摘要
目的:探讨中医特色系统护理联合加速康复理念(ERAS)对急性胆囊炎(AC)腹腔镜胆囊切除术(LC)患者术后恢复的影响。方法:选取2020年5月—2022年7月收治的102例AC患者,按照随机法分为观察组(51例)和对照组(51例)。对照组给予常规护理,观察组在对照组的基础上以中医特色系统护理联合ERAS模式进行干预。两组均干预7 d。比较两组患者的恢复情况、术后并发症发生率。比较干预前、干预后两组患者治疗依从性[中文版服药信念特异性问卷(BMQ-Specific)]以及术后6 h,24 h,72 h疼痛情况[视觉模拟评分量表(VAS)]和舒适度[舒适状况量表(GCQ)]的差异。结果:干预后,观察组患者住院、肠鸣音恢复、肛门排气以及下床活动时间均短于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05);两组患者BMQ-Specific评分均高于干预前,且观察组高于对照组(P<0.05)。术后24 h,72 h两组患者VAS评分均较术后6 h逐渐降低,且观察组低于对照组(P<0.05);术后24 h,72 h两组患者GCQ评分均较术后6 h逐渐增高,且观察组高于对照组(P<0.05)。结论:中医特色系统护理联合ERAS能够有效缩短AC患者LC术后恢复时间,降低并发症发生率,有效改善患者治疗依从性、疼痛程度以及舒适度。
Objective:To explore the influence of traditional Chinese medicine characteristic systematic nursing combined with accelerated rehabilitation concept(ERAS)on the postoperative recovery of patients with acute cholecystitis(AC)and laparoscopic cholecystectomy(LC).Methods:All 102 AC patients from May 2020 to July 2022 were randomly divided into observation group(n=51)and control group(n=51).The control group received routine care,while the observation group received intervention using traditional Chinese medicine characteristic system nursing combined with ERAS mode on the basis of the control group.The intervention lasted for 7 days.The recovery and postoperative complication rates of the two groups of patients during the intervention period were compared.The treatment compliance of the two groups of patients before and 7 days after the intervention[Chinese version of the medication belief specific questionnaire(BMQ-Specific)],as well as the differences in postoperative pain levels[visual analog scale(VAS)]and comfort levels[GCQ)]at 6h,24h,and 72h were compared.Results:After intervention,the observation group had shorter hospitalization,recovery of bowel sounds,anal exhaust,and ambulatory time compared to the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Both groups of patients had higher BMQ-Specific scores than before intervention,and the observation group had higher scores than the control group(P<0.05).The VAS scores of both groups of patients at 24 and 72 hours after surgery gradually decreased compared to 6 hours after surgery,and the observation group had lower scores than the control group(P<0.05).The GCQ scores of both groups of patients at 24 and 72 hours after surgery gradually increased compared to 6 hours after surgery,and the observation group had higher scores than the control group(P<0.05).Conclusion:The combination of traditional Chinese medicine characteristic system nursing and ERAS concept effectively shortens the recovery time of AC patients after LC surgery,reduces the incidence of complications,and improves patient treatment compliance,pain level,and comfort.
作者
胡冬
陶利
柳敏
HU Dong;TAO Li;LIU Min(Wuhan Integrated Traditional Chinese and Western Medicine Orthopedic Hospital,Affiliated Hospital of Wuhan Institute of Physical Education,Wuhan 430000,China)
出处
《临床医药实践》
2024年第3期218-222,共5页
Proceeding of Clinical Medicine
关键词
中医特色系统护理
加速康复理念
急性胆囊炎
胆囊切除术
traditional chinese medicine characteristic system nursing
accelerated rehabilitation concept
acute cholecystitis
cholecystectomy
