加速康复外科护理在胆囊切除患者护理中的应用效果

Accelerating rehabilitation surgical nursing in care of patients undergoing cholecystectomy

目的探究加速康复外科护理在胆囊切除患者护理中的应用效果。方法选取2013年1月至2015年3月我院肝胆外科收治的120例行胆囊切除术患者为研究对象，随机分为观察组和对照组，每组60例。对照组采用常规护理，观察组采用加速康复外科护理，观察两组患者术后疗效、并发症并调查患者满意度和舒适度。结果观察组住院时间、下床活动时间、进食时间及住院费用明显少于对照组，比较差异有统计学意义（P〈O．05）；观察组并发症发生率为5．17％明显低于对照组16．17％并发症发生率，两组比较差异有统计学意义（P〈0．05）；观察组患者满意度和舒适度明显高于对照组，两组比较差异有统计学意义（P〈0．05）。结论加速康复外科护理应用于胆囊切除患者，能明显缩短患者住院时间，下床活动时间、进食时间，减少患者住院费用，降低患者并发症发生率，提高患者满意度和舒适度，值得在临床借鉴应用。

Objective To explore the effect of accelerating rehabilitation surgical nursing in the care of patients undergoing cholecysteetomy. Methods 120 patients undergoing cholecystectomy at our department from January, 2013 to March, 2015 were selected and randomly divide into an observation group and a control group, 60 cases for each group. The control group were conventional nursed. The observation group received accelerating rehabilitation surgical nursing. The curative effect, incidence of complications, satisfaction degree, and comfort degree were observed in both groups. Results The hospitalization time, time to get off bed, and time to take food were obviously shorter, the cost of hospitalization, satisfaction degree, and comfort degree were significantly higher in the observation group than in the control group, with statistical differences （P〈0.05）. The incidence of complications was 5.17% in the observation group and 16.17% in the control group, with a statistical difference （P〈0.05）. Conclusion Accelerating rehabilitation surgical nursing for patients undergoing cholecystectomy can significantly shorten hospital stay, time to get off bed, and time to take food, reduce patient hospitalization cost, lower the incidence of complications, and increase satisfaction degree and comfort degree and is worth for clinical reference and application.