摘要
目的:探讨基于系统化理念的连续护理在胆囊结石腹腔镜手术治疗患者中的应用效果。方法:将200例胆囊结石腹腔镜手术治疗患者随机分为观察组和对照组各100例,对照组采用常规护理措施,观察组在对照组基础上实施基于系统化理念的连续护理,采用数字评分法(NRS)评估两组患者术后疼痛程度,比较两组术后并发症发生率、首次排气、下床活动、恢复进食时间及住院时间、住院费用,采用简明健康状况量表(SF-36)评估两组术前及术后4周的生活质量。结果:观察组术后12、24、48 h NRS疼痛评分低于对照组(P <0. 05);观察组术后并发症发生率低于对照组(P <0. 05);观察组首次排气时间、恢复进食时间、首次下床活动时间及住院时间、住院费用均少于对照组(P <0. 05);术后4周观察组SF-36量表各维度评分高于对照组(P <0. 05)。结论:基于系统化理念的连续护理能明显减轻胆囊结石腹腔镜手术患者的术后疼痛程度,降低术后并发症发生率,缩短住院时间,减少住院费用。
Objective: To explore the application effect of continuous nursing based on systematic concept in patients with cholecystolithiasis by laparoscopic surgery. Methods: A total of 200 cases of laparoscopic surgery in patients with gallstone disease were randomly divided into observation group and control group with 100 cases each. The control group used conventional nursing measures,and the observation group adopted continuous nursing implementation based on the systematic idea. Postoperative pain degree of two groups was assessed using NRS.Postoperative complications,the time of the first exhaust,off-bed activity,the time of food intake,the length of hospital stay,and hospital expense were compared between the two groups. The preoperative and postoperative quality of life for 4 weeks was evaluated by SF-36. Results:The NRS pain scores of the observation group at 12,24 and 48 hours after operation were lower than those of the control group( P < 0. 05).The incidence of postoperative complications in the observation group was lower than that in the control group( P < 0. 05). In the observation group,the time of first exhaust,the time of food intake,the time of off-bed activity,the length of hospital stay,and hospital expense were all less than those in the control group( P < 0. 05). Four weeks after surgery,SF-36 scale scores in the observation group were higher than those in the control group( P < 0. 05). Conclusion: Continuous nursing based on systematic concept can significantly decrease the degree of postoperative pain,reduce the incidence of postoperative complications,shorten the length of hospital stay,and reduce the cost of hospital stay.
作者
张燕珊
余洁玲
沈艳
Zhang Yanshan;Yu Jieling;Shen Yan(Shenzhen People’s Hospital,Shenzhen Guangdong 518000,China)
出处
《齐鲁护理杂志》
2019年第12期30-33,共4页
Journal of Qilu Nursing
关键词
系统化理念
连续护理
胆囊结石腹腔镜手术
Systematic Concept
Continuous Care
Laparoscopic Cholecystolithiasis Surgery
