首页|循证理念指导下护理联合体位管理对腹腔镜胆囊切除术后患者康复效果的影响

循证理念指导下护理联合体位管理对腹腔镜胆囊切除术后患者康复效果的影响

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目的:探讨针对行腹腔镜胆囊切除术(LC)患者实施循证理念指导下护理+体位管理的效果.方法:选择2021年7月至2023年7月于我院行LC的60例患者,按随机数字表法分为两组.均行LC治疗,观察组(30例)实施循证理念指导下护理联合体位管理,对照组(30例)实施常规护理,两组均持续随访1个月.对比两组术后恢复情况、并发症发生情况、疼痛评分及生活质量.结果:观察组术后恢复时间中的肛门排气时间、首次下床活动时间、肛门排便时间、恢复正常饮食时间以及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组护理后疼痛评分低于对照组,差异有统计学意义(P<0.05);观察组护理后生活质量综合评定问卷(GQOLI-74)中的社会功能评分、心理评分、物质生活评分及躯体维度评分均高于对照组,差异有统计学意义(P<0.05).结论:循证理念指导下护理联合体位管理能够促进LC患者术后康复,减轻术后疼痛,减少并发症的发生,提升生活质量.
Effect of Nursing Combined with Body Position Management under the Guidance of Evidence-Based Concept on the Rehabilitation Effect of Patients after Laparoscopic Cholecystectomy
Objective:To explore the effect of evidence-based nursing and position management for patients undergoing laparoscopic cholecystectomy(LC).Methods:60 patients who underwent LC in our hospital from July 2021 to July 2023 were randomly divided into two groups.The observation group(30 cases)received nursing combined with body position management under the guidance of evidence-based concept,and the control group(30 cases)received routine nursing.Both groups were followed up for 1 month.The postoperative recovery,complications,pain scores and quality of life were compared between the two groups.Results:The anal exhaust time,the first ambulation time,the anal defecation time,the time to return to normal diet and the hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05);The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);The pain score of the observation group after nursing was lower than that of the control group,and the difference was statistically significant(P<0.05);The social function score,psychological score,material life score and physical dimension score in the GQOLI-74 of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Nursing combined with body position management under the guidance of evidence-based concept can promote the postoperative rehabilitation of LC patients,reduce postoperative pain,reduce the occurrence of compli-cations,and improve the quality of life.

Laparoscopic cholecystectomyEvidence based conceptPostural managementPostoperative recoveryComplicationsQuality of life

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江西省抚州市临川区第一人民医院(江西抚州 344100)

腹腔镜胆囊切除术 循证理念 体位管理 术后恢复 并发症 生活质量

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(3)
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