护理研讨组在消化内镜术患者中的应用效果  

Clinical efficacy of group discussion model in the nursing of patients treated by digestive endoscopic surgery

作　　者：庞华兰[1] 黄利[1] 赖雪珍[2] 徐艺华[2] 

机构地区：[1]海南省农垦总医院超声医学科,海南海口570311 [2]海南省农垦总医院消化内镜科,海南海口570311

出　　处：《中国医药导报》2015年第13期161-164,共4页China Medical Herald

摘　　要：目的观察护理研讨组在消化内镜手术相关护理中的应用效果。方法应用护理研讨组改进消化内镜围术期护理水平,并回顾性分析实施后的42例消化内镜治疗患者临床资料(研讨组)与实施前的42例患者临床资料(常规组)进行对比,比较两组患者术后恢复状况、不良反应和患者满意度。结果研讨组患者术后肠蠕动恢复时间为(20.5±4.8)h,显著低于常规组的(29.6±10.2)h(P<0.01),首次排气时间为(38.4±6.0)h,显著低于常规组的(49.4±8.5)h(P<0.01),首次排便时间为(55.4±14.1)h,显著低于常规组的(72.5±18.4)h(P<0.01);研讨组患者术后不良反应发生率为21.4%(9/42),显著低于常规组的54.8%(23/42)(P<0.01);研讨组患者总满意率为97.6%(41/42),显著高于常规组的81.0%(34/42)(P<0.05)。结论通过实施护理研讨组可以有效改善消化内镜手术的护理效果,进而改善患者的术后恢复和满意度,具有临床应用价值。Objective To observe the clinical efficacy of group discussion model in the nursing of patients treated by digestive endoscopic surgery.Methods The group discussion model was used to improving the nursing quality of perioperative period nursing in patients treated by digestive endoscopic surgery.Retrospectively analysis of 84 patients treated by digestive endoscopic surgery before application of group discussion model and after application of group discussion model,42 patients in each period.Patients who received surgery before application of group discussion model were as control group and patients who received surgery after application of group discussion model were as study group.The postoperative recovery situation,adverse reaction and patients＇ satisfaction were compared between the two groups.Results The recovery time of bowel sounds was （20.5±4.8）h in study group,which was significantly less than （29.6±10.2）h in control group （P ＜ 0.01）.The first time of exsufflation in study group was （38.4±6.0）h,which was significantly less than （49.4±8.5）h in the control group （P ＜ 0.01）.The first time of defecation in study group was （55.4±14.1）h,which was significantly less than （72.5±18.4）h in the control group （P ＜ 0.01）.The adverse reaction rate in study group was 21.4％ （9/42）,which was significantly less than 54.8％ （23/42） in control group （P ＜ 0.01）.The satisfaction rate in study group was 97.6％ （41/42）,which was significantly higher than 81.0％ （34/42） in the control group （P ＜ 0.05）.Conclusion The group discussion model has a great clinical efficacy in the postoperative recovery and satisfaction rate in patients undergoing digestive endoscopic surgery,which is worth of clinical application.

关 键 词：消化内镜 护理 小组研讨 预后 满意度 

分 类 号：R473[医药卫生—护理学]