探讨临床护理在胆结石围手术期中的护理价值

Discussion of value of clinical nursing in the perioperative period of gallstones

目的探讨胆结石患者围手术期应用临床护理干预中的应用效果。方法 52例胆结石患者,按照随机数字表法分为对照组和观察组,每组26例。两组患者均采用手术治疗,对照组患者围手术期采用常规护理,观察组患者在对照组基础上采用临床护理干预。比较两组患者的术后指标恢复情况和并发症发生情况。结果对照组患者术后首次排气时间为(18.25±2.43)h,住院时间为(6.82±1.64)d,视觉模拟评分法(VAS)评分为(5.02±1.07)分;观察组患者术后首次排气时间为(13.46±2.18)h,住院时间为(5.31±1.39)d, VAS评分为(3.86±0.84)分;观察组患者术后首次排气时间、住院时间均明显短于对照组, VAS评分明显低于对照组,差异具有统计学意义(P<0.05)。观察组患者并发症发生率3.85%明显低于对照组的30.77%,差异具有统计学意义(χ~2=6.584, P=0.010<0.05)。结论胆结石患者围手术期应用临床护理干预,能有效改善患者术后指标,护理效果显著,值得临床广泛应用。

Objective To discuss the application effect of clinical nursing in the perioperative period of gallstones.Methods A total of 52 gallstones patients were divided into control group and observation group according to random numerical table,with 26 cases in each group.Patients in the two groups were treated with surgery,patients in the control group were treated with routine care during the perioperative period,and patients in the observation group were treated with clinical nursing intervention on the basis of the control group.The postoperative indexes and complications of the two groups were compared.Results The anal exhaust time for the first time,hospitalization time and visual analogue scale(VAS)score of the control group were(18.25±2.43)h,(6.82±1.64)d and(5.02±1.07)points,which were(13.46±2.18)h,(5.31±1.39)d and(3.86±0.84)points of the observation group.The anal exhaust time for the first time and hospitalization time of the observation group were shorter than those of the control group,and VAS score was obviously lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications 3.85%of the observation group was obviously lower than that of the control group 30.77%,and the difference was statistically significant(χ2=6.584,P=0.010<0.05).Conclusion The application of clinical nursing intervention in perioperative period of gallstone patients can effectively improve the postoperative indicators of patients,and the nursing effect is significant,which is worthy of wide clinical application.