护理干预对腹腔镜胆总管切开取石术患者心理应激反应及并发症的影响

Effect of nursing intervention on psychological stress reaction and complications in patients undergoing laparoscopic choledocholithotomy

目的探讨护理干预对腹腔镜胆总管切开取石术患者心理应激反应和并发症发生情况产生的影响。方法将我院自2016年1月至2017年11月收治的行腹腔镜胆总管切开取石术的患者162例作为研究对象,按照双盲法将患者随机分为研究组和对照组,各81例,研究组患者和对照组患者分别接受综合性护理干预和常规护理干预,对两组患者护理效果进行观察与对比。结果干预前,两组患者的SAS评分和SDS评分比较,差异无统计学意义(P>0.05)。干预后,两组SAS评分和SDS评分均明显降低,且研究组低于对照组,差异具有统计学意义(P<0.05);研究组患者行综合护理干预后并发症总发生率为4.94%(4/81),明显低于对照组的18.52%(15/81),差异具有统计学意义(P<0.05)。结论综合护理措施干预可有效减缓腹腔镜胆总管切开取石术患者的心理应激反应,并降低并发症发生率,可在临床推广使用。

Objective To explore the effect of nursing intervention on psychological stress reaction and complications in patients undergoing laparoscopic choledocholithotomy. Methods A total of 162 cases of patients undergoing laparoscopic choledocholithotomy admitted in our hospital from January 2016 to November 2017 were selected as the research objects. The patients were divided into study group and control group according to double blind method, with 81 cases in each group. The study group was given comprehensive nursing intervention, and the control group was given routine nursing intervention. The nursing effects of the two groups were observed and compared. Results There were no significant differences in SAS and SDS scores between the two groups before intervention （P〉0.05）. After intervention, the scores of SAS and SDS in the two groups significantly decreased, and those in the study group was significantly lower than the control group, and the differences were statistically significant （P〈0.05）. The total incidence of complications after comprehensive nursing intervention was 4.94% （4/81） in the study group, which was significantly lower than 18.52% （15/81） in the control group, the difference was statistically significant （P〈0.05）. Conclusion The implementation of comprehensive nursing intervention in patients with laparoscopic choledocholithotomy can effectively reduce the psychological stress reaction, reduce the incidence of complications, which can be popularized in clinic.