腹部外科手术整体护理效果分析

Analysis of the Effect of Holistic Nursing on Abdominal Surgery

目的探讨整理护理对腹部外科手术患者的效果。方法将外科行腹部手术的88例患者随机分为观察组与对照组各44例,对照组给予常规护理,观察组给予整体护理,观察两组SAS和SDS评分改善、术后胃肠功能恢复、生活质量变化情况,并调查护理满意度。结果观察组SAS评分为(40.35±2.58);SDS评分为(41.25±3.10)较干预前明显下降,且显著低于对照组SAS评分(54.60±5.25)及SDS评分(55.35±3.90)(P<0.05);其肠鸣音恢复时间(26.60±6.50)h、肛门排气(34.56±4.90)h、排便时间(58.80±6.70)均显著短于对照组(P<0.05);观察组患者护理满意度为95.45%远高于对照组的77.27%(P<0.05)。结论整体护理有助于患者缓解负面情绪和术后胃肠道功能恢复,有效提高对护理工作的满意度。

Objective To explore the effect of holistic nursing on abdominal surgery. Methods 88 cases with abdominal surgery were randomly divided into the observation group and control group with 44 cases in each. The control group were given the conventional nursing, and the observation group were given holistic nursing. The improvement of SAS and SDS scores, postoperative recovery of gastrointestinal function, changes in quality of life of the two groups were observed, and the nursing satisfaction of both groups was investigated. Results After intervention, in the observation group, the SAS scores were （40.35±2.58） points, SDS scores were （41.25±3.10） points, which decreased significantly compared with those before the intervention respectively. In the control group, the SAS scores were （54.60±5.25） points, SDS scores were （55.35±3.90） points, the SAS and SDS scores of the observation group were much lower than those of the control group（P〈0.05）. In the observation group, the recovery time of bowel sound was （26.60±6.50）h, anal exhaust time was （34.56±4.90）h, the defecation time was （58.80±6.70）h, much shorter than that of the control group, respectively（P〈0.05）;the nursing satisfaction of the observation group was 95.45%, much higher than 77.27%of the control group（P〈0.05）. Conclusion Holistic nursing is conducive to relieving the negative emotions and recovering gastrointestinal function postoperatively, and effectively improving the nursing satisfaction of patients.