老年患者行腹腔镜胆囊切除术的围手术期护理

Perioperative nursing of elderly patients undergone laparoscopic cholecystectomy

目的探讨老年患者行腹腔镜胆囊切除术的围手术期护理方法。方法回顾性分析70例老年患者行腹腔镜胆囊切除术的护理措施。结果 70例患者中3例中转开放手术,术后均恢复良好,无并发症发生。结论根据老年患者的特点,对其进行有针对性护理,术前对其进行全面的评估、心理护理、完善的术前准备、健康教育等,术后侧重于病情监测、引流管的护理、饮食护理等,可提高手术的成功率,减少并发症的发生。

Objective To explore perioperative nursing of elderly patients who have under-gone laparoscopic cholecystectomy. Methods Retrospective analysis of 70 cases of elderly patients who have undergone laparoscopic cholecystectomy was done. Results Three cases among 70 patients were converted to open surgery. Patients recovered very well without complications. Conclusion Considering the characteristics of elderly patients, we should make specific nursing plans, give comprehensive preoperative assessment, provide psychological care and health education, improve preoperative preparation, focus on disease monitoring, the drainage tube care and diet care. All these can improve the success rate of surgery to reduce the incidence of complications.