腹腔镜肝脏修补术后护理要点

Key points of nursing after laparoscopic liver repair

目的探讨腹腔镜肝脏修补术后护理要点。方法 90例腹腔镜肝脏修补术治疗患者,根据随机信封法分为对照组和全面组,各45例。对照组采用术后常规护理,全面组采用术后全面护理。比较两组患者护理效果。结果全面组护理满意度为95.56%,明显高于对照组的77.78%,差异有统计学意义(P<0.05)。干预前两组焦虑自评量表(SAS)评分、简明健康状况调查问卷(SF-36)评分比较,差异无统计学意义(P>0.05);干预后全面组SAS评分、SF-36评分均优于对照组,差异有统计学意义(P<0.05)。全面组术后康复时间、术后切口愈合时间均短于对照组,术后引流量少于对照组,差异有统计学意义(P<0.05)。全面组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜肝脏修补术后给予全面护理干预,可减轻患者焦虑情绪,加速术后切口愈合,减少引流量和并发症,缩短康复时间,提高生活质量,值得推广应用。

Objective To investigate the key points of nursing after laparoscopic liver repair. Methods A total of 90 patients with laparoscopic liver repair were divided by random envelope method into control group and comprehensive group, with 45 cases in each groups. The control group received postoperative conventional nursing, and the comprehensive group received postoperative comprehensive group. The nursing effect in two groups was compared. Results The comprehensive group had obviously higher nursing satisfaction degree as 95.56% than 77.78% in the control group, and the difference was statistically significant（P〈0.05）. Before intervention, both groups had no statistically significant difference in self-rating anxiety scale（SAS） score and MOS item short form health survey（SF-36） score（P〈0.05）. After intervention, the comprehensive group had better SAS and SF-36 score than the control group, and their difference was statistically significant（P〈0.05）. The comprehensive group had shorter postoperative recovery time, postoperative incision healing time than the control group, and less postoperative drainage than the control group. Their difference was statistically significant（P〈0.05）. The comprehensive group had obviously lower incidence of complications than the control group, and the difference was statistically significant（P〈0.05）. Conclusion Comprehensive nursing intervention after laparoscopic liver repair can reduce the anxiety, accelerate the incision healing, reduce the drainage and complications, shorten the rehabilitation time and improve the quality of life, so it is worthy of popularization and application.