首页|基于医护一体化理念的护理干预在日间腹腔镜患者围手术期的应用

基于医护一体化理念的护理干预在日间腹腔镜患者围手术期的应用

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目的 探讨医护一体化理念的护理干预在日间腹腔镜患者围手术期的应用价值.方法 选取新疆医科大学第一附属医院2022年6月至2023年6月接受日间腹腔镜手术治疗的160例患者作为研究对象,按照随机数字表法将其分为对照组和试验组,各80例.对照组采取医护管理模式,试验组采取医护一体化护理.观察比较两组住院情况、疼痛、心理状态、不良反应、术后恢复、生活质量情况及护理效果.结果 试验组住院时间短于对照组,1 d住院率高于对照组,2 d住院率低于对照组(P<0.05);护理后,两组视觉模拟评分法评分低于护理前,且试验组低于对照组(P<0.05);试验组不良反应总发生率低于对照组(P<0.05);试验组术后肛门排气时间、早期下床时间及术后饮食恢复时间均短于对照组(P<0.05);两组情绪功能、生理功能、生活活力评分高于护理前,且试验组高于对照组(P<0.05);试验组护理就医体验感评分及手术效果满意率高于对照组(P<0.05).结论 医护一体化护理干预在日间腹腔镜患者围手术期具有较高应用价值,值得推广.
Application of nursing intervention based on the concept of medical inte-gration in the perioperative period of daytime laparoscopic patients
Objective To explore the application of nursing intervention based on the concept of medical integration in the perioperative period of daytime laparoscopic patients.Methods A total of 160 patients who received daytime laparoscopic surgery in the First Affiliated Hospital of Xinjiang Medical University from June 2022 to June 2023 were selected as the study objects,and they were divided into control group and experimental group according to random number table method,with 80 patients in each group.The control group adopted medical management mode,while the experimental group adopted medical integration care.The hospitalization status,pain,psychological state,adverse reactions,postoperative recovery,quality of life,and nursing effects between two groups of patients were observed and compared.Results The hospitalization time of the experimental group was shorter than that of the control group,and the hospitalization rate in one day was higher than that of the control group,and the hospitalization rate in two days was lower than that of the control group(P<0.05);after nursing,the visual analogue scale scores of the two groups were lower than before nursing,and the experimental group was lower than the control group(P<0.05);the total incidence of adverse reactions in the experimental group was lower than that in the control group(P<0.05);the postoperative anal exhaust time,early getting out of bed time,and postoperative diet recovery time of the experimental group were shorter than those of the control group(P<0.05);the scores of emotional function,physiological function,and life vitality of the two groups were higher than those before nursing,and the experimental group was higher than the control group(P<0.05);the score of nursing experience and satisfaction rate of surgical effect in the experimental group were higher than those in the control group(P<0.05).Conclusion The medical integration nursing intervention has high application value in the perioperative period of daytime laparoscopic patients and is worth promoting.

Integration of health careNursing interventionDaytime surgryLaparoscopicPerioperative period

李庆丽、谷申森、阿斯颜木·阿布拉、季学闻、买买提居马·对先、赵艳君

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新疆医科大学第一附属医院日间手术治疗病房,新疆乌鲁木齐 830054

新疆医科大学第一附属医院肝脏·腹腔镜外科,新疆乌鲁木齐 830054

医护一体化 护理干预 日间手术 腹腔镜 围手术期

新疆维吾尔自治区护理学会项目新疆医科大学第一附属医院"青年科研起航"专项基金项目

2023XH0202022YFY-QNRC-19

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(27)
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