首页|胆结石患者手术后结合整体护理干预所呈现的疗效和并发症探析

胆结石患者手术后结合整体护理干预所呈现的疗效和并发症探析

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目的:分析胆结石手术患者术后采用整体护理干预对其术后康复恢复及并发症防控所发挥的作用.方法:以胆结石患者114例作为研究对象,患者均自2019年6月~2023年3月在本院进行手术治疗,以随机数表法为分组工具将所选研究对象分成两组,对照组患者围术期所用干预模式为常规护理干预,观察组患者术后联合应用整体护理干预模式,比较两组术后下床活动时间、术后初次排气时间、术后排便时间、术后拔管时间、术后住院时间、舒适度、并发症及护理满意度.结果:观察组术后康复指标优于对照组,术后恢复用时及术后住院时间均名明显更短(P<0.05).干预前两组患者舒适度差异无统计学意义(P>0.05),干预后观察组患者舒适度状况量表(General comfort questionnaire,GCQ)评分及总分均高于对照组(P<0.05).术后观察组与对照组并发症总发生率分别为15.79%及3.51%,观察组总发生率显著更低(P<0.05).对照组与观察组护理总满意度分别为87.72%、98.25%,观察组具有更高的满意度(P<0.05).结论:胆结石手术患者术后应用用整体护理干预模式可缩短术后恢复时间,提高患者的身心舒适度,能够显著减少并发症并使患者护理满意度得到提高.
Objective:To analyze the effect of holistic nursing intervention on postoperative rehabilitation and prevention and control of complications in patients with gallstone surgery.Methods:114 patients with gallstones were selected as the study subjects,who underwent surgical treatment in our hospital from June 2019 to March 2023.The selected study subjects were divided into two groups using a randomized number table method as a grouping tool.The intervention mode used by the patients in the control group during the perioperative period was routine nursing intervention.The patients in the observation group were combined with a holistic nursing intervention mode after surgery.The time of ambulatory activity,initial postoperative exhaust time,and postoperative defecation time in the two groups were compared Postoperative extubation time,postoperative hospital stay,comfort,complications,and nursing satisfaction.Results:The postoperative rehabilitation indicators in the observation group were better than those in the control group,and the postoperative recovery time and hospitalization time were significantly shorter(P<0.05).There was no significant difference in comfort between the two groups before intervention(P>0.05).After intervention,the score and total score of the General Comfort Questionnaire(GCQ)in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group and the control group after surgery was 15.79%and 3.51%,respectively,and the total incidence in the observation group was significantly lower(P<0.05).The total nursing satisfaction of the control group and the observation group was 87.72%and 98.25%respectively,and the observation group had higher satisfaction(P<0.05).Conclusion:The application of holistic nursing intervention model in postoperative patients with gallstone surgery can shorten the postoperative recovery time,improve the physical and mental comfort of patients,significantly reduce complications,and improve patient nursing satisfaction.

Cholelithiasis surgeryHolistic carecomplicationRehabilitation indicatorsComfortNursing satisfaction

熊永红、吴勃

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厦门大学附属第一医院杏林分院·福建厦门 361015

胆结石手术 整体护理 并发症 康复指标 舒适度 护理满意度

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(3)
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