对腹腔镜胆囊切除术患者接受中西医结合护理的满意度分析

Chinese and western medicine nursing satisfaction analysis of patients with laparoscopic cholecystectomy

目的：探讨中西医结合护理在行腹腔镜胆囊切除术的患者中的应用及体会。方法选取2014年2月至2014年8月于我院行腹腔镜胆囊切除术的患者100例，将患者随机分成中西医结合组（n＝50）和对照组（n＝50）两组，中西医组患者采用中西医结合护理方法，对照组患者采用单纯西医护理方法，对比两组患者的疗效和满意度。结果与对照组相比，中西医结合组患者腹腔镜胆囊切除术后排气时间、排便时间、恢复肠鸣音时间、开始进食时间、排尿时间明显较短（P＜0．001）；VAS评分明显较低，疼痛时间明显缩短（P＜0．001）。中西医结合组患者满意率为98．0％，高于对照组（86．0％），差异有统计学意义（χ^2＝4．891，P＝0．027）；中西医结合组患者很满意率较高、不满意率较低（P＜0．05）。结论中西医结合护理在腹腔镜胆囊切除术患者的效果佳，患者满意度高，可广泛应用于临床。

Objective To explore the application and experience of combined traditional Chinese and western medicine nursing on patients undergoing laparoscopic cholecystectomy.Methods One hundred patients undergoing laparoscopic cholecys-tectomy from February 2014 to August 2014 in our hospital were selected and divided into combined traditional Chinese and west-ern medicine group （ n=50 ） and control group （ n=50 ） .Patients in the combined traditional Chinese and western medicine group received combined traditional Chinese and western medicine nursing while patients in the control group received simple western medicine nursing.Curative effects and degrees of satisfaction of two groups were compared.Results Compared to con-trol group, patients in the combined traditional Chinese and western medicine group had shorter exhaust time, defecation time, recovery time of bowel sounds, feeding time, urination time （P〈0.001）, lower VAS score, and the time of pain （P〈0.001）. The satisfaction rate of combined traditional Chinese and western medicine group was 98.0%, higher than that of the control group （86.0%） and the difference was statistically significant （χ^2=4.891, P=0.027）.Patients in the combined traditional Chinese and western medicine group had higher satisfactory rate and lower unsatisfactory rate （P〈0.05）.Conclusion Com-bined traditional Chinese and western medicine nursing on patients undergoing laparoscopic cholecystectomy has better effect and higher satisfaction and can be widely used in clinical application.