集束化管理在消化性溃疡穿孔患者术后恢复中的应用效果

Application effect of cluster management in postoperative recovery of patients with peptic ulcer perforation

目的探讨集束化管理在消化性溃疡穿孔患者术后恢复中的应用效果。方法采取便利抽样方法选取2015年1月~2017年9月我院收治的55例消化性溃疡穿孔术后患者作为研究对象,根据患者入院时间将其分为观察组(n=28)和对照组(n=27)。对照组患者采用常规护理方法,观察组患者在常规护理的基础上采用集束化管理方法。观察并比较两组患者术后并发症发生情况、术后不同时间点腹部疼痛评分、术后首次排气时间、手术至出院时间及术后第3天日常生活能力、健康知识掌握、护理满意度评分。结果观察组患者的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的手术至出院时间短于对照组,差异有统计学意义(P<0.05)。观察组患者术后第3天腹部疼痛评分低于对照组,差异有统计学意义(P<0.05)。观察组患者术后第3天日常生活能力评分高于对照组,差异有统计学意义(P<0.05)。观察组患者的健康知识掌握评分高于对照组,差异有统计学意义(P<0.05)。观察组患者的护理满意度评分高于对照组,差异有统计学意义(P<0.05)。两组患者的术后首次排气时间比较,差异无统计学意义(P>0.05)。结论集束化管理引导临床以证据实施护理,能显著减少消化性溃疡穿孔患者并发症的发生,改善患者住院感受,提升了患者对自身疾病的认识度,促进术后恢复。

Objective To investigate the application effect of cluster management in postoperative recovery of patients with peptic ulcer perforation.Methods A total of 55 patients with peptic ulcer perforation treated in our hospital from January 2015 to September 2017 were selected as the research objects by convenient sampling method.Patients were divided into observation group(n=28)and control group(n=27)according to admission time.The control group used routine nursing method,and the observation group used cluster management method based on routine nursing.The incidence of postoperative complications,abdominal pain score at different time after surgery,first exhaust time after surgery,time from surgery to discharge,daily living ability at the third day after surgery,health knowledge mastery,and nursing satisfaction scores were observed and compared in the two groups.Results The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The time from surgery to discharge in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The pain score at the third day after surgery in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The daily living ability score at the third day after surgery in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The health knowledge mastery score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the first exhaust time after surgery between the two groups of patients (P>0.05). Conclusion Cluster management guiding the clinical implementation of evidence can significantly reduce the incidence of complications in patients with peptic ulcer perforation, improve the hospitalization experience, increase awareness of their own diseases, and promote postoperative recovery.