摘要
目的分析循证护理对胆囊结石患者腹腔镜术后疼痛程度及生活质量的影响。方法方便选择2019年4月—2020年10月进入该院接受腹腔镜手术治疗的胆囊结石患者进行观察研究,病例数总计62例,在入院后随机编码,取1~31号患者作对照组,给予常规护理,取32~62号患者作观察组,基于对照组给予循证护理,认真评估两组患者护理前后的疼痛程度与疼痛持续时间,评价两组患者多个方面的生活质量与护理满意程度,对比分析临床护理效果。结果经护理,观察组患者的NPRS评分(3.67±0.56)分与疼痛持续时间(5.62±1.23)d明显较对照组(5.34±0.78)分、(6.80±1.54)d优,差异有统计学意义(t=9.683、3.333,P<0.05);观察组患者的排气时间(28.26±4.68)h、肠鸣音恢复时间(14.23±2.26)h、排便时间(42.62±2.97)h、住院时间(4.93±1.05)d,较对照组的(36.72±6.33)h、(18.63±3.28)h、(60.22±4.14)h、(5.69±1.21)d更优,差异有统计学意义(t=5.984、6.150、19.233、2.641,P<0.05);观察组患者4项生活质量评分高于对照组,差异有统计学意义(t=16.011、12.705、15.868、11.216,P<0.05);观察组患者术后并发症发生率是16.13%(5/31),较对照组38.71%(12/31)明显更低,差异有统计学意义(χ^(2)=3.971,P<0.05);观察组患者护理满意率是83.87%(26/31),较对照组61.29%(19/31)明显更高,差异有统计学意义(χ^(2)=3.971,P<0.05)。结论针对腹腔镜手术的胆囊结石患者,临床给予循证护理干预有助于大大减轻患者的疼痛程度,提高生活质量,提高患者对护理服务的满意程度,临床康复效果明显优于常规护理患者,具有较高护理安全性,在临床中应用价值高。
Objective To analyze the effect of evidence-based nursing on the pain degree and quality of life of patients with gallbladder stones after laparoscopic surgery.Methods The patients with gallbladder stones who were admitted to the hospital for laparoscopic surgery between April 2019 and October 2020 were conveniently selected for observation and study.The number of cases was 62.They were randomly coded after admission,and patients 1 to 31 were selected as the control group,given routine care,taking patients 32 to 62 as the observation group,based on the control group to give evidence-based care,carefully evaluate the pain degree and pain duration of the two groups of patients before and after care,evaluate the quality of life and nursing care satisfaction degree of the two groups of patients in various aspects,comparative analysis of clinical nursing effect.Results After nursing,the observation group's NPRS score(3.67±0.56)points and pain duration(5.62±1.23)d were significantly better than those of the control group(5.34±0.78)points and(6.80±1.54)d,the difference was statistically significant(t=9.683,3.333,P<0.05);the observation group's exhaust time(28.26±4.68)h,bowel sound recovery time(14.23±2.26)h,defecation time(42.62±2.97)h,hospitalization time(4.93±1.05)d,better than the control group(36.72±6.33)h,(18.63±3.28)h,(60.22±4.14)h,(5.69±1.21)d,the difference was statistically significant(t=5.984,6.150,19.233,2.641,P<0.05);observation group of the four quality of life scores of the patients were higher than those of the control group,the difference was statistically significant(t=16.011,12.705,15.868,11.216,P<0.05);the postoperative complication rate of the observation group was 16.13%(5/31),significantly lower than the control group 38.71%(12/31),the difference was statistically significant(χ^(2)=3.971,P<0.05);the observation group patient care satisfaction rate was 83.87%(26/31),which was significantly higher than the control group 61.29%(19/31),the difference was statistically significant(χ^(2)=3.971,P<0.05).Conclusion For patients with gallbladder stones undergoing laparoscopic surgery,clinical evidence-based nursing intervention can greatly reduce the pain of patients,improve the quality of life,and improve the satisfaction of patients with nursing services.The clinical rehabilitation effect is significantly better than that of conventional nursing patients.It has high nursing safety,high clinical application value.
作者
王秀华
WANG Xiuhua(Department of General Surgery,Jurong City Hospital of Traditional Chinese Medicine,Jurong,Jiangsu Province,212400 China)
出处
《中外医疗》
2021年第28期125-129,共5页
China & Foreign Medical Treatment
关键词
循证护理
胆囊结石
腹腔镜
疼痛程度
生活质量
护理满意度
Evidence-based nursing
Gallbladder stones
Laparoscopy
Pain degree
Quality of life
Nursing satisfaction
