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目的观察精细化护理与常规护理应用于腹腔镜老年结石性胆囊炎切除术后的效果。方法选取行腹腔镜结石性胆囊炎切除术老年患者98例,随机分为观察组和对照组,每组48例。术后观察组给予精细化护理干预,对照组给予常规护理,比较2组患者的手术时间、术后下床时间、术后肛门排气时间,住院天数、住院总费用,护理满意度差异。结果 2组术后下床时间、术后肛门排气时间差异有统计学意义(P<0.01);2组手术时间差异无统计学意义(P>0.05);观察组住院天数和住院总费用低于对照组(P<0.01);观察组护理满意度为95.84%,高于对照组的77.08%(P<0.05)。结论精细化护理在腹腔镜老年结石性胆囊炎切除术后的应用,与常规护理比较,加快患者早日康复,减轻患者经济负担,提高患者的满意度,构建和谐护患关系,具有良好的临床应用价值。
Objective To observe the effect of meticulous nursing and routine nursing on laparoscopic cholecystitis in elderly patients. Methods A total of 98 elderly patients with laparoscopic cholecystectomy were randomly divided into observation group and control group with 48 cases in each group. The patients in the observation group were treated with meticulous nursing intervention and the control group were given routine nursing care. The operation time, the time of getting out of bed, the time of postoperative anal exhaust, the days of hospitalization, the total cost of hospitalization and the differences of nursing satisfaction were compared between the two groups. Results There was significant difference between the two groups in the time to get out of bed and the time of postoperative anal exhaust (P <0.01). There was no significant difference in operative time between the two groups (P> 0.05). The hospitalization days and total cost of hospitalization were lower In the control group (P <0.01). The nursing satisfaction of the observation group was 95.84%, which was higher than that of the control group (77.08%, P <0.05). Conclusion The application of meticulous care in laparoscopic cholecystectomy for elderly patients with calculous cholecystitis, compared with routine care, to speed up the early recovery of patients, reduce the economic burden of patients, improve patient satisfaction, build a harmonious relationship between nurses and patients, has a good clinical application value.