综合护理干预对腹腔镜联合开腹行胆总管探查取石患者的影响  

Effect of comprehensive nursing intervention on the patients with exploration of common bile duct by laparoscopy combined with laparotomy

作　　者：刘丽红[1] 岳秋菊[1] 张荣[1] 刘淑敏[1] 王贺[1] 

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《齐鲁护理杂志》2013年第6期10-12,共3页Journal of Qilu Nursing

摘　　要：目的:探讨综合护理干预对腹腔镜联合开腹行胆总管探查取石患者心理及舒适度的影响。方法:将68例胆囊结石合并胆总管结石患者随机分为观察组和对照组34例,均采用气管插管静脉复合麻醉行胆总管探查取石,观察组采取综合护理干预,对照组采取常规护理,比较两组患者焦虑、抑郁评分及疼痛程度。结果:两组患者均治愈,护理干预后观察组焦虑、抑郁评分及疼痛程度明显低于对照组(P<0.05)。结论:腹腔镜联合开腹用胆道探查器械行胆总管探查取石具有较好的临床应用价值,综合护理干预可有效改善患者焦虑、抑郁情况,减轻疼痛程度,提高患者舒适度。Objective ：To explore the effect of comprehensive nursing intervention on the psychological state and degree of comfort of pa- tients with exploration of common bile duct by laparoscopy combined with laparotomy. Methods ：68 patients with cholecystolithiasis compli- cated with choledocholithiasis were randomly divided into the observation group and the control group （ 34 cases in each group）. The pa- tients in both groups underwent exploration of common bile duct and removal of stone at the same tine under intravenous balanced anesthe- sia in tracheal intubation. The comprehensive nursing intervention and routine nursing care were respectively implemented in the observa- tion group and the control group, the scores of anxiety and depression and severity of pain were compared between the two groups. Results ： The patients in the two groups were cured, the scores of anxiety and depression and severity of pain of the patients were significantly lower in the observation group than the control group after the intervention （ P 〈 0.05 ）. Conclusion ： Laparoscopy combined with laparotomy has the good clinical application value in the exploration of common bile duct. The comprehensive nursing intervention can effectively alleviate patients＇ anxiety, depression and pain so as to improve the degree of comfort of the patients.

关 键 词：胆囊结石 腹腔镜 开腹手术 胆道探查器械 胆总管探查取石术 综合护理干预 

分 类 号：R473.6[医药卫生—护理学]