多维危机控制护理对腹腔镜胆囊切除术患者SCL-90、SSRS及GLQI评分的影响

Effects of multidimensional crisis control nursing on SCL-90,SSRS and GLQI scores of patients undergoing laparoscopic cholecystectomy

目的 探讨多维危机控制护理对腹腔镜胆囊切除术患者症状自评量表(SCL-90)、社会支持评定量表(SSRS)及消化病生存质量指数(GLQI)评分的影响。方法 选取2019年5月至2021年5月我院收治的178例行腹腔镜胆囊切除术患者,将其随机分为对照组(89例,常规护理)及观察组(89例,常规护理+多维危机控制护理)。比较两组的护理效果。结果 观察组的肠道排气时间、排便时间、下床活动时间及住院时间均短于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。术后3 d,两组的视觉模拟评分法(VAS)评分均降低,且观察组低于对照组(P<0.05);观察组的疼痛持续时间短于对照组(P<0.05)。护理3个月后,两组的SCL-90评分均降低,SSRS及GLQI评分均升高,且观察组优于对照组(P<0.05)。结论 多维危机控制护理可缩短腹腔镜胆囊切除术患者的术后康复时间,降低并发症发生率,改善心理状况、社会支持程度及生活质量,值得推广。

Objective To explore the effects of multidimensional crisis control nursing on Symptom Checklist-90(SCL-90),Social Support Rating Scale(SSRS)and Gastrointestinal Quality of Life Index(GLQI)scores of patients undergoing laparoscopic cholecystectomy.Methods A total of 178 patients who underwent laparoscopic cholecystectomy in our hospital from May 2019 to May 2021 were selected and randomly divided into control group(89 cases,routine nursing)and observation group(89 cases,routine nursing+multidimensional crisis control nursing).The nursing effects of the two groups were compared.Results The intestinal exhaust time,defecation time,ambulation time and hospital stay of the observation group were shorter than those of the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).At 3 d after operation,the Visual Analogue Score(VAS)score of the two groups decreased,and that in the observation group was lower than the control group(P<0.05);the duration of pain in the observation group was shorter than that in the control group(P<0.05).After 3 months of nursing,the SCL-90 score of the two groups decreased,the SSRS and GLQI scores increased,and those in the observation group were better than the control group(P<0.05).Conclusion Multidimensional crisis control nursing can shorten the postoperative recovery time of patients undergoing laparoscopic cholecystectomy,reduce the incidence of complications,and improve psychological status,social support degree and quality of life,which is worthy of promotion.