人性化护理在老年微创胆囊切除围术期的应用研究

Application of humanistic nursing in elderly patients with minimally invasive gallbladder removal in perioperation

目的研究人性化护理在老年微创胆囊切除围术期中的应用。方法选择本院接诊的60例老年微创胆囊切除患者,按照随机分配原则分为对照组和研究组,各30例。对照组给予常规护理,研究组给予人性化护理,比较2组患者术后并发症发生率、护理满意度及各项指标。结果研究组总并发症发生率为13.33%,低于对照组的56.66%,差异有统计学意义(P<0.05)。研究组患者满意度为93.33%,高于对照组的66.67%,差异有统计学意义(P<0.05)。研究组较对照组手术时间短、术中出血量少、术后疼痛评分低、住院时间短,差异有统计学意义(P<0.05)。结论在老年微创胆囊切除围术期应用人性化护理能显著降低并发症发生率,提高护理满意度,缩短患者手术及住院时间,减少术中出血量及术后疼痛,值得临床推广。

Objective To study application of humanistic nursing in elderly patients with minimally invasive gallbladder removal in perioperation. Methods A total of 60 elderly patients with cholecysteetomy minimally invasive gallbladder removal were divided into control group and the study group according to the principle of random assignment, with 30 cases in each group. Control group was treated with routine care, and study group received humanistic care. The incidence of postopera- tive complications, nursing satisfaction and indexes between the two groups were compared. Results Postoperative complications was 13.33% , which was lower than 56.66% in the control group（P 〈 0.05）. Satisfaction in the control group was 66.67% and was 93.33% in the study group, there were significantly significant difference in nursing satisfaction in the two groups （ P 〈 0.05 ）. Study group had shorter operative time, less blood loss, lower postoperative pain scores, shorter hospital stay compared with the control group （P 〈 0.05 ）. Conclusion Humanistic care can significantly reduce the incidence of complications, improve nursing satisfaction, shorten surgery time and hospitalization time, reduce blood loss and postoperative pain of minimally invasive cholecystectomy of elderly patients, so it is worthy of promotion in clinic practice.