腹腔镜术后循证护理干预对急性胆囊炎患者术后疼痛缓解及生活质量的影响

Effect of evidence-based nursing intervention on postoperative pain relief and quality of life in patients with acute cholecystitis after laparoscopic surgery

目的研究急性胆囊炎患者行腹腔镜术后循证护理干预对患者疼痛缓解及生活质量的影响。方法选择2013年1月至2016年12月在我院进行诊治的急性胆囊炎患者120例,随机分为对照组(常规护理干预)与观察组(循证护理干预),各60例。比较两组患者的睡眠时间、疼痛评分、生活质量及术后并发症发生情况。结果术后第1、2、3天,观察组患者的睡眠时间均明显长于对照组,且疼痛评分均明显低于对照组(P<0.05);观察组的各维度生活质量评分均明显高于对照组(P<0.05);观察组的并发症总发生率为6.67%,明显低于对照组的16.67%(P<0.05)。结论急性胆囊炎患者行腹腔镜术后开展循证护理干预实施,可以有效缓解的疼痛,提高生活质量,降低并发症发生情况。

Objective To investigate the clinical effect of evidence-based nursing intervention on postoperative pain relief and quality of life in patients with acute cholecystitis after laparoscopic surgery.Methods A total of 120 cases of patients with acute cholecystitis undergoing laparoscopic surgery treated in our hospital from January 2013 to December 2016 were divided into control group(routine nursing intervention)and observation group(evidence-based nursing intervention),with 60 cases in each group.The sleeping time and pain score,quality of life and postoperative complications were compared between the two groups.Results Postoperative 1,2,3 d,the sleep time of the observation group were significantly longer than those of the control group,and the pain scores were significantly lower than those of the control group(P<0.05).The quality scores of the observation group were significantly higher than those of the control group(P<0.05).The total incidence of complications in the observation group was 6.67%,which was significantly lower than 16.67%in the control group(P<0.05).Conclusion The implementation of evidence-based nursing intervention in patients with acute cholecystitis after laparoscopic surgery can effectively relieve the pain,improve the quality of life,and reduce the incidence of complications.