护理干预在促进腹腔镜胆囊切除术患者胃肠功能恢复及减少并发症中的作用

Effect of nursing intervention on improving gastrointestinal function and reducing complications in patients undergoing laparoscopic cholecystectomy

目的探讨护理干预在促进腹腔镜胆囊切除术患者胃肠功能恢复及减少并发症中的作用。方法选取2017年3月～2018年3月我院收治的50例行腹腔镜胆囊切除术患者作为研究对象,按照随机数字表法将其分为对照组(25例)和研究组(25例)。对照组患者予以常规护理,研究组患者在对照组的基础上加以护理干预。比较两组患者的胃肠功能恢复情况(肠鸣音恢复时间、肛门排气时间、肛门排便时间、住院时间)、术后并发症发生情况、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]及护理满意度。结果研究组患者的肠鸣音恢复时间、肛门排气时间、肛门排便时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组患者的术后并发症总发生率为16.00%,显著低于对照组的48.00%,差异有统计学意义(P<0.05)。两组患者干预前的SDS、SAS评分比较,差异无统计学意义(P>0.05);两组患者干预后的SDS、SAS评分均低于干预前,差异有统计学意义(P<0.05);研究组患者干预后的SDS、SAS评分均低于对照组,差异有统计学意义(P<0.05)。研究组患者的护理总满意度为96.00%,显著高于对照组的60.00%,差异有统计学意义(P<0.05)。结论护理干预可显著缩短行腹腔镜胆囊切除术患者胃肠功能恢复时间,改善心理状态,降低并发症发生率,患者具有较高的护理满意度。

Objective To explore the effect of nursing intervention on improving gastrointestinal function and reducing complications in patients undergoing laparoscopic cholecystectomy.Methods Fifty patients undergoing laparoscopic cholecystectomy from March 2017 to March 2018 in our hospital were selected as research objects,and they were divided into the control group(25 cases)and the study group(25 cases)according to the random number table method.In the control group,patients were given the routine nursing,and in the study group,patients were given the nursing intervention on the basis of the control group.The gastrointestinal function recovery(recovery time of bowel sounds,anal exhaust time,anal defecation time,hospitalization time),postoperative complications,psychological status(self-rating depression scale[SDS],self-rating anxiety scale[SAS])and satisfaction with nursing were compared between the two groups.Results The recovery time of bowel sounds,anal exhaust time,anal defecation time and hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total incidence rate of postoperative complications in the study group was 16.00%,which was significantly lower than that in the control group accounting for 48.00%,and the difference was statistically significant(P<0.05).There were no significant differences in SDS and SAS scores between the two groups before intervention(P >0.05).The SDS and SAS scores of the two groups after intervention were lower than those before intervention,and the differences were statistically significant(P<0.05).The SDS and SAS scores after intervention in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction of patients in the study group was 96.00%,which was significantly higher than that in the control group(60.00%),and the difference was statistically significant(P<0.05).Conclusion Nursing intervention can significantly shorten the recovery time of gastrointestinal function in patients undergoing laparoscopic cholecystectomy,improve their psychological status and reduce the incidence of complications.Patients have higher nursing satisfaction.