术前护理干预对保胆取石患者术前负面情绪和术后遵医行为的影响

Effect of preoperative nursing intervention on preoperative negative emotions and post-operative compliance behavior of patients undergoing gallbladder-preserving and stone-removal

目的探讨术前护理干预对保胆取石患者术前负面情绪和术后遵医行为的影响。方法选取2017年1月~2018年4月在我院收治的60例胆囊结石行微创保胆取石术患者作为研究对象,按照护理方式的不同分为术前护理干预组和常规护理组,每组30例。常规护理组开展常规护理干预,术前护理干预组给予术前护理。比较两组患者的护理效果、术前紧张情况、术后遵医行为改善情况、术后并发症总发生率及护理总满意度。结果术前护理干预组患者的护理有效率为96.7%,高于常规护理组的73.3%,差异有统计学意义(P<0.05)。术前护理干预组的术前紧张发生率为0.0%,低于常规护理组的23.3%,差异有统计学意义(P<0.05)。术前护理干预组的术后遵医行为改善率为100.0%,高于常规护理组的76.7%,差异有统计学意义(P<0.05)。术前护理干预组患者的术后并发症总发生率为3.3%,低于常规护理组的30.0%,差异有统计学意义(P<0.05)。术前护理干预组的总满意度为100.0%,高于常规护理组的80.0%,差异有统计学意义(P<0.05)。结论术前护理干预能改善保胆取石患者术前负面情绪和术后遵医行为,降低并发症发生率及提高护理满意度,值得临床推广。

Objective To explore the effect of preoperative nursing intervention on preoperative negative emotions and post-operative compliance behavior of patients undergoing gallbladder-preserving and stone-removal. Methods Sixty patients with gallstone treated by minimally invasive cholecystolithotomy from January 2017 to April 2018 in our hospital were selected as the research objects, they were divided into preoperative nursing intervention group and routine nursing group according to different nursing methods, 30 cases in each group. The routine nursing group was given routine nursing intervention, while the preoperative nursing intervention group was given preoperative nursing. The nursing effect, preoperative tension, improvement of compliance after operation, total incidence of complications and total nursing satisfaction were compared between the two groups. Results The effective rate of preoperative nursing intervention group was 96.7%, which was higher than 73.3% in routine nursing group, the difference was statistically significant (P<0.05). The incidence of preoperative tension in preoperative nursing intervention group was 0.0%, which was lower than 23.3% in routine nursing group, the difference was statistically significant (P<0.05). The improvement rate of compliance behavior in preoperative nursing intervention group was 100.0%, which was higher than 76.7% in routine nursing group, the difference was statistically significant (P<0.05). The total incidence of postoperative complications was 3.3% in the preoperative nursing intervention group, which was lower than 30.0% in the conventional nursing group the difference was statistically significant (P<0.05). The total satisfaction rate of preoperative nursing intervention group was 100.0%, which was higher than 80.0% of routine nursing group, the difference was statistically significant (P<0.05). Conclusion Preoperative nursing intervention can improve preoperative negative emotions and follow-up behavior, reduce the incidence of complications and improve nursing satisfaction of patients with gallbladder-preserving and stone-removal, which is worthy of clinical promotion.