循证护理对胆囊结石腹腔镜手术患者术后康复及疼痛的影响

Effects of evidence-based nursing on postoperative rehabilitation and pain of patients with cholecystolithiasis undergoing laparoscopic surgery

目的:探讨胆囊结石行腹腔镜手术患者实施循证护理的临床价值。方法:选取2018年2月至2019年1月期间在本院接受腹腔镜手术治疗的胆囊结石患者104例,按照随机原则分为2组,对照组(n=52)给予常规护理,观察组(n=52)在常规护理的同时实施循证护理,比较两组住院时间及住院期间并发症发生情况,护理前(术后当天)及护理后(术后1周)采用视觉模拟评分量表(Visual analogue scale,VAS)评估患者的疼痛情况。结果:护理后观察组VAS评分明显低于对照组,疼痛持续时间明显缩短(P<0.05);观察组并发症发生率为3.8%,明显低于对照组(17.3%)(P<0.05);观察组住院时间明显短于对照组(P<0.05)。结论:针对胆囊结石腹腔镜手术治疗患者实施循证护理,有助于减轻患者疼痛程度、减少并发症发生,对促进患者身体康复有重要价值。

Objective:To explore the clinical value of evidence-based nursing for patients with cholecystolithiasis undergoing laparoscopic surgery.Methods: All together104 patients with cholecystolithiasis undergoing laparoscopic surgery in our hospital from February2018 to January2019 were enrolled and randomly divided into two groups.The control group (n=52) was given routine nursing,while the observation group (n=52) was given evidence-based nursing and routine nursing.The hospitalization time and complications during hospitalization was compared.The pain was evaluated by visual analogue scale (VAS) before and after nursing.Results: After nursing,the VAS score of the observation group was significantly lower than that of the control group and the duration of pain significantly shortened (P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group (3.8%&17.3%,P<0.05).The hospitalization time of the observation group was significantly shorter than that of the control group (P<0.05).Conclusion: Evidence-based nursing can reduce the pain and complications,which has important value in promoting the physical rehabilitation of patients with cholecystolithiasis undergoing laparoscopic surgery.