综合护理干预对内镜下治疗胆总管结石效果的影响

Effect of comprehensive nursing intervention on the treatment effect of common bile duct stones in patients undergoing endoscopy

目的探讨综合护理干预对内镜下治疗胆总管结石效果的影响。方法将137例内镜下治疗胆总管结石患者随机分为干预组（n=69）和对照组（n=68）。对照组接受内镜治疗前后常规护理，干预组在此基础上，给予术前视听训练干预，术中音乐疗法干预及术后体位训练干预。观察比较两组患者干预效果。结果两组患者治疗前呼吸、心率、血氧饱和度比较差异无统计学意义（P〉0．05）；治疗后干预组呼吸频率为（23．6±3．4）次／min，术后首次下床时间为（19．24±3．67）h，取石成功率97．10％，并发症发生率为4．35％，对照组分别为（28．9±3．7）次／min，（24．62±4．81）h，86．76％，16．18％，两组间差异均有统计学意义（t=8．72，7．35；X^2=4．96，5．03；P〈0．05）。治疗后干预组心率、血压低于对照组，血氧饱和度高于对照组，患者术后鼻胆管拔除时间及住院时间较对照组缩短，术后睡眠时间较对照组延长，差异均有统计学意义（P〈0．05）。结论综合护理干预提高治疗的依从性，促进患者早Et康复，达到了预期效果。

Objective To investigate the effect of comprehensive nursing intervention on the treatment of common bile duct stones undergoing endoscopy. Methods A total of 137 patients with common bile duct stones undergoing the endoscopic treatment were randomly divided into intervention group （ n = 69 cases） and control group （ n = 68 patients）. All the patients received routine care before and after the endoscopic treatment. In addition, the patients in the intervention group received audio-visual training intervention with preoperative, music therapy with intra-operative and position training intervention with postoperative. The intervention effect was compared between the two groups. Results Breath rate, heart rate, oxygen saturation before treatment were not different in the two groups （ P 〉 0. 05 ）. Breath frequency in intervention group after treatment was （ 23.6±3.4）time/rain, the first bed time was （19.24±3.67）h, extubation rate was 97. 10% and complication rate was 4.35% and those in control group were （28.9±3.7） time/min, （24.62±4.81 ） h, 86.76% and 16.18% respectively, and the differences were significant （ t = 8.72, 7.35 ; X^2 = 4.96, 5.03 ; P 〈 0. 05 ）. Heart rate, blood pressure in experimental group after treatment were reduced and the extubation time and in hospital time were shorten than control group, however, the sleeping time was longer in experimental group （ P 〈 0. 05 ）. Conclusions Comprehensive nursing intervention can improve treatment compliance, promote patients＇ early recovery and achieve the desired effect.