快速康复外科护理在胆囊切除术患者围手术期的临床价值

Clinical Value of Rapid Rehabilitation Surgical Nursing in Perioperative Period of Patients Undergoing Cholecystectomy

目的研究观察快速康复外科护理用于胆囊切除术患者围手术期的临床护理效果。方法从该院2018年1—6月行胆囊切除术的患者中随机抽取42例作为该次的对照组,该组患者围手术期实施的是常规护理,另外从该院2018年7—12月行胆囊切除术的患者中随机抽取42例作为该次的观察组,该组患者围手术期实施的是快速康复外科护理。对比两组患者的护理满意度、术后恢复情况以及术后并发症的发生情况。结果满意度比较,对照组总满意度78.57%,观察组总满意度97.62%,观察组的总满意度显著优于对照组,差异有统计学意义(χ^2=8.527,P=0.002);术后恢复情况比较,观察组术后血糖(6.48±2.13)mmol/L、输液总量(9.03±3.13)L、肛门排气时间(26.65±5.99)h、术后下床时间(1.47±0.83)d、术后疼痛评分(3.04±0.46)分,以及住院天数(5.71±0.93)d均显著优于对照组,差异均有统计学意义(P<0.05);术后并发症发生情况比较,观察组术后切口感染4.76%、腹腔积液4.76%、肺部感染7.14%比对照组14.28%、7.14%、19.05%的发生率要更低,差异有统计学意义(P<0.05),两组患者的胆漏发生情况,差异无统计学意义(χ^2=1.358,P=0.153)。结论胆囊切除术患者围手术期应用快速康复外科护理,不仅能够提高患者的满意度,还可以促进患者的术后恢复,缩短患者住院时间,降低患者并发症的发生,值得临床推广。

Objective To study the clinical nursing effect of rapid rehabilitation surgical nursing for patients undergoing cholecystectomy during perioperative period.Methods A total of 42 patients who underwent cholecystectomy from January to June 2018 in our hospital were randomLy selected as the control group.The patients in this group were routinely treated during the perioperative period,and another from our hospital from July to December 2018.Among the patients who underwent cholecystectomy of 42 patients were randomLy selected as the observation group.The perioperative period was performed by the patients with rapid rehabilitation surgery.The nursing satisfaction,postoperative recovery and postoperative complications of the two groups were compared.Results Satisfaction comparison,the total satisfaction of the control group was 78.57%,and the total satisfaction of the observation group was 97.62%.The total satisfaction of the observation group was significantly better than that of the control group,the difference was statistically significant(χ^2=8.527,P=0.002);After recovery,the postoperative blood glucose(6.48±2.13)mmol/L,total infusion(9.03±3.13)L,anal exhaust time(26.65±5.99)h,postoperative bedtime(1.47±0.83)d,postoperative pain score(3.04±0.46)points,and hospitalization days(5.71±0.93)d were significantly better than the control group,the difference was statistically significant(P<0.05);In the observation group,the incision infection was 4.76%,the peritoneal effusion was 4.76%,the pulmonary infection was 7.14%,and the incidence of 14.28%,7.14%,and 19.05%was lower than the control group.The difference was statistically significant(P<0.05).There was no significant difference in bile leakage between the two groups,the difference was statistically significant(χ^2=1.358,P=0.153).Conclusion The application of rapid rehabilitation surgical care during perioperative period of cholecystectomy can not only improve patient satisfaction,but also promote postoperative recovery,shorten hospitalization time and reduce the incidence of complications.It is worthy of clinical promotion.