摘要
目的:观察快速康复外科护理对腹腔镜胆囊切除术患者负性情绪、应激反应及康复质量的影响。方法:100例行腹腔镜胆囊切除术治疗的患者根据随机数字表法分为两组,对照组(n=50)采取常规护理措施干预,观察组(n=50)采用快速康复外科护理予以干预。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组护理前后焦虑、抑郁程度;采用酶联免疫吸附法检测两组护理前后血清白细胞介素-6(IL-6)、C反应蛋白(CRP)、促肾上腺皮质激素(ACTH)、去甲肾上腺素(NE)表达水平;比较两组护理后排气时间、伤口愈合时间、住院时间、排便时间、下床活动时间等康复指标。结果:护理前两组SAS、SDS评分比较差异均无统计学意义(P>0.05),护理后两组SAS、SDS评分均明显降低(P<0.05),且观察组降低更为明显(P<0.05);护理前两组血清IL-6、CRP、ACTH、NE表达水平比较差异均无统计学意义(P>0.05),护理后两组血清IL-6、CRP表达水平均明显降低(P<0.05),血清ACTH、NE表达水平均明显升高(P<0.05),且观察组降低或升高均更为明显(P<0.05);观察组护理后排气时间、伤口愈合时间、住院时间、排便时间、下床活动时间等康复指标均明显优于对照组(P<0.05)。结论:快速康复外科护理可有效消除腹腔镜胆囊切除术患者负性情绪,降低应激反应程度,明显提高术后康复质量。
Objective:To observe the effect of rapid rehabilitation surgical nursing on negative emotions,stress response and rehabilitation quality of patients undergoing laparoscopic cholecystectomy.Method:A total of 100 patients undergoing laparoscopic cholecystectomy were randomly divided into two groups according to the number table method.The control group(n=50)received routine nursing intervention,and the observation group(n=50)received rapid rehabilitation surgical intervention.Anxiety and depression were evaluated by SAS and SDS before and after nursing.The expression levels of interleukin-6(IL-6),C-reactive protein(CRP),adrenocorticotrophic hormone(ACTH),norepinephrine(NE)in serum of the two groups before and after nursing were detected by enzyme-linked immunosorbent assay.After nursing,exhaust time,wound healing time,hospitalization time,defecation time,time of getting out of bed and other rehabilitation indicators of two groups were compared.Result:There were no significant differences between two groups about SAS and SDS scores before nursing(P>0.05),and SAS and SDS scores of two groups after nursing significantly reduced(P<0.05),and the decreases of the observation group were more significant(P<0.05).There were no significant differences between two groups about the expression levels of serum IL-6,CRP,ACTH and NE before nursing(P>0.05).After nursing,the expression levels of serum IL-6 and CRP significantly decreased(P<0.05),while the expression levels of serum ACTH and NE significantly increased(P<0.05).The recovery indexes of exhaust time,wound healing time,hospitalization time,defecation time and time to get out of bed after nursing in the observation group were significantly better than those in the control group(P<0.05).Conclusion:Rapid rehabilitation surgical nursing can effectively eliminate the negative emotions of laparoscopic cholecystectomy patients,reduce the degree of stress response,significantly improve the quality of postoperative rehabilitation.
作者
李卓惠
张春琼
LI Zhuohui;ZHANG Chunqiong(The People’s Hospital of Huazhou,Huazhou 525100,China)
出处
《中国医学创新》
CAS
2019年第28期77-80,共4页
Medical Innovation of China
关键词
快速康复外科护理
腹腔镜胆囊切除术
负性情绪
应激反应
Rapid rehabilitation surgical nursing
Laparoscopic cholecystectomy
Negative emotions
Stress response
