作业流程重组健康教育指导模式在胆结石微创手术围手术期的应用价值

Application value of the health education guidance mode of business process reengineering in the perioperative period of minimally invasive surgery for gallstones

目的探讨作业流程重组(BPR)健康教育指导模式在胆结石微创手术围手术期的应用价值。方法选择2021年1月至11月南京市高淳人民医院共收治的91例胆结石患者作为研究对象,采用随机数字表法将其分为对照组和观察组,对照组46例,观察组45例。对照组行常规护理及健康宣教,观察组行常规护理及BPR健康教育指导模式。观察两组围手术期应激反应及术后康复效果。结果对照组因指标检测结果有误剔除1例。整体分析发现:两组心率和收缩压组间、时间点及交互作用比较,差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组围手术期各时间点心率和收缩压比较,差异有统计学意义(P<0.05);组间比较:观察组术前1 h、术中15 min及术后1 h心率和收缩压均低于对照组,差异有统计学意义(P<0.05)。观察组患者离床活动时间、肛门排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。结论BPR健康教育指导模式可减轻其围手术期应激反应,加快术后身体康复。

Objective To exploration of the application value of the health education guidance mode of business process reengineering(BPR)in the perioperative period of minimally invasive surgery for gallstones.Methods A total of 91 patients with gallstones admitted to Nanjing Gaochun People’s Hospital from January to November 2021 were selected as the study objects.The patients were divided into control group and observation group by random number table method,with 46 cases in control group and 45 cases in observation group.The control group received routine nursing and health education,and the observation group received routine nursing and BPR health education guidance mode.The perioperative stress reaction and postoperative rehabilitation were observed in the two groups.Results In the control group,one case was eliminated due to the worong indes detection results.The overall analysis showed that there were statistically significant differences in the comparison of heart rate and systolic blood pressure between the two groups,time point and interaction comparison(P<0.05).Further pairwise comparison,intra-group comparison:comparison of heart rate and systolic blood pressure between the two groups at various time points during perioperative period,the differences were statistically significant(P<0.05);comparison between groups:the heart rate and systolic blood pressure in the observation group were lower than those in the control group 1 h before surgery,15 min during surgery,and 1 h after surgery,the differences were statistically significant(P<0.05).The time of moving out of bed,anal exhaust time,and hospital stay in observation group were shorter than those in control group,the differences were statistically significant(P<0.05).Conclusion BPR health education guidance model can reduce the perioperative stress reaction and accelerate the postoperative physical recovery.