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目的观察综合护理干预对老年胆结石患者手术效果的影响。方法选取2015年1月—2016年12月收治的116例老年胆结石患者,按随机数字表法分为对照组与观察组,各58例,对照组接受院内常规护理,观察组在院内常规护理基础上给予综合护理干预,比较两组并发症发生率、疼痛评分、焦虑评分和抑郁评分。计量资料比较采用t检验;计数资料比较采用χ2检验,P<0.05为差异具有统计学意义。结果观察组并发症发生率3.45%低于对照组12.07%,差异有统计学意义(P<0.05)。干预后,观察组疼痛评分、焦虑评分、抑郁评分[(3.21±0.22)、(45.21±1.09)、(50.49±1.10)分]均低于对照组[(5.06±0.18)、(59.28±1.12)、(58.26±1.08)分],差异具有统计学意义(均P<0.05)。结论为老年胆结石患者提供围手术期综合护理干预,能有效降低术后并发症发生率,缓解疼痛、焦虑和抑郁程度,从而提高护理质量。
Objective To observe the effects of comprehensive nursing intervention on the surgical effect of elderly patients with gallstone. Methods One hundred and sixty-six elderly patients with gallstone admitted from January 2015 to December 2016 were divided into control group and observation group according to the random number table method, 58 cases in each group. The control group received routine nursing in hospital and routine nursing in hospital On the basis of comprehensive nursing intervention, complication rates, pain scores, anxiety scores and depression scores were compared between the two groups. Measurement data were compared using t test; count data were compared using χ2 test, P <0.05 for the difference was statistically significant. Results The incidence of complications in the observation group was 3.45% lower than that in the control group (12.07%), the difference was statistically significant (P <0.05). The scores of pain, anxiety and depression in the observation group [(3.21 ± 0.22), (45.21 ± 1.09) and (50.49 ± 1.10)] were lower than those in the control group [(5.06 ± 0.18) and (59.28 ± 1.12) , (58.26 ± 1.08) points], the difference was statistically significant (all P <0.05). Conclusions Perioperative comprehensive nursing intervention for elderly patients with gallstones can effectively reduce the incidence of postoperative complications, relieve pain, anxiety and depression, thus improving the nursing quality.