医护合作型责任制护理联合共情护理对外科腹部手术患者术后感染及胃肠功能恢复的影响

The effect of medical-nursing cooperative responsibility system nursing combined with empathy nursing on postoperative infection and gastrointestinal function recovery in patients undergoing abdominal surgery

目的 探讨医护合作型责任制护理联合共情护理对外科腹部手术患者术后感染及胃肠功能恢复的影响.方法 将60例外科腹部手术患者按随机数字表法分为研究组与对照组,各30例.两组均给予常规护理,研究组在此基础上给予医护合作型责任制护理联合共情护理.比较两组术后感染发生率、胃肠功能恢复情况,术前及术后1d采用焦虑自评量表及抑郁自评量表评定焦虑抑郁情况,采用纽卡斯尔护理服务满意度量表评定护理工作满意度.结果 两组术后感染发生率比较差异无统计学意义(P>0.05).研究组肠鸣音恢复时间、肛门首次排气时间、首次排便时间、开始进食时间显著早于对照组(P<0.01).术后1 d两组焦虑自评量表及抑郁自评量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01).研究组护理工作总满意率显著高于对照组(P<0.05).结论 医护合作型责任制护理联合共情护理可有效降低外科腹部手术患者感染发生率,有助于胃肠道功能恢复,缓解负性情绪,提高护理满意度.

Objective To explore the intervention effect of medical-nursing cooperative responsibility sys-tem nursing com bined with empathy nursing on postoperative infection and gastrointestinal function recov-ery in patients undergoing abdominal surgery.Methods 60 patients with surgical abdominal surgery were randomly divided into study group and control group,30 cases each.The control group received routine care,and the study group underwent a medical-nursing cooperative-type responsibility system based on the control group.Compare the incidence of postoperative infection and the recovery of gastrointestinal func-tion between the two groups.SAS and SDS were used to assess anxiety and depression before intervention and 1 day after operation,and NSNS was used to assess nursing job satisfaction.Results There was no significant difference in the incidence of postoperative infection between the two groups(P>0.05).The recovery time of bowel sounds,the time of first defecation,the time of first defecation,and the time to start eating in the study group were significantly earlier than those in the control group(P<0.01).The SAS and SDS scores of the two groups were significantly lower than that before the intervention 1 day after operation(P<0.01),and the study group was significantly lower than the control group(P<0.01).The nursing job satisfaction rate of the study group was significantly higher than that of the control group(P<0.05).Conclusions Medical-nursing cooperative responsibility nursing combined with empathy nursing can effectively reduce the incidence of infection in patients undergoing abdominal surgery,help restore gas-trointestinal function,relieve negative emotions,and improve nursing satisfaction.