量化评估策略下的个性化护理在腹腔镜阑尾切除术患者中的应用效果

Application Effect of Individualized Nursing Under the Quantitative Evaluation Strategy in Patients with Laparoscopic Appendectomy

目的探讨量化评估策略下的个性化护理在腹腔镜阑尾切除术患者中的应用效果。方法选取2021年6月至2022年5月平顶山市第二人民医院收治的148例腹腔镜下阑尾切除术患者作为研究对象,采用随机数表法分为分为观察组和对照组。对照组接受常规护理,观察组接受量化评估策略下的个性化护理。对比两组患者术后临床指标,并对两组患者干预前后情绪和生活质量变化进行比较。结果干预后观察组患者的手术时间、住院时间、术后下床时间、肛门排气时间均较对照组短(P<0.05);干预后观察组患者的视觉模拟评分法(VAS)和术后镇痛泵使用人数占比低于对照组(P<0.05)。干预后两组患者的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分与干预前比较均下降(P<0.05),且干预后观察组患者的SAS、SDS评分低于对照组患者(P<0.05)。干预后两组患者的健康调查简表(SF-36)各评分与干预前比较均上升(P<0.05),且干预后观察组患者的SF-36各评分高于对照组患者(P<0.05)。结论对于腹腔镜阑尾切除术患者采用量化评估策略下的个性化护理干预相对于常规护理方法效果更佳,术后恢复效果佳,可以有效改善患者心理状态,提高患者的生活质量。

Objective To explore the application effect of individualized nursing under the quantitative evaluation strategy in patients with laparoscopic appendectomy.Methods A total of 148 patients with laparoscopic appendectomy who were admitted to Pingdingshan Second people’s Hospital from June 2021 to May 2022 were selected as the research objects,and they were divided into observation and control groups.The control group was given routine care,and the observation group was given individualized care under the quantitative evaluation strategy.The postoperative clinical indicators were compared between the two groups,and the changes in mood and quality of life before and after the intervention were compared between the two groups.Results After intervention,the operation time,hospital stay,postoperative ambulation time,and anal exhaust time of the observation group were shorter than those of the control group(P<0.05).The visual analogue scale(VAS)score and the proportion of postoperative analgesic pump users in the observation group after intervention were lower than those in the control group(P<0.05).After the intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the two groups of patients were decreased compared with those before the intervention(P<0.05),and the SAS and SDS scores of the observation group after the intervention were lower than those of the control group(P<0.05).After the intervention,the MOS item short from health survey(SF-36)scores of the two groups of patients were significantly increased compared with those before the intervention(P<0.05),and the SF-36 scores of the observation group after the intervention were higher than those of the control group(P<0.05).Conclusion For patients with laparoscopic appendectomy,individualized nursing intervention under the quantitative evaluation strategy is more effective than conventional nursing methods,and the postoperative recovery effect is better.It can effectively improve the psychological state of patients and improve the quality of life of patients.