胆结石手术护理中个体化护理应用的临床效果

Clinical Effect of Individualized Nursing Application in Operation Nursing of Gallstone

目的分析个体化护理在胆结石手术护理中的应用效果。方法在2017年9月至2018年9月到我院经过胆结石手术治疗的胆结石患者中选择出82例随机分为观察组和对照组,平均41例。分别按照个体化护理和常规护理方法开展护理,并统计两组患者护理之后的满意度,护理前后的焦虑情绪、抑郁情绪、睡眠质量,护理以后的并发症发生率,不同阶段的疼痛,护理前后的生活质量等,并进行统计学比较。结果①经过个体化护理的观察组(40例,占97.56%)患者评估满意度比经过常规护理的对照组(34例,占82.93%)更高,差异有统计学意义(P<0.05)。②护理开展前,两组患者的SAS、SDS、PSQI评分差异不显著(P>0.05),护理开展后,两组的SAS、SDS、PSQI评分均有所改善,但观察组的改善效果更为显著,差异有统计学意义(P<0.05)。③经过个体化护理的观察组(3例,占7.32%)的并发症发生率比经过常规护理的对照组(13例,占31.71%)更低,差异有统计学意义(P<0.05)。④观察组的术后12 h、术后3 d,术后1周VAS评分都比对照组低,差异有统计学意义(P<0.05)。⑤护理前,观察组的SF-36生活质量量表评分和对照组差异不显著(P>0.05),护理后,虽然两组患者都有所改善,但观察组患者的改善更为显著,差异有统计学意义(P<0.05)。结论通过手术治疗的胆结石患者通过个体化护理方法开展干预可以使患者更加的满意,调节其睡眠状态和负面情绪有良好作用,也能减少并发症出现的概率,可以减轻患者手术后不同阶段的疼痛,使患者的生活质量得以提高,值得推荐。

Objective To analyze the application effect of individualized nursing in gallstone operation nursing.Methods From September 2017 to September 2018,82 patients with gallstones who underwent gallstone surgery in our hospital were selected and randomly divided into the observation group and the control group,with an average of 41 cases.Nursing was carried out according to individualized nursing and routine nursing methods,respectively,and the satisfaction of the two groups of patients after nursing,anxiety,depression,sleep quality before and after nursing,the incidence of complications after nursing,pain in different stages,and quality of life before and after nursing were calculated,etc.,and statistically compared.Results(1)The patients in the observation group who received individualized care(40 cases,accounting for 97.56%)had higher evaluation satisfaction than the control group who received routine care(34 cases,accounting for 82.93%),and the difference was statistically significant(P<0.05).(2)Before the nursing,the SAS,SDS and PSQI scores of the two groups were not significantly different(P>0.05).After the nursing,the SAS,SDS and PSQI scores of the two groups were improved,but the improvement effect of the observation group was more significant,and the difference was statistically significant(P<0.05).(3)The incidence of complications in the observation group(3 cases,accounting for 7.32%)after individualized nursing was higher than that after routine nursing.In the control group(13 cases,accounting for 31.71%),the difference was statistically significant(P<0.05).The control group was lower than the control group,and the difference was statistically significant(P<0.05).(5)Before nursing,the SF-36 quality of life scale score of the observation group was not significantly different from that of the control group(P>0.05).Although the patients in both groups improved,the improvement in the observation group was more significant,and the difference was statistically significant(P<0.05).Conclusions Individualized nursing intervention for gallstone patients treated by surgery can make the patients more satisfied,regulate their sleep state and negative emotions,and also reduce the chance of complications and reduce the pain in different stages after surgery.So that the quality of life of patients can be improved,it is recommended.