上消化道溃疡穿孔的围术期护理对策

Perioperative nursing countermeasures for upper gastrointestinal ulcer perforation

目的探讨上消化道溃疡穿孔的围术期护理对策。方法将本院70例上消化道溃疡穿孔患者随机分为2组。常规护理组给予围术期常规护理,全方位护理组开展围术期全方位护理。比较2组满意度、手术治疗必要性的认知评分、手术治疗依从性、手术开展时间、排气和排便时间、住院时间。同时,比较护理前后症状自评量表(SCL)各项心理情绪评分以及恶心、呕吐、肺部感染、切口感染等发生率。结果全方位护理组满意度显著高于常规护理组(P<0.05),SCL量表各项心理情绪指标评分显著低于常规护理组(P<0.05)。全方位护理组上消化道溃疡穿孔患者对手术治疗必要性的认知评分、手术治疗依从性显著高于常规护理组(P<0.05)。全方位护理组手术开展时间、排气和排便时间、住院时间显著短于常规护理组(P<0.05)。全方位护理组恶心、呕吐,肺部感染,切口感染等并发症发生率显著低于常规护理组(P<0.05)。结论对上消化道溃疡穿孔患者实施围术期全方位护理可有效提高患者对手术的认知程度和依从性,缩短手术时间,减少手术并发症,加速术后胃肠功能恢复,减轻患者不良情绪和缩短住院时间,提高患者护理满意度。

Objective To explore the perioperative nursing strategies for upper gastrointestinal ulcer perforation. Methods Seventy patients with upper gastrointestinal ulcer perforation were randomly divided into two groups. The routine nursing group was given perioperative routine care,and the comprehensive nursing group was given comprehensive nursing. The satisfaction,awareness score of surgical treatment necessity,the compliance of surgical treatment,the time of operation,the time of exhaustion and defecation and the length of hospital stay of two groups were compared. At the same time,the psychological and emotional scores of the Symptom Checklist(SCL) before and after treatment,as well as the incidence of nausea,vomiting,lung infection,and wound infections were The satisfaction of the comprehensive nursing group was significantly higher,and scores of the psychological and emotional indicators in the SCL of the comprehensive nursing group were significantly lower than that of the routine nursing group(P < 0. 05). The cognitive scores of surgical treatment necessity and compliance of surgical treatment in the comprehensive nursing group were significantly higher than that in the routine nursing group(P < 0. 05). The operation time,exhaust and defecation time,and hospitalization time of the comprehensive nursing group were significantly shorter than those of the routine nursing group(P < 0. 05). The incidence of complications,such as nausea,vomiting,lung infection,and wound infection,was significantly lower in comprehensive nursing group than in the routine group(P < 0. 05). Conclusion Perioperative comprehensive nursing for patients with upper gastrointestinal ulcer perforation can effectively improve the patient’s cognition and compliance,shorten the operation time,reduce the complications,accelerate the recovery of postoperative gastrointestinal function,and reduce adverse mood and shorten hospitalization time,and improve care satisfaction.