循证护理在胆囊结石腹腔镜手术后疼痛护理中的疗效评价

Evidence-based Nursing in Pain Nursing after Laparoscopic Cholecystolithiasis Surgery

目的分析循证护理运用于改善胆囊结石患者腹腔镜手术后疼痛的临床效果。方法该次研究以该院2016年11月-2018年12月收治的92例接受腹腔镜手术的胆囊结石患者为研究对象,随机分配为观察组和对照组,每组患者均为46例,给予对照组患者常规护理干预措施,给予观察组患者循证护理干预措施,分析两组患者经相关护理干预后疼痛原因、疼痛持续时间及护理满意度情况。结果观察组患者护理满意度为(97.83%),对照组患者护理满意度为(73.91%),分析观察组与对照组经护理后护理满意度情况,前者较后者更优,两组数据差异有统计学意义(χ^2=10.839,P=0.001);观察组患者经护理后疼痛持续时间为(5.39±1.34)d,对照组患者经护理后疼痛持续时间为(6.63±1.54)d,分析观察组与对照组患者经护理后疼痛持续时间,前者明显较后者更短,两组数据差异有统计学意义(t=3.983,P=0.000);分析观察组与对照组患者各项疼痛诱因发生情况,两组各项数据均差异无统计学意义(P>0.05)。结论将循证护理运用于改善胆囊结石患者腹腔镜手术后疼痛的临床效果较好,有效改善护理质量,患者护理干预后疼痛持续时间明显缩短,护理满意度得到显著提高,具有良好临床推广价值。

Objective To analyze the clinical effect of evidence-based nursing in improving pain after laparoscopic cholecystolithiasis surgery. Methods The study to the hospital in November 2016 to December 2018 were 92 patients who underwent laparoscopic surgery of patients with gallbladder stone as the research object, and randomly assigned to observation group and control group, each group of patients are 46 cases, control group patients’ routine nursing interventions, observation group patients’ evidence-based nursing intervention measures, analysis of two groups of reason after related nursing intervention in patients with pain, pain duration and nursing satisfaction. Results The nursing satisfaction of patients in the observation group was(97.83%), while that of patients in the control group was(73.91%). After nursing satisfaction was analyzed between the observation group and the control group, the former was better than the latter, and the difference between the two groups was statistically significant(χ^2=10.839, P=0.001). The duration of pain after nursing was(5.39±1.34) d in the observation group, and(6.63±1.54) d in the control group. The duration of pain after nursing was significantly shorter in the observation group than in the control group. The difference between the two groups was statistically significant(t=3.983, P=0.000). The occurrence of various pain inducements in the observation group and the control group was analyzed, and there was no statistical significance in the data of the two groups(P>0.05). Conclusion Evidence-based nursing can improve the clinical effect of pain after laparoscopic cholecystolithiasis surgery, effectively improve the quality of nursing, significantly shorten the duration of pain after nursing intervention, significantly improve nursing satisfaction, and has good clinical value.