基于循证理念为导向的护理策略在腹腔镜手术治疗的胆囊结石患者中的应用价值

Application value analysis of evidence-based idea-based nursing strategy in patients with cholecystolithiasis treated by laparoscopic surgery

目的:评价基于循证理念为导向的护理策略在腹腔镜手术治疗的胆囊结石患者中的应用价值。方法:将2017年4月至2018年9月在本院采用腹腔镜手术治疗的160例胆囊结石患者随机数表法分为对照组和观察组。两组患者分别采用传统护理策略和基于循证理念为导向的护理策略,每组各80例。观察并记录两组视觉疼痛模拟评分系统(VAS评分)评分、术后疼痛时间、术后住院时间,生活质量、心理状况变化以及护理满意度等。结果:两组患者术后VAS评分、SF-36、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分对比差异无统计学意义(P>0.05),护理7 d后观察组VAS评分、HAMD、HAMA评分低于对照组(P<0.05),SF-36高于对照组(P<0.05);观察组护理满意度为93.75%,高于对照组的81.25%,差别有统计学意义(P<0.05)。结论:对于腹腔镜手术治疗的胆囊结石患,基于循证理念为导向的护理策略可以缓解患者疼痛、改善生活质量和心理状况,提升护理满意度。

Objective:to evaluate the value of evidence-based nursing strategy in patients with cholecystolithiasis treated by laparoscopic surgery.Methods:from April 2017 to September 2018,160 patients with cholecystoliths treated by laparoscopic surgery in our hospital were randomly divided into the control group and the observation group.Patients in the two groups were treated with traditional nursing strategies and evidence-based idea-based nursing strategies,with 80 patients in each group.Visual pain analogue scale(VAS)scores,postoperative pain time,postoperative hospital stay,quality of life,psychological changes and nursing satisfaction were observed and recorded in the two groups.Results:there was no significant difference in VAS scores,sf-36,HAMD and HAMA scores between the two groups after surgery.After 7 days of nursing,VAS scores,HAMD and HAMA scores in the observation group were significantly lower than those in the control group,and sf-36 scores were significantly higher than those in the control group,with statistically significant differences.Nursing satisfaction in the observation group was 93.75%,significantly higher than 81.25%in the control group,and the difference was statistically significant(P<0.05).Conclusion:for patients with cholecystolithiasis treated by laparoscopic surgery,evidence-based idea-based nursing strategy can significantly relieve patients'pain,improve their quality of life and psychological status,and improve nursing satisfaction.