Effect of multiple intervention on self-care ability,negative emotions and complications in patients undergoing laparoscopic radical cholecystectomy
Objective To investigate the effect of multiple intervention on self-care ability,negative emotions and complications in patients undergoing laparoscopic radical cholecystectomy.Method A total of 105 patients with laparo-scopic radical cholecystectomy were divided into observation group(n=55,multiple intervention)and control group(n=50,conventional intervention)according to different intervention methods.Postoperative recovery indicators,negative emotions[Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)],self-care ability[exercise of self-care agency scale(ESCA)]and complications were compared between the two groups.Result The postoperative ex-haust time,getting out of bed activity time and hospitalization time of the observation group were significantly shorter than those of the control group,the differences were statistically significant(P＜0.01).Fourteen days after intervention,the dimensional scores of ESCA in both groups were higher than those before intervention,the dimensional scores of ES-CA in the observation group were higher than those in the control group,the differences were statistically significant(P＜0.05).Fourteen days after intervention,the scores of HAMA and HAMD in both groups were lower than those before in-tervention,the scores of HAMA and HAMD in the observation group were lower than those in the control group,the dif-ferences were statistically significant(P＜0.05).The total incidence of postoperative complications in the observation group was 3.64％,which was lower than 16.00％in the control group,and the difference was statistically significant(P＜0.05).Conclusion The application value of multiple intervention in patients with laparoscopic radical cholecystectomy is high,which can improve patients'negative emotions,enhance self-care ability,and reduce the incidence of postopera-tive complications.
万方数据
维普
