基于加速康复外科理念的护理干预在腹腔镜胆囊切除术患者围手术期的应用效果

The Application Effect of Nursing Interventions Based on Enhanced Recovery After Surgery Concept in Perioperative Period of Laparoscopic Cholecystectomy Patients

目的 研究不同护理干预在腹腔镜胆囊切除术患者围手术期的应用效果。方法 选取2022年8月至2023年2月凤凰县人民医院间收治的78例腹腔镜胆囊切除术患者,按照不同护理方案将其分为对照组(39例采用常规护理)和实验组(39例应用基于加速康复外科理念的护理干预),比较不同护理方案的临床干预效果差异。结果 两组麻醉前皮质醇、肾上腺素、心率应激指标差异无统计学意义(P> 0.05)。手术时,实验组应激指标更低,差异有统计学意义(P <0.05);实验组术后首次排气、排便等恢复指标及住院所用时间均短于对照组,差异有统计学意义(P <0.05)。实验组并发症发生率低于对照组,差异有统计学意义(P <0.05)。实验组护理满意率高于对照组,差异有统计学意义(P <0.05)。结论 基于加速康复外科理念的护理干预应用于腹腔镜胆囊切除术中,可有效降低皮质醇、肾上腺素和心率指标,缩短临床相关指标恢复时间和住院时间,减少并发症发生情况,提高护理满意度。

Objective To study the application effects of different nursing interventions in the perioperative period of patients undergoing laparoscopic cholecystectomy.Methods From August 2022 to February 2023,78 patients who underwent laparoscopic cholecystectomy in People's Hospital of Fenghuang County were selected.According to different nursing plans,they were divided into control group(39 cases with routine nursing)and experimental group(39 cases with nursing intervention based on the Enhanced Recovery After Surgery concept).The clinical intervention effects of different nursing plans were compared.Results There was no significant difference in pre-anesthesia cortisol,adrenaline,and heart rate stress indicators between the two groups(P>0.05).During surgery,the stress indicators in the experimental group were lower,with significant differences(P<0.05).The recovery indicators such as first postoperative exhaust and defecation time and hospital stay in the experimental group were shorter than those in the control group,with significant differences(P<0.05).The complication rate in the experimental group was lower than in the control group,with significant differences(P<0.05).The nursing satisfaction rate in the experimental group was higher than in the control group,with significant differences(P<0.05).Conclusion Nursing intervention based on the Enhanced Recovery After Surgery concept in laparoscopic cholecystectomy can effectively reduce cortisol,adrenaline,and heart rate indicators,shorten the recovery time of related clinical indicators and hospital stay,reduce the incidence of complications,and improve nursing satisfaction.