Evaluation of the effect of pain management-oriented rehabilitation nursing after laparoscopic cholecystectomy
Objective To explore the effects of pain management-oriented rehabilitation nursing on pain control and prognosis in patients undergoing laparoscopic cholecystectomy for acute cholelithiasis.Methods This study was a randomized controlled trial.A total of 113 patients undergoing laparoscopic cholecystectomy for acute cholelithiasis in Ankang Hospital of Traditional Chinese Medicine from May 2022 to May 2023 were selected and were randomly divided into a control group(56 cases)and an observation group(57 cases)based on their bed numbers.In the control group,there were 30 males and 26 females,aged(59.38±4.02)years,with a course of disease of(5.12±1.24)h.In the observation group,there were 35 males and 22 females,aged(59.44±4.07)years,with a course of disease of(5.10±1.22)h.The control group received standard care,while the observation group received pain management-oriented rehabilitation nursing.The postoperative recovery process(anal exhaust time,liquid feeding time,first ambulation time,and length of hospital stay),pain control at different postoperative time points[Visual Analogue Scale(VAS)],complication rate(incision infection,arrhythmia,adhesive intestinal obstruction,and lower limb thrombosis),and prognosis[Generic Quality of Life Inventory(GQOLI-74)]were compared between the two groups.Statistical methods used were t test and x2 test.Results The anal exhaust time,liquid feeding time,first ambulation time,and length of hospital stay in the observation group were(14.45±2.01)h,(9.74±1.27)h,(1.06±0.34)d,and(7.80±1.03)d,which were shorter than those in the control group[(18.64±2.17)h,(12.58±1.69)h,(2.37±0.76)d,and(11.54±1.59)d],with statistically significant differences(t=10.664,10.110,11.862,and 14.866,all P＜0.001).The pain scores of the observation group 24 h,48 h,and 72 h after surgery were(6.03±0.97),(4.66±0.69),and(3.13±0.63)points,which were lower than those of the control group[(7.24±1.26),(5.98±0.95),and(4.55±1.02)points],with statistically significant differences(t=5.726,8.439,and 8.921,all P＜0.001).The complication rate of the observation group was lower than that of the control group[12.28％(7/57)vs.28.57％(16/56)],with a statistically significant difference(x2=4.624,P=0.032).The scores of social function,body function,material life,and psychological function of the GQOLI-74 in the observation group were(21.35±2.54),(22.24±2.40),(23.51±2.44),and(22.12±2.77)points,which were higher than those in the control group[(17.41±2.26),(16.05±2.21),(18.35±2.46),and(19.29±2.23)points],with statistically significant differences(t=8.706,14.256,11.194,and 5.976,all P＜0.001).Conclusion The application of pain management-oriented rehabilitation nursing in patients undergoing laparoscopic cholecystectomy for acute cholelithiasis can effectively improve the pain control,enhance the postoperative recovery process and quality of life,and reduce the incidence of complications.
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