系统护理干预对腹腔镜阑尾切除术患者术后肠胃功能恢复的影响

Effect of Systematic Nursing Intervention on the Recovery of Gastrointestinal Function after Laparoscopic Appendectomy

目的 分析系统护理干预对腹腔镜阑尾切除术患者术后肠胃功能恢复的影响。方法 选取到辽阳市中心医院(时间为2018年7月至2019年7月)经手术治疗的98例阑尾炎患者为研究对象,随机分为观察组和对照组,每组49例,分别对两组患者按照系统护理和常规护理进行干预,并对不同护理之后两组患者的康复时间、并发症发生概率、负面心理和疼痛、睡眠质量、满意度等进行统计学对比。结果 经过护理后,两组患者胃肠功能恢复时间、下床活动时间和住院时间比较,观察组均优于对照组(P<0.05)。经过护理后,观察组并发症发生率为6.12%(3/49),明显低于对照组[26.53%(13/49)](P<0.05)。护理前,两组患者均存在较重的焦虑和抑郁心理,疼痛程度较重,且差异无统计学意义(P>0.05);护理后,观察组的焦虑和抑郁心理都明显得到减轻,疼痛也得到明显的改善(P<0.05)。护理前,两组患者存在质量较差的睡眠,且睡眠之间差异无统计学意义(P>0.05);经过护理后,观察组患者的睡眠质量改善效果比对照组更为显著(P<0.05)。观察组(48例,占比为97.96%)患者对护理的满意认可度相对对照组(43例,占比为87.76%)明显更高(P<0.05)。结论 通过腹腔镜阑尾切除手术治疗阑尾炎患者实施治疗的同时配合系统护理进行干预,能有效改善患者的负面心理和疼痛,进而有效缩短患者的康复时间,从而降低并发症的发生概率,提高患者的睡眠质量并提升患者的整体满意度。

Objective To analyze and observe the effect of systematic nursing intervention on the recovery of gastrointestinal function in patients with laparoscopic appendectomy. Methods From July 2018 to July 2019, 98 patients with appendicitis who underwent surgery in our hospital were randomly divided into an observation group and a control group, 49 cases respectively, and the two groups of patients were intervened according to systematic nursing and routine nursing, and statistically compared the recovery time, complication rate, negative psychology and pain, sleep quality,and satisfaction of the two groups of patients after different nursing care. Results Compared with the control group after nursing, the observation group shortened the recovery time of gastrointestinal function, the time of getting out of bed and the hospitalization time, and the difference was statistically significant(P<0.05). The observation group(3 cases, accounting for 6.12%) compared with the control group(13 cases, accounting for 26.53%), the incidence of complications was reduced after nursing, and the statistical difference was significant(P<0.05). Before nursing, the patients in both groups had severe anxiety and depression, and the degree of pain was heavier, and the difference was not significant(P>0.05).After nursing, the anxiety and depression in the observation group were significantly relieved, and the pain was also significantly improved, and the difference was statistically significant(P<0.05). Before nursing, the patients in the two groups had poor quality sleep, and the difference was not significant(P>0.05). After nursing, the improvement effect of sleep quality in the observation group was better than that in the control group. It was more significant, and the difference in calculation was significant(P<0.05). The patients in the observation group(48 cases, accounting for 97.96%)were more satisfied with the nursing care than the control group(43 cases, accounting for 87.76%) higher, the difference was significant(P<0.05).Conclusion Laparoscopic appendectomy for appendicitis patients can effectively shorten the recovery time of patients, reduce the incidence of complications, improve the negative psychology and pain of patients, improve the quality of sleep and improve the quality of patients’ sleep and overall satisfaction of the patients.