护理[J].中国现代医生,2016,54(34):118,130.
[15]符于正,卢海芳.老年急性结石性胆囊炎的围手术期护理[J].中国现代医生,2013,51(4):56-57.
[16]郑爱华.循证护理在结石性胆囊炎患者围术期的应用效果[J].中国当代医药,2017,24(25):177-178.