多学科协作护理在急性胆囊炎腹腔镜胆囊切除术后患者中的应用效果

Application effects of multidisciplinary collaborative nursing in patients with acute cholecystitis after laparoscopic cholecystectomy

目的:观察多学科协作护理在急性胆囊炎腹腔镜胆囊切除术(LC)术后患者中的应用效果。方法:选取2020年1月至2021年12月该院收治的90例急性胆囊炎LC术后患者进行前瞻性研究,按照随机数字表法分为研究组(n=45)、对照组(n=45)。对照组采用常规护理,研究组采用多学科协作护理,比较两组术后首次肛门排气时间、术后肠鸣音恢复正常时间、住院时间、焦虑自评量表(SAS)评分、自我护理能力量表(ESCA)评分和并发症发生率。结果:研究组术后首次肛门排气时间、术后肠鸣音恢复正常时间和住院时间短于对照组,差异均有统计学意义(P<0.05);出院时,两组SAS评分低于术后1 d,且研究组低于对照组,两组ESCA评分高于术后1 d,且研究组高于对照组,差异均有统计学意义(P<0.05);住院期间,研究组并发症发生率为2.22%,明显低于对照组的17.78%,差异有统计学意义(P<0.05)。结论:多学科协作护理应用于急性胆囊炎LC术后患者可提高ESCA评分,缩短术后首次肛门排气时间、术后肠鸣音恢复正常时间和住院时间,以及降低SAS评分和并发症发生率,效果优于常规护理。

Objective:To observe application effects of multidisciplinary collaborative nursing in patients with acute cholecystitis after laparoscopic cholecystectomy(LC).Methods:A prospective study was conducted on 90 patients after cholecystitis LC who were admitted to the hospital from January 2020 to December 2021.According to the random number table method,they were divided into study group(n=45) and control group(n=45).The control group was given routine nursing,while the study group was given the multidisciplinary collaborative nursing.The first anal exhaust time,the postoperative bowel sound recovery time,the hospitalization time,the self-rating anxiety scale(SAS) score,the self-care ability scale(ESCA) score and the incidence of complications were compared between the two groups.Results:The first anal exhaust time,the postoperative bowel sound recovery 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 SAS scores of the two groups were lower than those on the first day after the surgery,and that in the study group was lower than that in the control group;the ESCA scores of the two groups were higher than those on the first day after the surgery,and those in the study group was higher than those in the control group;and the differences were statistically significant(P<0.05).During the hospitalization,the incidence of complications in the study group was 2.22%,which was significantly lower than 17.78% in the control group,the difference was statistically significant(P<0.05).Conclusions:The multidisciplinary collaborative nursing in the cholecystitis patients after LC can improve the ESCA scores,shorten the first anal exhaust time,the postoperative bowel sound recovery time and the hospitalization time,and reduce the SAS scores and the incidence of complications.Moreover,it is superior to the routine nursing.