针对性护理在促进腹腔镜手术患者术后胃肠蠕动功能恢复中的应用效果  

Effect of targeted care in promoting the recovery of gastrointestinal peristalsis function after laparoscopic surgery

作　　者：彭艳 

机构地区：[1]江西省宜春市人民医院手术室,江西宜春336000

出　　处：《中国现代医生》2017年第26期138-140,143,共4页China Modern Doctor

摘　　要：目的探讨针对性护理在促进腹腔镜手术患者术后胃肠蠕动功能恢复中的应用效果。方法将2015年2月~2017年2月在我院择期行腹腔镜胆囊手术的62例患者纳入本研究,按照随机数字表法将62例患者分为观察组和对照组各31例,对照组患者采取常规护理,观察组患者在此基础上实施针对性护理,比较两组患者术后胃肠不良情况、术后恢复情况以及护理满意度情况。结果观察组患者术后胃肠不良情况总发生率显著低于对照组,差异有统计学意义(P<0.05);观察组患者术后肛门平均排气时间、肠鸣音平均恢复时间、首次排便平均时间、正常饮食平均恢复时间及平均住院时间均显著低于对照组,差异有统计学意义(P<0.05);观察组患者护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论针对性护理能够有效降低术后胃肠不良情况发生率,促进胃肠蠕动功能恢复,提高护理服务质量,值得临床推荐。Objective To investigate the effect of targeted nursing in promoting the recovery of gastrointestinal peristalsis function after laparoscopic surgery. Methods 62 patients undergoing elective laparoscopic cholecystectomy from February 2015 to February 2017 were included in this study. 62 patients were divided into observation group（n=31）and control group（n=31） according to the random number table method. The control group was treated with routine care. The patients in the observation group were treated with targeted care. The postoperative gastrointestinal adverse situation, postoperative recovery and nursing satisfaction were compared between the two groups. Results The incidence of postoperative gastrointestinal adverse situation in the observation group was significantly lower than that in the control group, and the difference was statistically significant（P〈0.05）. The average time of anorectal exhaust, the average recovery time of bowel sounds, the average time for the first defecation, the average recovery time of normal diet, and average hospital stay in the observation group were significantly lower than those in the control group, and the differences were statistically significant（P〈0.05）. The overall satisfaction rate of the patientsin the observation group was significantly higher than that in the control group,and the difference was statistically significant（P〈0.05）. Conclusion Targeted care can effectively reduce the incidence of postoperative gastrointestinal adverse situation, promote gastrointestinal peristalsis function recovery and improvethe quality of nursing care, which is worthy of clinical ecommendation.

关 键 词：腹腔镜手术 针对性护理 胃肠蠕动功能 护理满意度 

分 类 号：R473.6[医药卫生—护理学]