双环节协同心理护理干预对急性胆囊炎患者术后康复的影响

The Effect of Double-link Collaborative Psychological Nursing Intervention on Patients with Acute Cholecystitis after Operation

目的 分析双环节协同心理护理干预对急性胆囊炎患者术后康复的影响。方法 将2018年7月到2019年7月到我院治疗的104例急性胆囊炎患者随机分为观察组和对照组,平均为52例。所有患者均以手术方案实施治疗,并分别为两组患者实施双环节协同心理护理(观察组)和常规护理(对照组),对不同护理之后的疼痛、并发症发生率、康复指标、心理状态、生活质量等进行统计和对比。结果 (1)观察组的疼痛相比对照组明显更轻(P <0.05)。(2)观察组(1例,占比为1.92%)的并发症发生概率比对照组(9例,占比为17.31%)低(P <0.05)。(3)观察组的术后胃肠道功能恢复时间、术后下床时间、术后住院时间相比对照组都明显更短(P <0.05)。(4)护理前两组患者的焦虑和抑郁心理无显著差异(P> 0.05),护理后3周观察组的焦虑和抑郁心理改善效果更为显著(P <0.05)。(5)术前,两组患者的生活质量无显著差异(P> 0.05),护理后3周,观察组的生活质量改善效果比对照组更为理想(P <0.05)。结论对急性胆囊炎的患者,在通过手术治疗的同时按照双环节协同心理护理进行干预指导,可以促进患者的术后恢复,能有效减轻患者因心理应激反应而产生的疼痛,减少并发症,缩短康复时间,减轻负面心理,并使患者的生活质量得到提高。

Objective To analyze the effect of double-link collaborative psychological nursing intervention on postoperative rehabilitation of patients with acute cholecystitis. Methods A total of 104 patients with acute cholecystitis who were treated in our hospital from July 2018 to July 2019 were randomly divided into an observation group and a control group, with an average of 52 cases. All patients were treated with the surgical plan, two groups of patients were given double-link collaborative psychological nursing(observation group) and conventional nursing(control group). The pain, complication rate,rehabilitation indicators, psychological state, quality of life, etc. after different nursing care were calculated and analyzed. Results(1) The pain in the observation group was significantly lighter than that in the control group(P<0.05).(2) The incidence of complications in the observation group(1 case,accounting for 1.92%) was lower than that in the control group(9 cases, accounting for 17.31%)(P<0.05).(3) The postoperative gastrointestinal function recovery time, postoperative ambulation time, and postoperative hospitalization time of the observation group were compared with those of the control group Both groups were significantly shorter(P<0.05).(4) There was no significant difference in anxiety and depression between the two groups before nursing(P>0.05), and the anxiety and depression in the observation group improved 3 weeks after nursing the effect was more significant(P<0.05).(5) Before surgery, there was no significant difference in the quality of life between the two groups(P>0.05). After 3 weeks of nursing, the improvement effect of the quality of life in the observation group was better than that in the control group(P<0.05). Conclusion For patients with acute cholecystitis,intervening guidance according to double-link collaborative psychological nursing can promote postoperative recovery, effectively relieve pain caused by psychological stress response, and reduce complications, to shorten the recovery time, reduce negative psychology, and improve the quality of life.