首页|基于风险评估的精细化管理对胆囊结石术后风险事件、应激水平及护理质量的影响

基于风险评估的精细化管理对胆囊结石术后风险事件、应激水平及护理质量的影响

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目的 分析基于风险评估的精细化管理对胆囊结石术后风险事件、应激水平及护理质量的影响。方法 选择 2020年 1 月至 2021 年 12 月我院肝胆外科收治的 120 例胆囊结石患者为研究对象,根据护理管理方式的不同将其分为对照组与观察组,各 60 例。对照组给予常规护理干预,观察组在常规护理的基础上给予基于风险评估的精细化管理。比较两组的护理效果。结果 术后 5d,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,简化舒适状况量表(GCQ)评分高于对照组(P<0。05)。观察组的风险事件总发生率低于对照组(P<0。05)。术后 3d,观察组的肾上腺素(E)、去甲肾上腺素(NE)及皮质醇(COR)水平低于对照组(P<0。05)。观察组的护理质量优良率高于对照组(P<0。05)。结论 基于风险评估的精细化管理可有效降低患者的负面情绪、应激水平及风险事件发生率,提高舒适性及护理质量。
Effects of refined management based on risk assessment on risk events,stress level and nursing quality after cholecystolithiasis surgery
Objective To analyze the effects of refined management based on risk assessment on risk events,stress level and nursing quality after cholecystolithiasis surgery.Methods A total of 120 patients with cholecystolithiasis admitted in hepatobiliary surgery department of our hospital from January 2020 to December 2021 were selected as the research objects.According to the different nursing management methods,the patients were divided into control group and observation group,with 60 cases in each group.The control group was given routine nursing intervention,and the observation group was given refined management based on risk assessment on the basis of routine nursing.The nursing effects of the two groups were compared.Results At 5 d after operation,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group,and the score of General Comfort Questionnaire(GCQ)was higher than that in the control group(P<0.05).The total incidence of risk events in the observation group was lower than that in the control group(P<0.05).At 3 d after operation,the levels of epinephrine(E),norepinephrine(NE)and cortisol(COR)in the observation group were lower than those in the control group(P<0.05).The excellent and good rate of nursing quality in the observation group was higher than that in the control group(P<0.05).Conclusion Refined management based on risk assessment can effectively reduce patients'negative emotions,stress levels and the incidence of risk events,and improve comfort and quality of nursing.

risk assessmentrefined managementcholecystolithiasisquality of nursing

刘沛、任彦顺、董宁宁

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铜川市人民医院,陕西 铜川,727000

风险评估 精细化管理 胆囊结石 护理质量

陕西省卫生健康科研项目

2018C008

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(13)
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