快速康复外科理念在肝硬化患者行腹腔镜胆囊切除术护理中的应用  

Application of fast track surgery concept in the nursing of laparoscopic cholecystectomy in patients with cirrhosis

作　　者：钟碧柳[1] 钟乙红[1] ZHONG Bi-liu ZHONG Yi-hong(Department of Nursing,the First People＇s Hospital of Huizhou in Guangdong Province,Huizhou 516003,China)

机构地区：[1]广东省惠州市第一人民医院护理部,广东惠州516003

出　　处：《中国当代医药》2017年第21期190-193,共4页China Modern Medicine

摘　　要：目的探讨快速康复外科理念在肝硬化患者行腹腔镜胆囊切除术护理中的应用。方法选取自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,按照随机数字表法分为对照组与观察组,各57例。对照组患者采用常规护理方法 ,观察组患者采用快速康复外科理念,比较两组患者的手术时间、住院时间、肠道通气时间、心理状况、术后并发症发生率、护理满意度。结果观察组患者手术时间、住院时间及肠道通气时间短于对照组,术后并发症发生率低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。护理前,两组患者SAS、SDS评分结果比较,差异均无统计学意义(P>0.05);护理后观察组患者的SAS、SDS评分均有所降低,与护理前比较,差异有统计学意义(P<0.05);对照组患者护理后SAS、SDS评分与护理前比较,差异无统计学意义(P>0.05);观察组患者SAS、SDS评分均低于对照组,差异有统计学意义(P<0.01)。结论快速康复外科理念在肝硬化患者行腹腔镜胆囊切除术护理中可以有效提高患者的治疗效果,值得在临床工作中推广。Objective To explore the application of fast track surgery concept in the nursing of laparoscopic cholecystectomy in patients with cirrhosis.Methods 114 patients with cirrhosis received laparoscopic cholecystectomy in our hospital from November 2013 to December 2015 were selected and divided into the control group and the observation group according to the random number table,with 57 cases in each group.The control group patients were given routine nurs- ing methods,while the observation group patients were given the rapid rehabilitation surgery concept.The operation time, hospitalization time,intestinal ventilation time,psychologic status,the incidence of postoperative complications and nursing satisfaction were compared between two groups.Results The operation time,hospitalization time and intestinal venti- lation time in the observation group were shorter than those in the control group,the incidence of postoperative compli- cations was lower than that in the control group,the nursing satisfaction was higher than that in the control group,and the differences were statistically significant （P〈0.05）.Before nursing,there were no significant differences among the scores of SAS and SDS in two groups （P〉0.05）;after nursing, the scores of SAS and SDS in the observation group were decreased, and compared with those before nursing,the differences were statistically significant （P〈0.05）,but there were no statistically significant differences in the control group between those before and after nursing （P〉0.05）.And those in the observation group were lower than those in the control group,and the differences were statistically significant （P〈0.01）.Conclusion Rapid rehabilitation surgery concept of laparoscopic cholecystectomy in patients with cirrhosis can effectively improve the effect of the treatment of patients with nursing,which is worth popularization in clinical work.

关 键 词：快速康复外科理念 肝硬化 腹腔镜胆囊切除术 

分 类 号：R473.6[医药卫生—护理学]