针对性护理干预对肝胆患者外科手术后胃肠功能恢复的影响效果评价

Effect of Targeted Nursing Intervention on the Recovery of Gastrointestinal Function in Patients with Hepatobiliary Surgery

目的观察针对性护理干预对肝胆患者外科手术后胃肠功能恢复的影响效果。方法选取2017年12月-2020年12月我院收治的64例行肝胆外科手术的患者为研究对象,采用随机数字表法分为对照组和观察组,各32例。对照组采用常规护理,观察组给予针对性护理干预,比较两组术后胃肠功能恢复时间、生活质量水平、疼痛评分、并发症发生率以及护理满意度。结果观察组肠鸣时间、首次排气时间、排便时间、正常进食时间均短于对照组(P<0.05);两组护理后疼痛评分均低于护理前,且观察组低于对照组(P<0.05);两组护理后生活质量评分均高于护理前,且观察组高于对照组(P<0.05);观察组并发症发生率为9.38%,低于对照组的21.88%(P<0.05);观察组护理满意度为93.75%,高于对照组的84.38%(P<0.05)。结论在肝胆患者外科手术患者术后给予针对性护理干预,可缩短胃肠功能恢复时间,降低疼痛评分,提高术后生活质量水平,提升护理满意度,降低并发症发生率。

Objective To observe the effect of targeted nursing intervention on the recovery of gastrointestinal function in patients with hepatobiliary surgery.Methods A total of 64 patients who underwent hepatobiliary surgery in our hospital from December 2017 to December 2020 were selected as the research objects.They were divided into control group and observation group by random number table method,with 32 cases in each group.The control group was given routine nursing,and the observation group was given targeted nursing intervention.The recovery time of gastrointestinal function,quality of life,pain score,complication rate and nursing satisfaction were observed and compared between the two groups.Results The bowel sound time,first exhaust time,defecation time and normal eating time in the observation group were shorter than those in the control group(P<0.05).The pain score of the two groups after nursing was lower than that before nursing,and that in the observation group was lower than that in the control group(P<0.05).The quality of life score of the two groups after nursing was higher than qthat before nursing,and that in the observation group was higher than that in the control group(P<0.05).The incidence of complications in the observation group was 9.38%,which was lower than 21.88%in the control group(P<0.05).The nursing satisfaction of the observation group was 93.75%,which was higher than 84.38%of the control group(P<0.05).Conclusion Targeted nursing intervention after hepatobiliary surgery can shorten the recovery time of gastrointestinal function,reduce pain score,improve postoperative quality of life,improve nursing satisfaction and reduce the incidence of complications.