摘要
目的 观察整体护理干预对腹腔镜胆囊切除术患者心理状态及疼痛的影响。方法 选择2016年1月至2017年3月进行腹腔镜胆囊切除术的患者134例，随机分对照组和研究组，各67例。对照组实施常规护理，研究组给予整体护理干预。比较两组术后疼痛程度、心理状态以及肠鸣音消失、肛门排气及住院等时间差异。结果 对照组术后SAS评分为（49.71±4.84）分、SDS评分为（52.71±4.93）分，VAS评分分别为术后24 h（5.93±0.54）分、48 h（4.73±0.50）分、72 h（4.02±0.39）分；研究组术后SAS评分为（38.59±4.28）分、SDS评分为（41.68±4.79）分，VAS评分分别为术后24 h（5.24±0.51）分、48 h（3.87±0.43）分、72 h（2.18±0.33）分；研究组术后SAS、SDS、手术24 h后VAS评分均显著低于对照组。对照组术后肠鸣音消失时间为（9.94±2.85）h、肛门排气时间为（36.67±2.45）h、住院时间为（10.61±1.25）d，研究组术后肠鸣音消失时间为（5.82±1.76）h、肛门排气时间为（23.58±1.69）h、住院时间为（7.28±0.97）d，研究组术后恢复时间指标均明显少于对照组，差异有统计学意义（均P＜0.05）。结论 整体护理干预能有效缓解腹腔镜胆囊切除术患者负性情绪和疼痛程度，加快术后康复进程。
Objective To observe the effect of holistic nursing intervention on mental state and pain in patients taking laparoscopic cholecystectomy(LC).Methods 134 patients undertaking LC from January,2016 to March,2017 were randomly divided into a control group and a research group,67 cases for each group.The control group were routinely cared,while the research group were given holistic nursing intervention.The postoperative pain degree,mental state,bowel sound vanishing time,anal exhaust time,and hospital stay were compared between the two groups.Results The postoperative SAS and SDS and VAS scores 24,48,and 72 hours after the operation were(49.71±4.84),(52.71±4.93),(5.93±0.54),(4.73±0.50),and(4.02±0.39)in the control group and were(38.59±4.28),(41.68±4.79),(5.24±0.51),(3.87±0.43),and(2.18±0.33)in the research group.The postoperative bowel sound vanishing time,anal exhaust time,and hospital stay were(9.94±2.85)h,(36.67±2.45)h,and(10.61±1.25)d in the control group and were(5.82±1.76)h,(23.58±1.69)h,and(7.28±0.97)d in the research group,with statistical differences(all P<0.05).Conclusions Holistic nursing intervention for patients undertaking LC can effectively relieve negative emotions and pain degree and accelerate postoperative recovery.
作者
梁玲
Liang Ling(Department of Surgery,Dengfeng People’s Hospital,Zhengzhou 452470,China)
出处
《国际医药卫生导报》
2018年第8期1280-1283,共4页
International Medicine and Health Guidance News
关键词
腹腔镜胆囊切除术
整体护理干预
心理状态
疼痛
Laparoscopic cholecystectomy
Holistic nursing intervention
Mental state
Pain
