不同护理策略在腹腔镜肝切除术患者中的应用效果

Application effects of different nursing strategies in patients undergoing laparoscopic hepatectomy

目的探讨不同护理策略对行腹腔镜肝切除术患者术后恢复质量影响。方法对2018年11月至2021年10月于徐州市第一人民医院接受腹腔镜肝切除术的86例肝癌患者开展回顾性研究,根据护理方法的不同分入对照组(43例)和观察组(43例)。对照组应用常规术前和术后护理干预,观察组应用以赋能理论为框架的多维护理。对比并分析2组的康复指标、应对方式、疼痛感和并发症发生情况。结果观察组的首次排气时间、下床活动时间和引流管拔管时间均早于对照组(P均<0.05)。2组在出院时的面对、乐观、情感和依赖自我评分均明显高于同组入院时,且观察组的上述评分均较对照组更高,均有统计学差异(P均<0.05)。2组在术后12 h和48 h的数字疼痛分级量表评分与术后6 h相比均明显降低,且观察组均较同期对照组更低,均有统计学差异(P均<0.05)。观察组的并发症总发生率(4.65%)较对照组(18.60%)低(P<0.05)。结论以赋能理论为框架的多维护理对加快行腹腔镜肝切除术肝癌患者的康复进程、提升其应对能力、减少并发症发生和缓解术后疼痛均具有积极效果。

Objective To explore the effects of different nursing strategies on the postoperative recovery quality of patients undergoing laparoscopic hepatectomy.Methods A retrospective study was carried out in 86 liver cancer patients who underwent laparoscopic hepatectomy in Xuzhou No.1 People’s Hospital from November 2018 to October 2021.According to the different nursing strategies,they were divided into a control group(43 cases)and an observation group(43 cases).The control group was given routine preoperative and postoperative nursing intervention,while the observation group was given multi-dimensional nursing based on empowerment theory.The rehabilitation indicators,coping styles,pain,and complication rate were compared and analyzed between the two groups.Results The time of first exhaust,time of getting out of bed,and extubation time of drainage tube in the observation group were earlier than those in the control group(all P<0.05).The scores of confronting,optimism,emotion,and self-dependence in the two groups at discharge were significantly higher than those at admission,and the above scores in the observation group were higher than those in the control group(all P<0.05).The numerical rating scale scores of the two groups at 12 and 48 hr after operation were significantly lower than those at 6 hr after operation,and the scores of the observation group were lower than those of the control group(all P<0.05).The total complication rate of the observation group(4.65%)was lower than that of the control group(18.60%,P<0.05).Conclusion The multidimensional nursing based on the empowerment theory has a positive effect on accelerating the rehabilitation process,improving the coping ability,reducing the occurrence of complications,and relieving the postoperative pain of patients undergoing laparoscopic hepatectomy for liver cancer.