个性化护理在急性阑尾炎手术患者中的干预效果

Intervention Effect of Personalized Nursing in Patients Undergoing Acute Appendicitis Surgery

目的 探究个性化护理在急性阑尾炎手术患者中的效果。方法 选取2017年1月至2023年12月在福建省南平市松溪县中医院外科治疗急性阑尾炎患者作为观察对象,共计纳入60例患者。按照奇偶分组法将患者分为观察组(30例)和对照组(30例)。对照组护理方案为外科常规护理,观察组则在常规护理基础之上给予个性化护理,对两组患者的临床护理效果进行对比和分析。结果 观察组患者的肠胃功能恢复时间和住院时间相对于对照组均较短(P <0.05)。护理干预前,两组患者汉密尔顿焦虑量表(HAMA)评分和汉密尔顿抑郁量表(HAMD)评分差异无统计学意义(P> 0.05);护理后,两组患者的HAMA评分和HAMD评分均有所下降,且以观察组的评分更低(P <0.05)。并发症发生率:观察组为13.33%,对照组为46.67%,观察组较低(P <0.05)。护理满意度:观察组为96.67%高于对照组(73.33%),P <0.05。观察组SF-36评分高于对照组(P <0.05)。结论 针对急性阑尾炎手术患者,个性化护理干预是临床优质护理路径,可明显降低患者不良心理状态,对治疗效果具有正向积极作用。

Objective To explore the effect of personalized nursing in patients undergoing acute appendicitis surgery.Methods Patients with acute appendicitis treated surgically at Songxi County Hospital of Traditional Chinese Medicine in Nanping City,Fujian Province from January 2017to December 2023 were selected as observation objects,and a total of 60 patients were included.The patients were divided into the observation group(30 cases) and the control group(30 cases) according to the odd-even grouping method.The nursing plan of the control group was routine surgical nursing,while the observation group was given personalized nursing on the basis of routine nursing.The clinical nursing effects of the two groups were compared and analyzed.Results The recovery time of gastrointestinal function and hospitalization time of patients in the observation group were shorter than those in the control group(P<0.05).Before nursing intervention,there were small differences in Hamilton Anxiety Scale(HAMA) scores and Hamilton Depression Scale(HAMD) scores between the two groups of patients,without statistical significance(P>0.05).After nursing care,the HAMA score and HAMD score of patients in both groups decreased,and the score in the observation group was lower(P<0.05).The incidence of complications:the observation group was 13.33%,and the control group was 46.67%,which was lower in the observation group(P<0.05).Nursing satisfaction:the observation group was 96.67%,and the control group was 73.33%,which was higher in the observation group(P<0.05).The SF-36 score in the observation group was higher than that in the control group(P<0.05).Conclusions For patients undergoing acute appendicitis surgery,personalized nursing intervention is a clinical high-quality nursing path,which can significantly reduce patients' bad mental state and has a positive effect on treatment effect.