围术期护理对腹腔镜治疗胆结石的效果评价

Evaluation of the Effect of Perioperative Nursing on Laparoscopic Treatment of Gallstones

目的探讨胆结石患者在接受腹腔镜治疗期间围术期综合护理配合应用可行性。方法将该院2018年5月—2020年3月收治的58例胆结石患者数字奇偶法分组;护理组(29例):采用围术期综合护理方法配合腹腔镜治疗;常规组(29例):采用围术期常规护理方法配合腹腔镜治疗。就组间腹腔镜术后指标、术后总并发症率、护理满意度展开对比。结果护理组胆结石患者下床活动时间(8.21±0.41)h、住院天数(4.51±0.81)d均短于常规组(14.62±1.12)h以及(7.72±0.91)d明显,差异有统计学意义(t=28.942、14.189,P<0.05);两组胆结石患者术后并发症集中于皮下气肿、腹腔内出血以及胆瘘几方面,护理组胆结石患者术后总并发症率(6.90%)低于常规组(31.03%)明显,差异有统计学意义(χ^(2)=5.497,P<0.05);护理组胆结石患者护理总满意率(96.55%)高于常规组(72.41%)明显,差异有统计学意义(χ^(2)=6.444,P<0.05)。结论围术期综合护理配合应用于腹腔镜治疗中,可使得胆结石患者腹腔镜术后指标明显改善,使患者下床活动时间、住院天数有效缩短,将其术后皮下气肿、腹腔内出血以及胆瘘等系列并发症显著减少,使得护理满意度显著提升,最终实现胆结石患者总体满意度提升以及有效预后。

Objective To explore the feasibility of perioperative comprebensive nursing cooperation in patients with gallstones during laparoscopic treatment.Methods 58 cases of gallstone patients admitted to the hospital from May 2018 to March 2020 were divided into groups by digital parity;nursing group(29 cases):perioperative comprehensive nursing method combined with laparoscopic treatment;conventional group(29 cases):use perioperative conventional nursing methods with laparoscopic treatment;compared the laparoscopic postoperative indexes,postoperative total complication rate,and nursing satisfaction between groups.Results The time for gallstone patients in the nursing group to get out of bed(8.21±0.41)h and the number of hospitalization days(4.51±0.81)d were shorter than those in the routine group(14.62±1.12)h and(7.72±0.91)d were significantly shorter,the difference was statistically significant(t=28.942,14.189,P<0.05);the postoperative complications of the two groups of gallstone patients concentrated on subcutaneous emphysema,intra-abdominal hemorrhage and biliary fistula.The total postoperative complication rate(6.90%)of gallstone patients in the nursing group was significantly lower than the conventional group(31.03%),the difference was statistically significant(χ^(2)=5.497,P<0.05);the overall satisfaction rate of care for patients with gallstones in the nursing group(96.55%)was significantly higher than that of the conventional group(72.41%),the difference was statistically significant(χ^(2)=6.444,P<0.05).Conclusion Perioperative comprehensive nursing and laparoscopic treatment can significantly improve the parameters of gallstone patients after laparoscopic surgery,effectively shorten the time of getting out of bed and hospital stay,and reduce postoperative subcutaneous emphysema,intra-abdominal hemorrhage and gall bladder.Complications such as fistulas have been significantly reduced,which has significantly improved the satisfaction of nursing care,and ultimately improved the overall satisfaction of patients with gallstones and an effective prognosis.