舒适护理在腹腔镜胆囊切除术后患者护理中的价值分析

Analysis of the Value of Comfort Nursing in Nursing Care of Patients after Laparoscopic Cholecystectomy

目的探析在腹腔镜胆囊切术后患者护理中采取舒适护理的应用价值。方法回顾性搜集该院2018年1月—2021年2月收治的52例患者病例资料,将其按不同干预方式随机分成对照组(26例)与观察组(26例),前者给予常规护理措施,后者给予舒适护理措施,对比两组患者临床指标差异、观察两组患者麻醉前体征变化、比较两组患者焦虑水平变化、并发症与舒适度差异。结果观察组排气时间(7.69±1.71)h、下床活动时间(17.35±1.03)h、住院时间(7.68±1.84)d,均短于对照组,差异有统计学意义(P<0.05);观察组患者麻醉前舒张压(79.67±4.53)mmHg、收缩压(129.68±6.52)mmHg、心率(84.67±7.84)次/min,较对照组明显更低,差异有统计学意义(t=4.255、6.148、2.589,P<0.05)。观察组麻醉前1 d、出院前SAS评分为(42.53±2.04)分、(33.25±1.72)分,明显低于对照组,差异有统计学意义(P<0.05);与对照组比较,观察组干预后发生并发症共5例,其发生率(19.23%)明显更低,差异有统计学意义(P<0.05)。观察组干预后舒适度分数(88.36±5.63)分,比对照组(61.58±3.76)分高,差异有统计学意义(t=20.170,P<0.05)。结论腹腔镜胆囊切除术后患者采取舒适护理,康复效果更佳,术后体征控制效果更优,并发症也更少,应用价值更高。

Objective To explore the application value of comfortable nursing in the nursing of patients after laparoscopic cholecystectomy.Methods The case data of 52 patients admitted to the hospital from January 2018 to February 2021 were retrospectively collected,and they were randomly divided into a control group(26 cases)and an observation group(26 cases)according to different intervention methods.The former was given routine nursing measures,and the latter was given comfort nursing measures.Compared the differences in clinical indicators of two groups,observed the changes in physical signs of two groups before anesthesia,compared changes in anxiety levels,differences in complications and comfort.Results The observation group's exhaust time(7.69±1.71)h,getting out of bed(17.35±1.03)h,and hospitalization time(7.68±1.84)d were shorter than those of the control group,the difference was statistically significant(P<0.05).Before anesthesia,patients in the observation group had diastolic blood pressure(79.67±4.53)mmHg,systolic blood pressure(129.68±6.52)mmHg,and heart rate(84.67±7.84)beats/min,which was significantly lower than the control group,the difference was statistically significant(t=4.255,6.148,2.589,P<0.05).The SAS scores of the observation group were(42.53±2.04)points and(33.25±1.72)points 1 d before anesthesia and discharge,which were significantly lower than those of the control group,the difference was statistically significant(P<0.05).Compared with the control group,there were 5 cases of complications in the observation group after intervention,the incidence(19.23%)was significantly lower,the difference was statistically significant(P<0.05).The comfort scores of the observation group after intervention(88.36±5.63)points were higher than the control group(61.58±3.76)points,the difference was statistically significant(t=20.170,P<0.05).Conclusion After laparoscopic cholecystectomy,patients take comfortable care,and the rehabilitation effect of patients is better,the postoperative physical signs control effect is better,the complications are less,and the application value is higher.