针对性护理在腹部手术患者中的应用效果

Application effects of targeted nursing in patients undergoing abdominal surgeries

目的:观察针对性护理在腹部手术患者中的应用效果。方法:回顾性分析2018年11月至2019年11月该院收治的78例腹部手术患者的临床资料,按护理方法不同分为对照组和研究组各39例。对照组采用常规护理,研究组采用针对性护理,比较两组粘连性肠梗阻发生率、胃肠功能恢复情况和护理满意度。结果:研究组粘连性肠梗阻发生率为5.13%(2/39),低于对照组的20.51%(8/39),差异有统计学意义(P<0.05);研究组腹胀腹痛缓解时间、排气恢复时间和排便恢复时间均短于对照组,差异有统计学意义(P<0.05);研究组护理满意度为92.31%(36/39),高于对照组的74.36%(29/39),差异有统计学意义(P<0.05)。结论:针对性护理应用于腹部手术患者可降低术后粘连性肠梗阻发生率,缩短胃肠功能恢复时间,提高护理满意度,效果优于常规护理。

Objective: To observe application effects of targeted nursing in patients undergoing abdominal surgeries. Methods: A retrospective analysis of the clinical data of 78 patients undergoing abdominal surgeries admitted to the hospital from November 2018 to November 2019 was performed. According to different nursing methods, they were divided into control group and study group, each with 39 cases. The control group was given routine nursing, while the study group used the targeted nursing. The incidence of adhesive intestinal obstruction, the gastrointestinal function recovery and the nursing satisfaction were compared between the two groups. Results: The incidence of adhesive intestinal obstruction in the study group was 5.13%(2/39), which was lower than 20.51%(8/39) in the control group, and the difference was statistically significant(P<0.05). The relief times of abdominal distension and abdominal pain, the exhaust recovery time and the defecation recovery time in the study group were shorter than those in the control group, and the differences were statistically significant(P<0.05). Further, the nursing satisfaction rate of the study group was 92.31%(36/39), which was higher than 74.36%(29/39) of the control group, and the difference was statistically significant(P<0.05). Conclusions: The targeted nursing applied to the patients with abdominal surgeries can reduce the incidence of postoperative adhesive intestinal obstruction, shorten the gastrointestinal function recovery time, and improve the nursing satisfaction. Moreover, it is superior to routine nursing.