精细化护理对胆囊结石合并胆囊炎患者腹腔镜术后康复进程及护理满意度的影响

Effect of refined nursing on rehabilitation process and nursing satisfaction of patients with gallstone complicated with cholecystitis after laparoscopic surgery

目的探讨精细化护理对胆囊结石合并胆囊炎腹腔镜术后患者康复效果及护理满意度的影响。方法选择本科室收治的80例胆囊结石合并胆囊炎手术患者为研究对象,按照随机数字表法将其分为传统组和精细化组,各40例。传统组术后给予传统护理,精细化组术后给予精细化护理。比较两组护理效果。结果精细化组术后下床活动时间、术后排气时间及术后住院时间明显短于传统组,术后并发症总发生率明显低于传统组,护理满意度评分均明显高于传统组(P<0.05)。精细化组患者术后3、6、12及24 h的VAS评分明显低于传统组(P<0.05)。手术后3 d,两组患者HAMD、HAMA评分均明显降低,且精细化组显著低于传统组(P<0.05)。出院当天,两组患者SF-36评分明显高于入院时,且精细化组显著高于传统组(P<0.05)。两组患者术后1年复发率比较,差异无统计学意义(P>0.05)。结论胆囊结石合并胆囊炎腹腔镜术后运用精细化护理可促进患者早日恢复,提升护理满意度及生活质量,降低复发率,且安全性高,值得临床推广。

Objective To investigate the effect of refined nursing on rehabilitation process and nursing satisfaction of patients with gallstone complicated with cholecystitis after laparoscopic surgery. Methods Eighty patients with cholecystolithiasis and cholecystitis who were treated in our department were selected as the research objects. The patients were divided into traditional group and refined group according to random number table method, with 40 cases in each group. The traditional group was given traditional nursing after operation, and the refined group was given refined nursing after operation. The nursing effects were compared between the two groups. Results The time of getting out of bed postoperative, postoperative exhaust time and postoperative hospitalization time in the refined group were significantly shorter than those in the traditional group, the total incidence of complications in the refined group was significantly lower than that in the traditional group, and the scores of nursing satisfaction in the refined group were significantly higher than those in the traditional group (P<0.05). At 3, 6, 12 and 24 hours after operation, the VAS scores of the refined group were significantly lower than those in the traditional group (P<0.05). At 3 days after operation, the scores of HAMD and HAMA in the refined group decreased significantly, and those in the refined group were lower than the traditional group (P<0.05). On the day of discharge, the SF-36 scores of the two groups were significantly higher than that at admission, and that in the refined group was significantly higher than the traditional group (P<0.05). There was no difference in the recurrence rate at one-year after operation between the two groups (P>0.05). Conclusion Refined nursing can promote the early recovery, improve nursing satisfaction and quality of life, and reduce the recurrence rate of patients with gallstone complicated with cholecystitis after laparoscopic surgery, with a high safety and which is worthy of clinical promotion.