舒适护理在腹腔镜手术患者围术期中应用观察

Application of Comfort Nursing in Perioperative Period of Patients Undergoing Laparoscopic Operation

目的：研究采用舒适护理在腹腔镜手术患者围手术期中的应用效果和影响。方法按入院顺序将我院2013年9月～2014年9月收治的腹腔镜手术患者91例分为对照组和研究组，对照组45例实施常规手术护理，研究组46例患者在对照组的护理基础上实施舒适护理干预。统计分析两组患者干预后的住院天数、第一次下床时间和术后不良症状情况。结果研究组患者第一次下床走动的平均时间为（8.5±3.2）h明显优于对照组患者第一次下床走动的平均时间（14.2±2.5）h，差异有统计学意义（P＜0.05）；研究组患者平均住院时间为（4.5±1.8）d明显优于对照组患者平均住院时间（7.1±1.2）d，差异有统计学意义（P＜0.05）；研究组患者的术后不良症状发生率为4.35%（2/46），明显低于对照组的不良症状发生率17.78%（8/45），差异有统计学意义（P＜0.05）。结论在腹腔镜手术患者围手术期实施舒适护理干预能有效提高患者的康复速度，降低术后不良症状发生率。

ObjectiveTo study the effect and influence of comfort nursing in perioperative period of laparoscopic operation.Methods91 cases of laparoscopic surgery in our hospital from September 2013 to September 2014 were divided into control group and research group, 45 cases in control group were treated with routine operation nursing, and 46 patients in study group were treated with comfort nursing intervention on the basis of control group. Statistical analysis of the two groups of patients with the number of days of hospitalization, the first time to get out of bed time and postoperative adverse symptoms.ResultsThe average time of first getting out of bed in the study group was （8.5±3.2） h was significantly better than the control group （14.2±2.5） h, the difference was statisticaly significant （P＆lt; 0.05）. Average length of time of the study group was （4.5±1.8）d, average hospitalization time was （7.1±1.2）d better than the control group patients,The difference was statisticaly significant（P〈0.05） . Study on the incidence of postoperative patients with negative symptoms was 4.35%（2/46）, incidence of adverse symptoms were significantly lower than that of control group 17.78%（8/45）,The difference was statisticaly significant （P〈0.05）.Conclusion Comfort nursing intervention can effectively improve the recovery rate and reduce the incidence of postoperative adverse symptoms in patients undergoing laparoscopic surgery.