腹腔镜下急性胃穿孔修补术围术期的护理体会

Perioperative Nursing Experience in Laparoscopic Repair of Acute Gastric Perforation

目的:分析腹腔镜下急性胃穿孔修补术围术期的护理体会。方法:选取本院2017年3月-2018年3月外科收治的急性胃穿孔行腹腔镜下修补术的患者137例进行研究,按照护理方法的不同将患者分为对照组(n=62)和观察组(n=75)。对照组采取常规护理措施,观察组在此基础上还采取了更加严谨的围术期护理干预措施。分别记录和调查两组术后的住院时间、肠鸣音恢复时间(PSRT)、肛门排气时间(AET)、护理满意度、心理状态、术后并发症发生情况。结果:与对照组相比,观察组的住院时间、PSRT、AET更短,护理满意度更高,差异均有统计学意义(P<0.05)。护理前,两组患者的SAS、SDS评分比较,差异均无统计学意义(P>0.05);护理后,观察组的SAS与SDS评分均明显低于对照组,差异均有统计学意义(P<0.05)。观察组的并发症发生率为4.00%,明显低于对照组20.97%,差异有统计学意义(P<0.05)。结论:采取严谨、细致的护理干预措施,能有效缩短患者术后的恢复时间,提高患者的护理满意度,还能更好地改善患者的心理状态,降低患者的并发症发生率,值得临床推广应用。

Objective:To analyze the perioperative nursing experience of laparoscopic repair of acute gastric perforation.Method:From March 2017 to March 2018,137 patients with acute gastric perforation admitted to our hospital for laparoscopic repair were selected for study.Patients were divided into control group(n=62)and observation group(n=75),according to different nursing methods.The control group took routine nursing measures,observation group on this basis also took more rigorous perioperative nursing intervention measures.Postoperative hospital stay,peristaltic sound recovery time(PSRT),anal exhaust time(AET),nursing satisfaction,psychological state,postoperative complications were recorded and investigated in the two groups.Result:Compared with the control group,the length of hospital stay,PSRT and AET in the observation group were shorter,and the nursing satisfaction was higher,with statistically significant differences(P<0.05).Before the nursing,SAS and SDS scores of the two groups were compared,the differences were not statistically significant(P >0.05);after nursing,SAS and SDS scores of the observation group were significantly lower than those of the control group,with statistically significant differences(P<0.05).The incidence of complications in the observation group was 4.00%,significantly lower than 20.97%in the control group,the difference was statistically significant(P<0.05).Conclusion:The adoption of rigorous and meticulous nursing intervention measures can effectively shorten the postoperative recovery time of patients,improve the patient’s nursing satisfaction,but also can better improve the psychological state of patients,reduce the incidence of complications of patients,it is worthy of clinical promotion and application.