人性化护理对腹腔镜联合胆道镜治疗胆总管结石焦虑心理及疼痛的影响

Effect of humanized nursing on anxiety and pain of common bile duct stones treated by laparoscopy combined with biliary endoscopy

目的探讨人性化护理对腹腔镜联合胆道镜治疗胆总管结石焦虑心理及疼痛的影响。方法选取2013年11月~2014年11月我院行腹腔镜联合胆道镜治疗的胆总管结石患者100例,采用随机数表法将其分为干预组和对照组两组,每组各50例;对照组予常规对症护理,干预组在常规对症护理的基础上着重实施人性化护理。比较两组入院时、术后24 h的SAS焦虑心理评分以及两组患者入院时、术后24 h、术后72 h的NRS疼痛评分及护理满意度。结果入院时,干预组与对照组的SAS焦虑心理评分比较,差异无统计学意义（P〉0.05）。术后24 h两组的SAS焦虑心理评分分别低于入院时,差异有统计学意义（P〈0.05）。且干预组的SAS焦虑心理评分低于对照组,差异有统计学意义（P〈0.05）。入院时,干预组与对照组的NRS疼痛评分比较,差异无统计学意义（P〉0.05）。术后24 h两组的NRS疼痛评分分别低于入院时,但差异无统计学意义,干预组的NRS疼痛评分低于对照组,差异有统计学意义（P〈0.05）。术后72 h两组的NRS疼痛评分分别低于入院时及术后24 h,差异有统计学意义（P〈0.05）,且干预组术后72 h NRS疼痛评分低于对照组,差异有统计学意义（P〈0.05）。干预组对护理工作人员的满意度达98.00%,显著高于对照组,差异有统计学意义（P〈0.05）。结论将人性化护理干预措施应用于腹腔镜联合胆道镜取石术中,可以缓解患者的焦虑心理,减轻患者的疼痛程度,提高护理满意度。

Objective To explore the effect of humanized nursing on the anxiety and pain of the common bile duct stones treated by laparoscopy combined with biliary endoscopy. Methods A total of 100 cases from November 2013 to November 2014 in our hospital underwent laparoscopic combined with biliary tract endoscopy in the treatment of choledocholithiasis, were divided into intervention group and control group, 50 cases in each group, the control group was given routine symptomatic nursing. On the basis of conventional symptomatic nursing, the intervention group focused on the implementation of humanized nursing. The SAS anxiety score of two groups when admit to hospital and 24 hours after admission were compared, the NRS score of two groups when admit to hospital, after operation 24 hours, 72 hours and nursing satisfaction were compared. Results On admission, the SAS scores had no significant difference between the intervention group and the control group（P〉0.05）. At 24 hours after operation, SAS anxiety scores of two groups were lower than admit hospital（P〈 0.05）. And SAS anxiety scores of intervention group were lower than the control group（P 0.05）. On admission, the NRS score of the two groups was not sig nificantly different（P〉0.05）. At 24 hours after operation, the NRS pain score of two groups were lower than that of hospital admission, but the difference was not significant, but the NRS pain score in the intervention group was lower than that in the control group（P〈0.05）. After 72 hours, the two groups of NRS score were lower than the admission and after 24 hours（ P〈 0. 05）, after 72 hours, NRS scores of intervention group were lower than the control group（P〈 0.05）. The satisfaction of nursing staff in the intervention group was 98.00%, significantly higher than that of the control group（P〈0.05）. Conclusion Humanized nursing can relieve the anxiety of patients and reduce the pain of patients and improve nursing satisfaction.