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扁平化责任制护理在腹腔镜术后患者中的应用效果

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目的:观察扁平化责任制护理在腹腔镜术后患者中的应用效果.方法:选取 2020 年 10 月至 2021 年 10 月于该院行腹腔镜手术的 80 例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 40 例.对照组实施常规护理,观察组在对照组基础上实施扁平化责任制护理,比较两组康复时间、护理质量评分、并发症发生率及护理满意度.结果:观察组首次排气时间、首次下床时间及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组基础护理、饮食指导、药物使用、并发症预防、检查操作等各项护理质量评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为 5.00%(2/40),低于对照组的 35.00%(14/40),差异有统计学意义(P<0.05);观察组护理满意度为 95.00%(38/40),高于对照组的 65.00%(26/40),差异有统计学意义P<0.05).结论:在常规护理基础上采用扁平化责任制护理可提高腹腔镜术后患者护理质量评分和护理满意度,缩短康复时间,以及降低并发症发生率的效果优于单纯常规护理效果.
Application effects of flat responsibility system nursing in patients after laparoscopic surgery
Objective:To observe application effects of flat responsibility system nursing in patients after laparoscopic surgery.Methods:A prospective study was conducted on 80 patients who underwent laparoscopic surgery in this hospital from October 2020 to October 2021.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was given routine nursing,while the observation group was given the flat responsibility system nursing on the basis of that of the control group.The rehabilitation time,the nursing quality score,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:The first exhaust time,the first out-of-bed time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The nursing quality scores of basic nursing,diet guidance,drug use,complication prevention and examination operation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%(2/40),which was lower than 35.00%(14/40)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.00%(38/40),which was higher than 65.00%(26/40)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the flat responsibility system nursing can improve the nursing quality scores and the nursing satisfaction of the patients after laparoscopic surgery,shorten the recovery time and reduce the incidence of complications.Moreover,it is superior to single routine nursing.

Flat responsibility system nursingLaparoscopic surgeryComplicationNursing qualityNursing satisfactionComplication

王瑞芳

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河南大学第一附属医院外科,河南 开封 475000

扁平化责任制护理 腹腔镜手术 并发症 护理质量 护理满意度 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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