量化评估策略指导下的预防性护理干预在腹腔镜下胆囊切除术后患者中的应用效果

Application effect of preventive nursing intervention under the guidance of quantitative assessment strategy in patients after laparoscopic cholecystectomy

目的探究量化评估策略指导下的预防性护理干预在腹腔镜下胆囊切除术(LC)术后患者中的应用效果及对胃肠功能恢复及复发率的影响。方法择取2020年2月至2021年2月我院收治的80例LC术后患者进行研究,根据护理方案将其分为对照组和观察组,各40例。对照组接受常规护理干预,观察组在对照组基础上加施量化评估策略指导下的预防性护理干预。比较两组的干预效果。结果干预后,观察组的胃泌素(GAS)、胃动素(MTL)水平高于对照组,生长抑素(SS)、血管活性肠肽(VIP)水平低于对照组(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、视觉模拟评分法(VAS)评分均低于对照组(P<0.05)。观察组的复发率及并发症总发生率均低于对照组(P<0.05)。结论量化评估策略指导下的预防性护理干预可促进LC术后患者胃肠功能恢复,改善术后疼痛程度及负性情绪,降低复发率及并发症总发生率,值得推广。

Objective To explore the application effect of preventive nursing intervention under the guidance of quantitative assessment strategy in patients after laparoscopic cholecystectomy(LC)and its influences on gastrointestinal function recovery and recurrence rate.Methods A total of 80 patients admitted in our hospital after LC from February 2020 to February 2021 were selected for the study and divided into control group and observation group according to the nursing plan,with 40 cases in each group.The control group received routine nursing intervention,and the observation group received preventive nursing intervention under the guidance of quantitative assessment strategy on the basis of control group.The intervention effects of the two groups were compared.Results After intervention,gastrin(GAS)and motilin(MTL)levels in the observation group were higher than those in the control group,and somatostatin(SS)and vasoactive intestinal peptide(VIP)levels were lower than those in the control group(P<0.05).After intervention,the Self-Rating Anxiety Scale(SAS)and Visual Analogue Scale(VAS)scores of the observation group were lower than those of the control group(P<0.05).The recurrence rate and the total incidence of complications of the observation group were lower than those of the control group(P<0.05).Conclusion Preventive nursing intervention under the guidance of quantitative evaluation strategy can promote the recovery of gastrointestinal function in patients after LC,improve the degree of postoperative pain and negative emotions,and reduce the recurrence rate and total incidence of complications,which is worthy of promotion.