综合性护理在胆囊结石合并高血压患者腹腔镜围手术期的应用

Application effects of comprehensive nursing in laparoscopic perioperative period of patients with gallstones combined with hypertension

目的:观察综合性护理在胆囊结石合并高血压患者腹腔镜围手术期的应用效果。方法:选取100例胆囊结石合并高血压的患者作为研究对象,依据随机数字表法将其分为对照组和观察组各50例,对照组实施常规护理,观察组在对照组的基础上实施综合性护理,比较两组患者手术认知度、术后不同时间点的疼痛程度、术后恢复情况、术后并发症发生情况、治疗前后负性情绪及舒适度。结果:(1)护理后观察组的手术认知度评分、舒适状况量表(GCQ)评分均明显高于对照组,焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于对照组,差异均有统计学意义(P<0.05);(2)术后各时间点观察组的疼痛数字评分法(NRS)评分均明显低于对照组,术后排气恢复时间、导尿管留置时间、卧床时间、住院时间均明显短于对照组,差异均有统计学意义(P<0.05);(3)观察组术后并发症发生率为2.0%(1/50),明显低于对照组的14.0%(7/50),差异有统计学意义(P<0.05)。结论:在常规护理的基础上采用综合性护理,可有效提高胆囊结石合并高血压患者对腹腔镜手术的认知,减轻患者腹腔镜围手术期的负性情绪及术后疼痛,促进术后恢复,减少术后并发症,改善舒适度,效果明显优于单纯应用常规护理。

Objective:To explore application effects of comprehensive nursing in laparoscopic perioperative period of patients with gallstones combined with hypertension.Methods:100 patients with gallstones combined with hypertension were selected as the study subjects. According to the random number table method, they were divided into control group (n=50) and observation group (n=50).The control group was given routine nursing, while the observation group was given comprehensive nursing based on that of the control group.Then, the surgery awareness, degree of pain at different time points after the surgery, postoperative recovery, postoperative complications, negative emotions and comfort before and after the treatment were compared between the two groups.Results:(1) After the nursing, the scores of surgical awareness and the general comfort questionnaire (GCQ) the observation group were significantly higher than those of the control group;the scores of the anxiety self-rating scale (SAS) and depression self-rating scale (SDS) were significantly lower than those of the control group;and the differences were statistically significant (P<0.05).(2) The score of the pain numerical rating scale (NRS) at each time point after the surgery in the observation group was significantly lower than that in the control group;the postoperative exhaust recovery time, catheter indwelling time, bed rest time, and hospital stay were significantly shorter than those in the control group;and the differences were statistically significant (P<0.05).(3) The postoperative complication rate was 2.0%(1/50) in the observation group, which was significantly lower than that in the control group (14.0%, 7/50), and the difference was statistically significant (P<0.05).Conclusions:Comprehensive nursing based on the routine nursing can effectively improve the awareness of the laparoscopic surgery in the patients with gallstones and hypertension, reduce the negative emotions during the perioperative period and postoperative pain, promote the postoperative recovery and reduce the postoperative complications.Moreover, its effect on improving the comfort degree is significantly better than that of simple routine care.