摘要
目的探讨在腹腔镜下食管裂孔疝修补联合部分胃底折叠术后实施预见性护理程序对其术后并发症的影响效果及价值。方法选取本院收治拟行腹腔镜下食管裂孔疝修补术患者70例,按数字表法随机分为对照组与试验组,各35例。2组患者均实施常规护理,试验组在此基础上采用预见性护理程序。对比分析2组患者并发症发生情况、护理前后自我管理技能评分及生存质量评分情况。结果试验组并发症发生率显著少于对照组,差异有统计学意义(P<0.05);经过护理后,试验组自我护理、一般知识、社会功能、情感职能等评分均显著高于对照组评分(P<0.05);试验组躯体疼痛评分显著低于对照组,2组比较差异有统计学意义(P<0.05)。结论采用预见性护理程序可有效降低腹腔镜下食管裂孔疝修补联合部分胃底折叠术术后并发症的发生,预后效果及生活质量均有显著提升,应用价值较高。
Objective To investigate influence of predictive nursing procedure on complications of patients undergoing laparoscopic esophageal hiatal hernia repair combined with partial fundoplication. Methods Seventy patients laparoscopic esophageal hiatal hernia repair combined with partial fundoplication in our hospital were randomly divided into control group and experimental group, with 35 cases in each group, receiving conventional care for two groups. And patients in the experimental group were additionally given predictive nursing. The incidence of postoperative complications, self-management skill score and quality of life score before and after nursing were compared between the two groups. Results The incidence of complications in the experimental group was significantly lower than that in the control group （P 〈 0.05 ）. After predictive nursing, the self-care score, general knowledge, social function and emotional function in the experimental group were obviously higher than that in control group （ P 〈 0.05 ） ; The pain score in the experimental group was obviously lower than that in the control group, the difference was statistically significant between two groups （P 〈 0.05 ）. Conclusion Predictive nursing procedure can effectively reduce the incidence of com- plications after laparoscopic hiatal hernia repair and partial fundoplication, and significantly improve the prognosis and quality of life.
作者
赵建琴
赵丽
ZHAO Jianqin ZHAO Li(Department of General Surgery, The Second Hospital Affiliated to Suzhou University, Suzhou, Jiangsu, 215000)
出处
《实用临床医药杂志》
CAS
2017年第8期96-99,共4页
Journal of Clinical Medicine in Practice
基金
江苏省自然科学基金(BK20160338)
关键词
预见性护理程序
食管裂孔疝修补术
并发症
腹腔镜
predictive nursing procedure
esophageal hiatal hernia repair
complications
laparoscopy
