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目的:分析全面护理干预对腹腔镜胆囊切除术患者的心理及预后状况的影响。方法:选择2014年1月-2017年1月在开化县中医院接受腹腔镜胆囊切除术的302例患者作为研究对象,根据随机数表法将所选患者分为观察组和对照组,每组均为151例。观察组实施全面护理干预,对照组实施常规护理干预。观察比较两组患者的焦虑抑郁状况、胃肠道功能恢复情况、术后疼痛评分、疼痛消失时间、住院时间、并发症情况以及生活质量评分。结果:两组患者接受治疗后SAS评分和SDS评分均有显著下降,观察组比对照组更低,差异有统计学意义(P<0.05);观察组术后肠鸣音恢复时间、肛门排气时间、肛门排便时间短于对照组,差异有统计学意义(P<0.05);观察组术后疼痛评分低于对照组,观察组术后疼痛消失时间、住院时间短于对照组,差异有统计学意义(P<0.05);观察组并发症率低于对照组,差异有统计学意义(P<0.05);两组患者接受治疗后的躯体功能、心理功能、社会功能评分均有提高,观察组高于对照组,差异有统计学意义(P<0.05)。结论:全面护理干预可有效缓解腹腔镜胆囊切除术患者的焦虑抑郁等负性心理情绪,促进其胃肠功能康复,减少术后疼痛和并发症,提高生活质量。
Objective: To analyze the impact of comprehensive nursing intervention on the psychological and prognosis of patients undergoing laparoscopic cholecystectomy. Methods: From January 2014 to January 2017, 302 patients undergoing laparoscopic cholecystectomy at Kaihua Hospital of Traditional Chinese Medicine were selected as study subjects. The patients were divided into observation group and control group according to random number table method. Each group All 151 cases. Observation group to implement a comprehensive nursing intervention, the control group to implement routine nursing intervention. The anxiety and depression status, gastrointestinal function recovery, postoperative pain score, pain disappearance time, hospitalization time, complications and quality of life scores were observed and compared between the two groups. Results: SAS scores and SDS scores decreased significantly in both groups after treatment, the observation group was lower than the control group, the difference was statistically significant (P <0.05); the observation group postoperative bowel sound recovery time, anal exhaust Time, anal defecation time shorter than the control group, the difference was statistically significant (P <0.05); postoperative pain score was lower in the observation group than in the control group, the observation group postoperative pain disappear time, hospital stay shorter than the control group, the difference was statistically (P <0.05). The complication rate in observation group was lower than that in control group (P <0.05). The body function, psychological function and social function score of both groups were improved after treatment Group higher than the control group, the difference was statistically significant (P <0.05). Conclusion: Comprehensive nursing intervention can effectively relieve the negative psychological emotions such as anxiety and depression in patients undergoing laparoscopic cholecystectomy, promote their gastrointestinal function recovery, reduce postoperative pain and complications, and improve their quality of life.