摘要
目的探讨基于循证支持的快速康复外科护理在腹腔镜胆囊切除术(LC)患者围术期的应用效果。方法选择2020年3月-2023年3月于该院行LC的78例患者为研究对象,按照随机数字表法将其分为对照组与观察组,各39例。对照组采用常规护理,观察组采用基于循证支持的快速康复外科护理,均护理至出院。比较两组术后恢复情况、心理状态、并发症发生情况、生活质量。结果观察组首次排气时间(11.05±1.93)h、首次排便时间(12.53±2.11)h、下床活动时间(12.53±1.31)h、住院时间(3.91±0.55)d均短于对照组,术后24 h疼痛视觉模拟评分(1.67±0.22)分低于对照组,组间差异有统计学意义(P<0.05)。护理前,两组心理状态、生活质量比较,组间差异无统计学意义(P>0.05)。护理后,观察组抑郁自评量表评分(40.26±2.74)分、焦虑自评量表评分(42.06±3.13)分均低于对照组,世界卫生组织生存质量测定量表中社会关系评分(76.18±5.15)分、生理健康评分(79.53±5.95)分、心理健康评分(78.31±5.17)分、周围环境评分(81.96±3.65)分均高于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率5.13%较对照组的20.51%低,差异有统计学意义(P<0.05)。结论基于循证支持的快速康复外科护理可减轻LC患者术后疼痛、负性情绪,减少并发症,加快恢复进程,改善生活质量。
Objective To explore the application effect of evidence-based rapid rehabilitation surgical nursing in perioperative nursing of patients undergoing laparoscopic cholecystectomy(LC).Methods 78 patients who underwent LC in this hospital from March 2020 to March 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 39 cases in each group.The control group was given routine nursing,and the observation group was given evidence-based enhanced recovery after surgery nursing until discharge.The postoperative recovery,psychological state,complications and quality of life were compared between the two groups.Results The first exhaust time(11.05±1.93)h,the first defecation time(12.53±2.11)h,the time to get out of bed(12.53±1.31)h,and the hospitalization time(3.91±0.55)d in the observation group were shorter than those in the control group,and the Visual Analogue Scale of pain 24 h after operation(1.67±0.22)points was lower than that in the control group,the differences between the two groups were statistically significant(P<0.05).Before nursing,there was no statistically significant difference in psychological state and quality of life between the two groups(P>0.05).After nursing,the observation group Self-rating Depression Scale score(40.26±2.74)points,Self-rating Anxiety Scale score(42.06±3.13)points were lower than the control group,Social relations in the world health organization quality of life measurement scale score(76.18±5.15)points,physical health score(79.53±5.95)points,mental health score(78.31±5.17)points and the surrounding environment score(81.96±3.65)points were higher than the control group,the differences between groups were statistically significant(P<0.05).The incidence of complications in the observation group 5.13%was lower than 20.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion Evidence-based fast track surgery nursing can reduce postoperative pain,negative emotions,reduce complications,accelerate the recovery process and improve the quality of life in patients with LC.
作者
陈娟
CHEN Juan(Operating Room,Lanling County People's Hospital,Linyi Shandong,277700,China)
出处
《反射疗法与康复医学》
2023年第21期166-169,共4页
Reflexology And Rehabilitation Medicine
关键词
腹腔镜胆囊切除术
循证支持
快速康复外科护理
术后恢复
心理状态
并发症
Laparoscopic cholecystectomy
Evidence-Based support
Fast track surgery nursing
Postoperative recovery
State of mind
Complications
