行动研究法护理在腹腔镜胆囊切除术后患者中的应用效果

Application effects of action research nursing in patients after laparoscopic cholecystectomy

目的:观察行动研究法护理在腹腔镜胆囊切除术后患者中的应用效果。方法:选取2022年2月至2023年2月该院收治的85例腹腔镜胆囊切除术后患者进行前瞻性研究,按照随机数字表法分为研究组42例与对照组43例。对照组给予常规护理,研究组给予行动研究法护理,比较两组术后首次下床活动时间、术后首次肛门排气时间、住院时间、自我护理能力测定量表(ESCA)评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分和护理满意度。结果:研究组术后首次下床活动时间、术后首次肛门排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05);出院时,两组ESCA评分高于护理前,且研究组高于对照组,两组SAS、SDS评分低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05);研究组护理满意度为95.24%,明显高于对照组的79.07%,差异有统计学意义(P<0.05)。结论:行动研究法护理应用于腹腔镜胆囊切除术后患者可提高ESCA评分和护理满意度,缩短术后首次下床活动时间、术后首次肛门排气时间和住院时间,以及降低负性情绪评分,效果优于常规护理。

Objective:To observe application effects of action research nursing in patients after laparoscopic cholecystectomy.Methods:A prospective study was conducted on 85 patients after laparoscopic cholecystectomy admitted to the hospital from February 2022 to February 2023.According to the random number table method,they were divided into study group(42 cases)and control group(43 cases).The control group was given routine nursing,while the study group was given the action research nursing.The postoperative first out-of-bed time,the postoperative first exhaust time,the hospitalization time,the self-care ability scale(ESCA)score,the negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,and the nursing satisfaction were compared between the two groups.Results:The postoperative first out-of-bed time,the postoperative first exhaust time and the hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At discharge,the ESCA scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;the SAS and SDS scores of the two groups were lower than those before the nursing,and those in the study group were lower than those in the control group;and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 95.24%,which was significantly higher than 79.07%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The action research nursing in the patients after laparoscopic cholecystectomy can improve the self-care ability scores and the nursing satisfaction,shorten postoperative first out-of-bed time,the postoperative first exhaust time and the hospitalization time,and reduce the negative emotion scores.Moreover,it is superior to the routine nursing.