术前模拟训练护理在结直肠梗阻手术患者中的应用研究

Application of preoperative simulation training nursing in patients with colorectal obstruction surgery

目的探析术前模拟训练护理在结直肠梗阻手术患者中的应用价值。方法选取2016年2月~2017年12月我院收治的48例结直肠梗阻手术患者为主要研究对象,经我院伦理委员会批准采用随机分配的原则进行分组,24例/组。给予对照组患者实施常规护理,观察组患者在对照组的基础上实施术前模拟训练护理干预,对两组的临床护理效果进行对比分析。结果经护理后,观察组患者的C反应蛋白、血沉指数、白细胞计数均明显低于对照组,差异有统计学意义(P<0.05);观察组患者术后切口疼痛时间、下床活动时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组的术后感染发生率为4.17%,明显低于对照组的20.83%,差异有统计学意义(P<0.05)。结论对结直肠梗阻手术患者实施术前模拟训练护理干预,可改善患者的各项临床指标,优化术后指标,缩短患者的住院时间,有利于术后身体恢复,且术后感染的发生率低,安全性高,故值得进一步推广和应用。

Objective To explore the application value of preoperative simulated training nursing in patients with intestinal obstruction. Methods Forty-eight patients admitted to our hospital from February 2016 to December 2017 were selected as the main research subjects.Approved by the ethics committee of our hospital,24 cases/group were grouped by the principle of random distribution.The patients in the control group were given routine nursing,while the patients in the observation group were given preoperative simulation training and nursing intervention on the basis of the control group.The clinical nursing effects of the two groups were compared and analyzed.Results After nursing,the C-reactive protein,erythrocyte sedimentation index and white blood cell count count in the observation group were significantly lower than those in the control group（P〈0.05）.The postoperative incision pain time,ambulation time and hospitalization time in the observation group were significantly shorter than those in the control group（P〈0.05）.The incidence of postoperative infection in the observation group was 4.17%,which was significantly lower than 20.83% in the control group（P〈0.05）. Conclusion The implementation of preoperative simulated training and nursing intervention for patients with colorectal obstruction surgery can improve various clinical indexes of patients,optimize postoperative indexes,shorten the hospitalization time of patients,and is beneficial to postoperative physical recovery.Moreover,the incidence of postoperative infection is low and the safety is high.Therefore,it is worthy of further promotion and application.