护理干预在胃十二指肠溃疡穿孔术后的应用效果分析

Application effect of postoperative nursing intervention on gastroduodenal ulcer perforation

目的探讨实施护理干预对于胃十二指肠溃疡穿孔术后患者的护理效果。方法选择2009年5月至2011年5月山东省泰山医学院附属莱芜市人民医院收治的84例胃十二指肠溃疡穿孔术患者,随机将患者分为对照组和观察组两个组别,各42例。对照组患者实施常规护理,对观察组患者实施护理干预。同时,比较两组患者的住院时间、满意度、生命质量评分、健康知识掌握情况以及术后并发症的发生情况。结果观察组患者住院时间与对照组患者相比较明显下降,差异具有统计学意义(P<0.05);观察组患者的生命质量评分、满意度以及健康知识掌握情况与对照组相比较明显上升,差异具有统计学意义(P<0.05);并且,实施护理干预以后,术后并发症的发生概率明显下降,观察组术后并发症的发生率为4.8%,对照组为19.0%,差异具有统计学意义(P<0.05)。结论对胃十二指肠溃疡穿孔术后患者实施综合的护理干预措施,可以促进病情的康复,值得临床应用和推广。

Objective To explore application effects of postoperative nursing intervention in patients with gas- troduodenal ulcer perforation. Methods 84 cases of patients with gastroduodenal ulcer perforarion, receiving opera- tion therapy from May 2009 to May 2011, were divided into control group, receiving routine nursing, and observation group, receiving comprehensive nursing intervention, 42 cases for each group. Average hospitalization days, postoperative complications, degree of satisfaction, score of life quality and the situation of health knowledge were compared between the two groups. Results Average hospitalization period in observation group was obviously shor- ter than control group （P〈0.05）. The degree of satisfaction, score of life quality and the situation of health knowledge were significantly higher than control group （P〈0.05）. The incidence of postoperative complications in observation group was 4.8%, lower than 19.0% of control group （P〈0.05）. Conclusion Comprehensive postoperative nursing intervention in patients with gastroduodenal ulcer perforation could promote the recovery of illness and might be worth for clinical application and generalization.