摘要
目的:探讨中西医结合集束化护理对老年胆囊切除术的护理效果。方法:选取120例行胆囊切除术的老年患者为研究对象,采用随机数字表法分为对照组和观察组,各60例。对照组予常规护理,观察组予中西医结合集束化护理。观察两组术后疼痛情况、并发症及护理满意度。结果:两组术后Prince-Henry评分均呈下降趋势,组内不同时间段间比较,差异有统计学意义(P<0.05);观察组术后12 h、24 h、48 h Prince-Henry评分均低于对照组(P<0.01)。老年胆囊切除术后并发症以胆漏、胆囊残株炎、切口感染、皮下气肿为主。切口感染率对照组为6.7%,观察组为0;并发症总发生率对照组为20.0%,观察组为6.7%,组间比较,差异均有统计学意义(P<0.05)。总满意率对照组为75.0%,观察组为93.3%,组间比较,差异有统计学意义(P<0.05)。结论:中西医结合集束化护理对老年胆囊切除术患者止痛效果显著,能有效降低术后并发症,提高护理满意度。
Objective： To explore the nursing effect of Cluster nursing with Integrated traditional Chinese and Western Medicine on elderly patients with cholecystectomy. Methods： The 120 elderly patients who under- went cholecystectomy were randomly divided into control group and study group, each with 60 cases. The con- trol group received routine nursing care, while the study group was treated with cluster nursing. The postopera- tive pain, complications and nursing satisfaction of the two groups were observed. Results： Two groups of post- operative Prince-Henry scores decreased, group differences in different time were statistically significant （P〈 0.05）; postoperative 12 h, 24 h, and 48 h Prince-Henry scores of the study group were lower than the control group （P〈0.01）. Complications after cholecystectomy were bile leakage, gallbladder stump inflammation, wound infection, subcutaneous emphysema. The incision infection rate is 6.7% in the control group, the study group was about 0.0%; and the total complication rate of the control group is 20.0%, the study group is 6.7%, the difference between the two groups was statistically significant （P〈0.05）. The total satisfaction rate of the control group was 75.0%, the study group is 93.3%, and the difference between the two groups was statistically signifi- cant （P〈0.05）. Conclusion： Cluster nursing with Integrated traditional Chinese and Western Medicine has good effect on elderly patients with cholecystectomy, it can effectively reduce the postoperative complications, and improve nursing satisfaction.
出处
《中医药导报》
2017年第6期111-113,共3页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
