肝胆外科围术期应用心理护理的临床价值

Clinical Value of Psychological Nursing in Perioperative Nursing of Department of Hepatobiliary Surgery

目的:观察肝胆外科患者进行围术期心理护理价值,为患者围术期治疗护理提供帮助。方法:选取本院2014年11月至2016年11月入肝胆外科进行手术者110例,采用随机数字表法将患者分为观察组及对照组,观察组55例采用全程心理护理配合常规围术期护理,对照组55例采用常规围术期护理,观察两组患者的术后康复效果、患者的住院时间、术后并发症及护理满意度。结果:观察组患者显效率为74.54%显著高于对照组显效率54.55%(χ~2=4.807,P<0.05);观察组有效率为92.72%与对照组有效率83.64%比较无统计学意义;观察组患者术后住院时间、下床活动时间、排气时间、排便时间及进食时间均显著低于对照组患者所需时间(P<0.05);观察组护理满意度100.00%显著高于对照组的护理满意度78.18%(χ~2=13.469,P<0.05);观察组术后并发症发生率为5.45%,显著低于对照组术后并发症发生率32.73%(χ~2=9.290,P<0.05)。结论:心理护理对于肝胆外科患者围术期护理具有改善患者治愈率,缩短患者住院时间,降低术后并发症发生率及提高患者满意度的护理价值,在围术期配合常规护理,能够帮助患者树立治疗信心,降低负性情绪影响,值得临床推广。

Objective：To observe the value of perioperative nursing care of patients with psychological nursing in department of hepatobiliary surgery,and provide help for perioperative nursing;Methods：In our hospital from November 2014 to 2016 11 month department of hepatobiliary surgery operation,110 patients were randomly divided into observation group and control group,55 cases in the observation group were given psychological nursing combined with routine perioperative nursing,In the control group,55 cases were treated with routine perioperative nursing.The rehabilitation effect of the patients in the treatment group,the hospitalization time,postoperative complications and nursing satisfaction of the two groups were observed;Results：The effective rate in the observation group was 74.54%,which was significantly higher than that of control group（54.55%）（χ~2=4.807,P0.05）;The effective rate of the observation group was 92.72% and which,was not statistically significant compared with that of the control group（83.64%）;The observation group patients postoperative hospitalization time,ambulation time,exhaust time,defecation time and eating time were significantly lower than those of the control group（P0.05）;The nursing satisfaction of the observation group was 100%,which was higher than that of the control group（78.18%）（χ~2=13.469,P0.05）;The incidence of postoperative complications in the observation group was 5.45%,significantly lower than that in the control group（32.73%）（χ~2=9.290,P0.05）;Conclusion：Psychological nursing can improve the cure rate of patients in the perioperative nursing in department of hepatobiliary surgery patients,shorten the hospitalization time,reduce the incidence and improve the value of nursing satisfaction of patients postoperative complications in the perioperative period with routine nursing can help patients to establish the treatment of confidence,reduce the negative effects of emotion,is worthy of promotion.