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目的:研究细节护理用于胆囊炎患者手术室目标护理的临床价值。方法:将我院89例胆囊炎患者抽签随机分为观察组与对照组,分别45例、44例,两组均以改善患者生存质量为护理目标,观察组实施细节护理,对照组采取常规护理流程,比较两组术后康复指标(排气时间、进食时间、下床时间、出院时间及补液时间),分组记录两组术后并发症发生率并进行比较,随访观察两组术后1月生活质量改善情况。结果:两组术后均无死亡、再入院病例,组间差异无统计学意义(χ2=0.000,P=1.000),观察组并发症总发生率为4.4%与对照组29.5%比较显著较低(P<0.01);观察组术后排气时间、进食时间、下床时间、出院时间及补液时间分别为(11.8±3.2)h、(12.9±2.3)h、(7.5±1.9)h、(3.7±1.2)d、(2.1±1.2)h均显著低于对照组(15.9±1.8)h、(16.7±2.1)h、(11.5±2.5)h、(5.6±2.6)d、(4.8±1.9)h,差异有统计学意义(P<0.01);观察组护理后生理功能、生理职能、社会功能、精神状态、质量总分与本组护理前及对照组护理后比较显著较高(P<0.01),对照组与护理前比较生理功能及质量总分差异有统计学意义(P<0.05)。结论:细节护理可加快胆囊炎患者术后康复进程,通过改善护理方案、完善护理细节降低术后并发症发生率,对患者短期生活质量的改善显著,具有一定的临床推广价值。
Objective: To study the clinical value of detailed nursing in the target nursing of operation room for patients with cholecystitis. Methods: A total of 89 cholecystitis patients in our hospital were randomly divided into observation group and control group, 45 cases in each group and 44 cases in control group. The improvement of patients’ quality of life was the goal of nursing, the details of nursing in observation group and the routine nursing The two groups were compared the incidence of postoperative complications (exhaust time, feeding time, bed time, discharge time and rehydration time) Improve the quality of life. Results: There was no death or re-admission in both groups. There was no significant difference between the two groups (χ2 = 0.000, P = 1.000). The overall complication rate was 4.4% in the observation group and 29.5% in the control group (11.8 ± 3.2) h, (12.9 ± 2.3) h, (7.5 ± 1.9) h and (7.5 ± 1.9) h respectively in the observation group (P <0.01). The mean time to discharge, 3.7 ± 1.2) d and (2.1 ± 1.2) h were significantly lower than those in the control group (15.9 ± 1.8) h, (16.7 ± 2.1) h, (11.5 ± 2.5) h and ) h, the difference was statistically significant (P <0.01). The physical, physiological, social functions, mental status and quality score of the observation group were significantly higher than those of the control group before and after nursing (P < 0.01). There were significant differences in the physiological function and quality score between the control group and before nursing (P <0.05). Conclusion: The detailed nursing can accelerate the recovery process of cholecystitis patients, and improve the short-term quality of life by improving the nursing plan, improving the nursing details and reducing the incidence of postoperative complications, and has certain clinical promotion value.