小儿外科腹腔镜手术的护理干预

Pediatric surgical nursing intervention for laparoscopic surgery

目的探讨小儿外科腹腔镜手术的护理配合措施对于患儿术后并发症及护理满意度的影响。方法将我院小儿外科自2012年9月~2014年3月间收治的需进行腹腔镜手术的150例患儿作为观察对象,根据护理方法不同分为观察组及对照组,每组各75例,其中对照组实施常规护理,观察组在对照组的基础上实施全面护理干预,术前护理包括心理护理、环境护理、脐部护理;术中护理包括气腹护理、体位护理、补液。术后护理包括观察生命体征、保持呼吸道通畅。分析两组患儿的并发症发生率及患儿家长对护理工作的满意度情况。结果观察组患儿并发症发生率为1.3%,对照组并发症发生率为8.0%,差异有统计学意义（P〈0.05）;护理满意度方面,观察组的护理满意度为97.3%,明显高于对照组（82.7%）,差异有统计学意义（P〈0.05）。结论对实施腹腔镜手术的患儿实施全面护理干预可明显降低患儿术后并发症发生率,提高护理满意度。

Objective To explore the impact of nursing intervention on postoperative complication of laparoscopic surgery and nursing satisfaction. Methods A total of 150 patients were divided into observation group and control group in our hospital pediatric surgery from September 2012 to March 2014,with 75 cases in each group. The control was treated with conventional nursing, while the observation group was treated with comprehensive nursing. Preoperative nursing included psychological nursing, nursing, umbilical nursing. Intraoperative nursing included pneumoperitoneum nursing, posture nursing, infusion. Postoperative nursing included observation of vital signs, keeping respiratory tract unobstructed. The complication rate of children and the satisfaction of two groups were compared. Results The inci- dence of complications of observation group was 1.3%, which was higher than the control group （8.0%）, the difference was significant between two groups （P〈0.05）. In the aspect of nursing satisfaction, the nursing satisfaction of the obser- vation group was 97.3%, which was obviously higher than that of control group （82.7%）, the difference was significant between two groups （/~〈0.05）. Conclusion Comprehensive nursing intervention can obviously reduce the incidence of postoperative complications and improve nursing satisfaction.