全程优质化护理干预在腹腔镜下胆囊切除术治疗高龄胆囊结石患者中的应用效果

Application Effect of Whole-course High-quality Nursing Intervention in the Treatment of Elderly Patients with Gallbladder Stones under Laparoscopic Cholecystectomy

目的探讨全程优质化护理干预在腹腔镜下胆囊切除术治疗高龄胆囊结石患者中的应用效果。方法选择2018年3月至2019年6月本院收治的80例高龄胆囊结石患者为研究对象,按照随机数字表法分为两组,各40例。对照组行常规护理,观察组行全程优质化护理干预,比较两组围手术期疼痛评分及术后住院时间,统计两组术后并发症发生情况,评估两组干预前后肝功能指标变化情况。结果观察组术后疼痛数字评分(NRS评分)显著低于对照组(P<0.05),术后住院时间短于对照组(P<0.05);观察组术后出现胆漏、胆道出血、严重疼痛和切口感染的比例显著低于对照组(P<0.05);干预后,观察组丙氨酸转氨酶、天冬氨酸转氨酶及总胆红素水平均显著低于干预前(P<0.05),且观察组丙氨酸转氨酶、天冬氨酸转氨酶及总胆红素水平低于对照组(P<0.05)。结论针对进行腹腔镜手术的高龄胆囊结石患者,实施全程优质化护理,可显著降低术后疼痛程度,缩短住院时间,减少术后并发症,改善患者肝功能。

Objective To application effect of whole-course high-quality nursing intervention in the treatment of elderly patients with gallbladder stones under laparoscopic cholecystectomy.Methods A total of 80 elderly cases with cholecystolithiasis admitted to our hospital from March 2018 to June 2019 were selected as the research objects and randomly divided into two group,40 cases in each group.The control group were received routine nursing,while the observation group were received the whole-course high-quality nursing intervention in this study.Then the perioperative pain score and postoperative hospitalization time of the two groups were compared,and the postoperative complications and changes of liver function indexes before and after the intervention were counted.Results The NRS score of postoperative pain in the observation group was significantly lower than that in the control group(P<0.05),and the hospitalization time after operation was shorter than that in the control group(P<0.05).The proportion of postoperative bile leakage,biliary tract hemorrhage,severe pain and incision infection in the observation group was significantly lower than that in the control group(P<0.05).The levels of glutamic-pyruvic transaminase,glutamic-oxaloacetic transaminase and total bilirubin in the observation group after intervention were significantly lower than those before intervention(P<0.05).Meanwhile,the levels of glutamic-pyruvic transaminase,glutamic-oxaloacetic transaminase and total bilirubin in the observation group after intervention were lower than control group(P<0.05).Conclusion For elderly patients undergoing laparoscopic cholecystectomy,the implementation of whole-course high-quality nursing intervention can significantly reduce postoperative pain,shorten hospitalization time,reduce postoperative complications and improve liver function of patients.