循证护理干预措施在预防急性胆囊炎患者术后并发感染的应用研究

Application of evidence-based nursing intervention in preventing postoperative complicated infection in patients with acute cholecystitis

目的研究循证护理干预措施在预防急性胆囊炎患者术后并发感染的应用效果。方法选取本院接受手术治疗的120例急性胆囊炎患者作为研究对象,根据随机数表法分为对照组和研究组各60例。给予对照组患者常规护理,研究组患者在常规护理基础上开展循证护理干预。比较2组患者的排气、住院时间,术后24、72h疼痛评分以及术后感染并发症发生比例。结果术后研究组患者排气时间、住院时间均低于对照组(P<0.05);术后24、72 h研究组患者疼痛评分均短于对照组(P<0.05);术后研究组总感染率(5.0%)低于对照组(18.3%)(P<0.05)。结论循证护理干预措施能有效减少急性胆囊炎患者术后并发感染风险,减轻术后疼痛,促进患者康复。

Objective To study the effect of evidence-based nursing intervention in preventing postoperative concurrent infection in patients with acute cholecystitis.Methods A total of 120 patients with acute cholecystitis who underwent surgical treatment in our hospital were divided into control group and study group according to random number table method,with 60 cases per grop.Patients in the control group were given routine care,and the study group was given evidence-based nursing intervention based on routine nursing.The exhaust,hospitalization time,postoperative 24,72 h pain score and postoperative complications were compared between the two groups.Results After operation,the exhaust time and hospitalization time of the study group were lower,the pain scores at 24,72 h were lower than that in the control group,and the differences were statistically significant(P<0.05).The total postoperative infection rate in the study group was lower than that in the control group(5.0%vs.18.3%,P<0.05).Conclusion Evidence-based care intervention can reduce the risk of postoperative concurrent infection in patients with acute cholecystitis,reduce postoperative pain,and promote patients′rehabilitation.