摘要
目的探讨细节护理管理模式在急性阑尾炎腹腔镜阑尾切除术围手术期中的应用效果。方法选择2017年2月至2018年6月本院收治的90例急性阑尾炎腹腔镜阑尾切除术为研究对象,随机分为对照组和观察组,每组45例,对照组给予常规护理,观察组给予细节护理管理模式,比较两组患者围手术期中的胃肠功能恢复时间、手术时间、住院时间、不良情绪、术后并发症和护理满意度。结果观察组的胃肠功能恢复时间、手术时间和住院时间显著短语对照组(P<0.05);观察组的SAS和SDS不良情绪评分均显著低于对照组(P<0.05);术后并发症主要为切口感染、粘连性肠梗阻和腹腔残余感染,观察组的术后并发症发生率11.11%显著低于对照组28.89%(χ2=4.444,P=0.035),观察组的护理满意度97.78%显著高于对照组75.56%(χ2=9.615,P=0.002)。结论急性阑尾炎腹腔镜阑尾切除术围手术期实施细节护理管理模式可促进患者恢复,减少并发症,提高护理满意度。
Objective To investigate the application of detailed nursing management mode in perioperative period of laparoscopic appendectomy for acute appendicitis. Methods 90 patients with acute appendicitis who underwent laparoscopic appendectomy from February 2017 to June 2018 were enrolled in the study. They were randomly divided into the control group and the observation group, and 45 patients in each group. The control group was received routine care. The group was given detailed nursing management model. The recovery time of gastrointestinal function, operation time, hospitalization time, adverse mood, postoperative complications and nursing satisfaction in the perioperative period were compared between the two groups. Results The gastrointestinal function recovery time, operation time and hospitalization time in the observation group were significantly lower than which of the control group（P〈0.05）. The SAS and SDS adverse emotion scores in the observation group were significantly lower than which in the control group（P〈0.05）. The main symptoms were wound infection, adhesive intestinal obstruction and residual abdominal infection. The incidence of postoperative complications in the observation group was 11.11% significantly lower than 28.89% of the control group（χ2=4.444, P=0.035）. The nursing satisfaction of the observation group 97.78. % was significantly higher than 75.56% of the control group of（χ2=9.615, P=0.002）. Conclusion The detailed nursing management mode of laparoscopic appendectomy in acute appendicitis can promote recovery, reduce complications and improve nursing satisfaction.
作者
杨红艳
YANG Hong-yan(General Department of Pingyi People＇s Hospital in Shandong Province,Pingyi,Shandong 27330)
出处
《智慧健康》
2018年第29期86-88,共3页
Smart Healthcare
关键词
急性阑尾炎
腹腔镜阑尾切除术
细节护理
应用效果
Acute appendicitis
Laparoscopic appendectomy
Detail nursing
Application effect
