摘要
目的讨论经腹腔镜镜下肾切除术后预防术后并发症的护理措施。方法 112例经腹腔镜镜下肾切除术患者,随机分为对照组和观察组,各56例。对照组患者给予常规护理方法 ,观察组患者在常规护理基础上给予围术期系统护理,比较两组患者的护理效果。结果观察组满意42例、基本满意11例、不满意3例,总满意度为94.64%;对照组满意13例、基本满意28例、不满意15例,总满意度为73.21%。观察组患者的护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。对照组患者存在切口感染2例,肩背疼痛3例,腹胀2例,出血1例,术后并发症发生率为14.29%;观察组患者存在腹胀1例,出血1例,术后并发症发生率为3.57%。观察组患者的术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论对腹腔镜镜下肾切除术患者实行围术期系统护理的效果良好,能降低患者的术后并发症发生率,提高患者的护理满意度,值得在护理实践中推广及使用。
Objective To discuss the nursing measure in preventing postoperative complications after laparoscopic nephrectomy operation. Methods A total of 112 patients with laparoscopic nephrectomy operation were randomly divided into control group and observation group, with 56 cases in each group. The control group received conventional nursing method, and the observation group received perioperative systematic nursing on the basis of conventional nursing. Nursing effect was compared in two groups. Results The observation group had 42 satisfactory cases, 11 basically satisfactory cases and 3 unsatisfactory cases, with total satisfaction degree as 94.64%;the control group had 13 satisfactory cases, 28 basically satisfactory cases and 15 unsatisfactory cases, with total satisfaction degree as 73.21%. The observation group had higher total nursing satisfaction degree than the control group, and the difference had statistical significance（P〈0.05）. The control group had 2 incision infection cases, 3 shoulder-back pain cases, 2 abdominal distension cases and 1 bleeding case, with incidence of postoperative complications as 14.29%;the observation gourp had 1 abdominal distension case and 1 bleeding case, with incidence of postoperative complications as 3.57%. The observation group had lower postoperative complicate rate than the control group, and the difference had statistical significance（P〈0.05）. ConclusionPerioperative systematic nursing shows perfect effect for patients with laparoscopic nephrectomy operation, which can increase the nursing satisfaction degree of patients, and worth promotion and application in nursing practice.
出处
《中国现代药物应用》
2017年第1期163-165,共3页
Chinese Journal of Modern Drug Application
关键词
腹腔镜
肾切除术
围术期系统护理
Laparoscopic
Nephrectomy operation
Perioperative systematic nursing
