量化评估的手术室护理干预在阑尾炎患者中对并发症发生率及首次活动时间的效果

Aquantified Evaluation of the Effect of Operating Room Nursing Interventions on Complication Rate and First Activity Time in Patients with Appendicitis

目的研究量化评估的手术室护理干预在阑尾炎患者中对并发症发生率及首次活动时间的效果。方法将2022年1月至2022年12月接收的35例阑尾炎患者纳入研究,随机分为研究组(n=17)与参考组(n=18)。参考组进行传统手术室护理干预,研究组进行量化评估的手术室护理干预。比较两组术前与术后第1天、第3天的疼痛评分、炎性因子[白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、C反应蛋白(CRP)]水平与术后首次活动时间、进食时间、住院天数及患者满意指数,观察两组并发症发生率。结果术前,两组疼痛评分、炎性因子水平无统计学意义(P>0.05);术后第1、3天,两组疼痛评分、炎性因子水平均下降,研究组明显低于参考组(P<0.05);研究组术后首次活动时间、进食时间短于参考组(P<0.05),住院天数少于参考组(P<0.05);研究组患者满意指数高于参考组(P<0.05);研究组并发症发生率低于参考组(P<0.05)。结论量化评估的手术室护理干预在阑尾炎患者中效果良好,不仅有效减轻疼痛与炎症,缩短术后首次活动时间、进食时间,减少住院天数,且有助于预防术后并发症,是一种可靠的手术室护理干预方式。

Objective To study the effect of quantified evaluation of operating room nursing intervention on complication rate and first activity time in patients with appendicitis.Methods Thirty-five patients with appendicitis admitted from January 2022 to December 2022 were included in the study and randomly divided into study group(n=17)and reference group(n=18).The reference group performed traditional nursing interventions,and the study group performed quantified nursing interventions.The pain scores,inflammatory factors[interleukin-6(IL-6),interleukin-8(IL-8),C-reactive protein(CRP)]levels and the time of first activity,feeding time,hospital stay and patient satisfaction index on the first and third days after surgery were compared between the two groups,and the complication rates of the two groups were observed.Results Before surgery,there was no statistical significance in pain score and inflammatory factor levels between the two groups(P>0.05).On day 1 and 3 after surgery,pain scores and inflammatory factors in both groups were decreased,and the study group was significantly lower than the reference group(P<0.05).The first postoperative activity time and feeding time of the study group were shorter than that of the reference group(P<0.05),and the length of hospitalization was shorter than that of the reference group(P<0.05).The satisfaction index of the study group was higher than that of the reference group(P<0.05).The complication rate of the study group was lower than that of the reference group(P<0.05).Conclusion The operation room nursing intervention with quantitative evaluation has good effect in patients with appendicitis,which not only effectively reduces pain and inflammation,reduces the first postoperative activity time,feeding time,and reduces the number of days in hospital,but also helps to prevent postoperative complications,which is a reliable way of operating room nursing intervention.