Effects of full-dimensional high-quality nursing on the recovery,emotional state and quality of life of patients undergoing minimally invasive choledocholithotomy for gallstone during the perioperative period
Objective To explore the effects of full-dimensional high-quality nursing on the recovery,emotional state and quality of life of patients undergoing minimally invasive choledocholithotomy for gallstone during the perioperative period.Methods A total of 80 patients with gallstone who underwent minimally invasive choledocholithotomy in our hospital from June 2020 to June 2021 were randomly divided into control group and observation group,with 40 cases in each group.The control group received routine nursing during the perioperative period,while the observation group received full-dimensional high-quality nursing.The intervention effects of the two groups were compared.Results The intestinal sound recovery time,first exhaust time,first defecation time,getting out of bed time,incision healing time and Postoperative Quality Recovery Scale(PQRS)score in the observation group were better than those in the control group(P<0.05).At 24 and 48 h after operation,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group(P<0.05);at 48 h after operation,the levels of cortisol(Cor),adrenocorticotropic hormone(ACTH)and adrenaline(AD)in both groups increased,but those in the observation group were lower than the control group(P<0.05).After nursing,Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores of both groups decreased,Gastrointestinal Quality of Life Index(GLQI)score increased,and those in the observation group were better than the control group(P<0.05).The total incidence of complications of the observation group was lower than that of the control group(P<0.05).Conclusion The full-dimension of high-quality nursing can promote the body recovery of patients undergoing minimally invasive choledocholithotomy for gallstone during the perioperative period,effectively reduce postoperative pain stress,improve patients'mood and quality of life,and reduce the incidence of complications,which is worthy of popularization and application.
gallstoneminimally invasive choledocholithotomyfull-dimensional high-quality nursingpain stressquality of lifecomplication
万方数据
维普
