腹腔镜胆囊切除术的围手术期护理方式及心得研究

Study on Perioperative Nursing and Experience of Laparoscopic Cholecystectomy

目的探讨腹腔镜胆囊切除术的围手术期护理方式及心得。方法选取我院2016年1月—2017年2月收治的腹腔镜胆囊切除术患者78例作为研究对象。根据随机分组原则,将其分为两组,每组各39例患者。A组实施常规围手术期护理,B组实施全面围手术期护理。比较两组患者的护理满意度;胃肠道恢复时间、可下床活动时间、平均住院天数;干预前后患者切口VAS评分、SAS评分。结果 B组腹腔镜胆囊切除术护理满意度高于A组,差异具有统计学意义(P<0.05);B组胃肠道恢复时间、可下床活动时间、平均住院天数均短于A组,差异均具有统计学意义(P<0.05);干预前,两组切口VAS评分、SAS评分对比,差异不具有统计学意义(P>0.05);干预后,B组切口VAS评分、SAS评分优于A组,差异具有统计学意义(P<0.05)。结论腹腔镜胆囊切除术给予全面围手术期护理干预效果显著,可加速术后康复,缩短卧床时间,早期活动有利于促进胃肠道恢复和加速出院,可减轻患者疼痛,缓解其焦虑情绪。

Objective To explore the perioperative nursing methods and experience of laparoscopic cholecystectomy. Methods 78 cases of laparoscopic cholecystectomy in our hospital from January 2016 to February 2017 were selected as the subjects, who were randomly divided into two groups, 39 cases in each group. Group A underwent routine perioperative care, group B underwent comprehensive perioperative care. The nursing satisfaction of the two groups was compared. The recovery time of gastrointestinal tract, ambulation time and average length of stay were VAS scores and SAS scores before and after intervention. ResuLts The nursing satisfaction of group B was significantly higher than that of group A, the difference was statistically significant （P〈0.05）. The time of recovery of gastrointestinal tract in group B was shorter than that in group A, the difference was statistically significant （P〈0.05）. Before intervention, there were no statistically significant difference about the scores of VAS and SAS coinpared with two groups （P 〉 0.05）. The score of VAS and SAS score in group B were better than those in group A, the difference was statistically significant （P〈0.05）. Conclusion Laparoscopic cholecystectomy is effective in comprehensive perioperative nursing intervention, which can speed up postoperative rehabilitation and shorten the time of bed rest. Early activity is helpful to promote gastrointestinal recovery and accelerated discharge, which can relieve pain and relieve anxiety.