摘要
目的探析高龄腹腔镜胆囊切除患者的量化评估模式结合加速康复外科理念护理的作用。方法将2021年6月—2023年6月在本院进行腹腔镜胆囊切除术的高龄患者作为研究对象,共计120例,将其随机分为高龄1组与高龄2组,每组60例。对高龄1组患者进行常规护理干预。对高龄2组患者进行量化评估模式结合加速康复外科护理理念的护理干预。观察两组患者切口感染、胆汁瘘、皮下气肿等并发症的发生率;观察两组患者术后排气时间、术后排便时间以及住院时间;观察两组患者术后生活质量评分。结果经统计分析发现,高龄1组患者的并发症发生率显著高于高龄2组,组间差异显著(P<0.05)。经统计分析发现,高龄1组患者的并发症发生率显著高于高龄2组,组间差异显著(P<0.05)。高龄2组患者术后的生活质量量表评分显著高于高龄1组,组间差异显著(P<0.05)。结论量化评估模式结合加速康复外科理念在高龄腹腔镜胆囊切除患者的护理上具有重要作用,可以降低术后并发症发生率,缩短住院时间,改善患者术后恢复情况,并提高患者术后的生活质量。
Objective To explore effect of quantitative evaluation model combined with accelerated rehabilitation surgery concept nursing for elderly patients with laparoscopic cholecystectomy.Methods The paper reviewed and analyzed 120 elderly patients with laparoscopic cholecystectomy in our hospital from June 2021 to June 2023 as research subjects,and divided them into advanced age group 1 and advanced age group 2 randomly,with 60 cases in each group.Elderly group 2 was names as experimental group,while elderly group 1 as parallel control group.Elderly group 1 was treated with routine nursing intervention,and elderly group 1 with quantitative evaluation mode combined with accelerated rehabilitation surgical nursing concept intervention.Incidence of complications including incision infection,bile fistula,and subcutaneous emphysema was observed between aged 1 and aged 2 group.Postoperative exhaust time,defecation time,and length of stay,postoperative life quality scores was observed between two groups.Results Statistical analysis found,incidence of complications in elderly group 1 was significantly higher than elderly group 2(15%>3.33%,P<0.05),with significant difference.Postoperative life quality scale scores of elderly group 2 patients were significantly higher than elderly group 1,with P<0.05,difference was statistically significant.Conclusion Quantitative evaluation model combined with accelerated rehabilitation surgery concept plays an important role in nursing for elderly patients with laparoscopic cholecystectomy,can reduce incidence of postoperative complications,shorten hospital stay,improvepostoperative recovery and life quality of patients after surgery.
作者
张艳艳
ZHANG Yanyan(Hepatobiliary Gastrointestinal Surgery Department,Shouguang City People's Hospital,Shouguang,Shandong 262700)
出处
《智慧健康》
2024年第16期168-170,173,共4页
Smart Healthcare
关键词
高龄腹腔镜胆囊切除患者
量化评估
加速康复外科理念
Elderly patients with laparoscopic cholecystectomy
Quantitative evaluation
Accelerated rehabilitation surgery concept
