心理护理干预在肝硬化行腹腔镜胆囊切除术患者中的应用  

Application of psychological nursing intervention among the hepatocirrhosis patients undergoing laparoscopic cholecystectomy

作　　者：钟碧柳[1] 钟乙红[1] ZHONG Bi - liu ZHONG Yi - hong(The First People＇ s Hospital of Huizhou, Huizhou 516003)

机构地区：[1]广东省惠州市第一人民医院护理部,惠州市516003

出　　处：《护理实践与研究》2017年第5期44-46,共3页Nursing Practice and Research

摘　　要：目的:探讨心理护理干预在肝硬化患者行腹腔镜胆囊切除术护理中的临床疗效。方法:选取2013年11月~2015年12月于我院诊疗的114例肝硬化行腹腔镜胆囊切除术患者并随机等分为对照组与观察组,对照组患者行常规的护理方法;观察组患者行心理护理干预。观察两组患者的护理满意度、心理状况、术后并发症以及治疗时间(住院时间、手术时间以及肠道通气时间)等。结果:观察组患者的住院时间、手术时间以及肠道通气时间明显短于对照组,术后并发症发生少于对照组,护理满意度高于对照组,两组比较差异均有统计学意义(P<0.05);两组患者护理后的SAS,SDS评分较护理前均有明显改善,但观察组患者护理后的SAS,SDS评分明显低于对照组,差异具有统计学意义(P<0.05)。结论:心理护理干预可以有效提高肝硬化患者行腹腔镜胆囊切除术患者的治疗效果,促进患者康复。Objective ： To discuss the clinical effect of psychological nursing intervention in the nursing of the hepatocirrhosis patients undergoing laparoscop- ic cholecystectomy. Methods：Selected 114 hepatocirrhosis patients undergoing laparoscopic cholecystectomy diagnosed and treated in our hospital from No- vember 2013 to December 2015, and they were equally divided into control group and observation group at random. The patients in the control group re- ceived the routine nursing, and the patients in the observation group received psychological nursing intervention. The patients from two groups were observed for their nursing satisfaction, psychological status, postoperative complication, and treatment time （ hospital stay, duration of operation, and intestinal venti- lation time）, and etc. Results：The patients from observation group had significantly shorter hospital stay, duration of operation, and intestinal ventilation time, fewer postoperative complications, and higher nursing satisfaction than those from observation group, and the different was statistically significant （ P 〈 0.05 ） ; the patients from two groups had significantly improved SAS and SDS scores after nursing, but the patients from observation group had signifi- cantly lower SAS and SDS scores than those from control group after nursing, and the different was statistically significant （ P 〈 0.05 ）. Conclusion ： Psycho- logical nursing intervention could effectively improve the therapeutic effect of hepatncirrhosis patients undergoing laparoscopic cholecystectomy and promote their rehabilitation.

关 键 词：心理护理干预 肝硬化 腹腔镜胆囊切除术 

分 类 号：R473.6[医药卫生—护理学]