中国伤残医学2024,Vol.32Issue(18) :153-156.DOI:10.13214/j.cnki.cjotadm.2024.018.038

医护一体化快速康复理念护理对胆囊结石患者术后疼痛和康复效果及预后的影响

Effect of Integrated Medical Care and Enhanced Recovery Concept Nursing on Postoperative Pain and Rehabilitation Effect and Prognosis of Patients with Gallstone

洪芳琳
中国伤残医学2024,Vol.32Issue(18) :153-156.DOI:10.13214/j.cnki.cjotadm.2024.018.038

医护一体化快速康复理念护理对胆囊结石患者术后疼痛和康复效果及预后的影响

Effect of Integrated Medical Care and Enhanced Recovery Concept Nursing on Postoperative Pain and Rehabilitation Effect and Prognosis of Patients with Gallstone

洪芳琳1
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作者信息

  • 1. 江西省玉山县中医院外科,江西 上饶 334700
  • 折叠

摘要

目的:分析医护一体化快速康复理念护理对胆囊结石患者术后疼痛、康复效果及预后的影响.方法:选取2019年1月—2022年 12月于玉山县中医院行腹腔镜手术治疗的 68例胆囊结石患者为研究对象,根据随机数字表法分为对照组及观察组,各 34例.对照组采用常规护理,观察组采用医护一体化快速康复理念护理.两组均干预1个月.比较两组组患者的手术指标、术后疼痛程度、生活质量、并发症发生情况及护理满意度.结果:观察组的手术时间、首次排气时间、首次下床活动时间、住院时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05).干预后,观察组的疼痛视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.05).干预后,观察组的生活质量综合评分量表中各维度评分均高于对照组,差异均有统计学意义(P<0.05).观察组的并发症发生率为 5.88%,低于对照组的 23.53%,护理满意度为 91.18%,高于对照组的 64.71%,差异均有统计学意义(P<0.05).结论:医护一体化快速康复理念护理可减轻胆囊结石患者的术后疼痛,降低并发症发生率,改善患者预后,缩短住院时间,从而提高其生活质量及护理满意度.

Abstract

Objective:To analyze the effect of integrated medical care and enhanced recovery concept nursing on postoperative pain,rehabilitation effect and prognosis of patients with gallstone.Methods:A total of 68 patients with gallstone who underwent laparoscopic surgery in Yushan County Hospital of Traditional Chinese Medicine from January 2019 to December 2022 were selected as the study objects,and were divided into a control group and an observation group according to the random number table,with 34 cases in each group.The control group was treated with routine nursing,and the observation group was treated with the integrated medical care and enhanced recovery concept nursing.Both groups were treated for two weeks.The surgical indexes,postoperative pain,quality of life,complications and nursing satisfaction were compared between the two groups.Results:The operation time,first exhaust time,first getting out of bed time and hospitalization time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).After intervention,the pain visual analogue scale score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).After intervention,the scores of all dimensions of the generic quality of life inventory-74 in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).The complication rate of the observation group was 5.88%,which was lower than 23.53%of the control group,the nursing satisfaction was 91.18%,which was higher than 64.71%in the control group,the differences were statistically significant(P<0.05).Conclusion:The integrated medical care and enhanced recovery after surgery nursing can alleviate the postoperative pain of gallstone patients,reduce the incidence of complications,improve their prognosis,shorten the length of hospital stay,and thus improve their quality of life and nursing satisfaction.

关键词

胆囊结石/医护一体化/快速康复理念护理/术后疼痛/康复效果/生活质量

Key words

Gallstone/Integration of medical care/Enhanced recovery concept nursing/Postoperative pain/Rehabilitation effect/Quality of life

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出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
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