系统化护理干预对阑尾炎腹腔镜术后患者胃肠功能恢复的影响

Effect of Systematic Nursing Intervention on Gastrointestinal Function Recovery after Laparoscopic Appendectomy

目的探讨系统化护理干预对阑尾炎腹腔镜术后患者胃肠功能恢复的影响。方法在医院2016年1月至2017年12月诊治的阑尾炎腹腔镜术患者中选取106例作研究对象,并按护理方案不同予以分组:对照组(n=53)围术期接受常规护理干预,研究组(n=53)则接受系统化护理干预,就两组患者术后胃肠功能恢复时间以及胃肠道并发症发生率进行统计学分析。结果①研究组患者的肠鸣音恢复时间、肛门排气时间均短于对照组(P<0.05);②研究组肠道相关并发症发生率11.32%低于对照组的33.96%(P<0.05),但便秘、排尿困难以及不同程度的腹胀发生率均低于对照组(P>0.05)。结论系统化护理干预对阑尾炎腹腔镜术后患者胃肠功能恢复有正性影响,可借鉴。

Objective To explore the effect of systematic nursing intervention on gastrointestinal function recovery in patients with appendicitis after laparoscopic surgery.Methods 106 patients with appendicitis who underwent laparoscopic appendectomy from January 2016 to December 2017 were selected and divided into two groups according to different nursing schemes:the control group(n=53)received routine nursing intervention during the perioperative period,and the study group(n=53)received systematic nursing intervention to restore gastrointestinal function after operation.The recurrence time and the incidence of gastrointestinal complications were analyzed statistically.Results(1)The bowel sounds recovery time and anal exhaust time in the study group were shorter than those in the control group(P<0.05);(2)The incidence of intestinal related complications in the study group was 11.32%lower than 33.96%in the control group(P<0.05),The incidence of constipation,dysuria and abdominal distention was lower than that of the control group(P>0.05).Conclusion Systematic nursing intervention has positive effect on the recovery of gastrointestinal function after laparoscopic appendectomy,and can be used for reference.