集束化护理在胆结石术后患者中的应用效果

Application effects of cluster nursing in postoperative patients with gallstones

目的:观察集束化护理在胆结石术后患者中的应用效果。方法:选取2021年3月至2022年2月该院收治的80例胆结石患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各40例。两组均行腹腔镜胆囊切除术,术后对照组实施常规护理,研究组在对照组基础上实施集束化护理,比较两组护理前后负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,并发症发生率及护理满意度。结果:护理后,两组SDS、SAS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组GQOLI-74评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为0,低于对照组的15.00%,差异有统计学意义(P<0.05);研究组护理满意度为95.00%,高于对照组的72.50%,差异有统计学意义(P<0.05)。结论:集束化护理应用于胆结石术患者,可改善患者负性情绪,提高生命质量,降低并发症发生率,效果优于常规护理。

Objective:To observe application effects of cluster nursing in postoperative patients with gallstones.Methods:A prospective study was conducted on 80 patients with gallstones admitted to this hospital from March 2021 to February 2022.They were divided into control group and study group according to the random number table method,40 cases in each group.Both groups underwent laparoscopic cholecystectomy.After the surgery,the control group was given routine nursing,while the study group was given the cluster nursing on the basis of that of the control group.The scores of negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],the quality of life[general quality of life questionnaire-74(GQOLI-74)]before and after the nursing,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of SDS and SAS in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The GQOLI-74 scores of the two groups were higher than those before the nursing,that in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was 0,which was lower than 15.00%in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 95.00%,which was higher than 72.50%of the control group,the difference was statistically significant(P<0.05).Conclusions:The cluster nursing for the patients with gallstone surgery can improve the negative emotions,improve the quality of life,reduce the incidence of complications.Moreover,it is superior to the routine nursing.