摘要
目的分析快速康复外科护理在胆总管结石经内镜逆行胰胆管造影(ERCP)患者术后护理中的应用效果。方法将医院2020年1月—2021年6月收治的120例胆总管结石ERCP患者作为研究对象,按照组间基本特征具有可比性的原则分为对照组与观察组,各60例,对照组采取常规术后护理,观察组采用快速康复外科护理,对比两组首次进食时间、离床活动时间、住院时间、医疗费用、不适症状发生率、疼痛程度等。结果观察组患者的首次进食时间、离床活动时间、住院时间均短于对照组,医疗费用低于对照组,差异有统计学意义(P<0.05)。观察组患者不适症状发生率低于对照组,差异有统计学意义(P<0.05)。两组患者并发症的发生率比较差异无统计学意义(P>0.05)。观察组患者的疼痛程度明显低于对照组,差异有统计学意义(P<0.05)。两组患者护理满意程度比较差异无统计学意义(P>0.05)。结论快速康复外科护理应用于胆总管结石ERCP术后护理中,有助于促进患者康复,降低不适症状发生率,缓解疼痛程度。
Objective To analyze the application eff ect of rapid rehabilitation surgical nursing in postoperative nursing of patients with choledocholithiasis after endoscopic retrograde cholangiopancreatography(ERCP).Methods To select 120 ERCP patients with choledocholithiasis admitted in the hospital from January 2020 to June 2021 as the study object,and they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 60 patients in each group.The control group was given routine postoperative care,while the observation group was given rapid rehabilitation surgery care.The time of fi rst meal,time of activity out of bed,hospital stay,medical expenses,incidence of discomfort symptoms and pain of the two groups were compared.Results The time of fi rst meal,time of activity out of bed and hospital stay in the observation group were shorter than those in the control group,the medical expenses was less than the control gourp,and the diff erences were statistically signifi cant(P<0.05).The incidence of discomfort symptoms in the observation group was lower than that in the control group,and the diff erence was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).The pain degree of patients in the observation group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).There was no signifi cant diff erence in the nursing satisfaction between the two groups(P>0.05).Conclusion The application of rapid rehabilitation surgical nursing in the post ERCP care of patients with choledocholithiasis is helpful to promote their rehabilitation,reduce the incidence of discomfort symptoms,and relieve pain.
作者
李微微
马云武
刘亚峰
白祥慧
方张玲
张婷
孙金兵
杨档档
LI Weiwei;MA Yunwu;LIU Yafeng;BAI Xianghui;FANG Zhangling;ZHANG Ting;SUN Jinbing;YANG Dangdang(Third Affi liated Hospital of Naval Medical University,Shanghai,200438,China)
出处
《护理实践与研究》
2022年第24期3734-3738,共5页
Nursing Practice and Research
关键词
快速康复
外科护理
胆总管结石
经内镜逆行胰胆管造影
术后护理
效果
Rapid rehabilitation
Surgical nursing
Choledocholithiasis
Endoscopic retrograde cholangiopancreatography
Postoperative nursing
Eff ect
